CAJ | 학술논문

目的:探索改良中国学龄儿童听力调查问卷在大规模听力减退流行病学调查中的准确性及可行性.方法:依照WHO方案,用按容量比例概率抽样方法对江苏省40个调查点8 412人进行耳科疾病和听力减退调查,87.9% (7岁以上)被查人群有完整问卷资料,同时进行金标准测试(纯音测听)作为参照.结果:问卷得到听力减退的患病率为12.9%,与金标准测试结果相比,灵敏度为58.5%,特异度为96.7%,阳性预测值为78.9%,阴性预测值为91.7%,符合率为90.0%,问卷对女性灵敏度高于男性.结论:作为大规模听力筛查的方法,中国学龄儿童听力调查问卷的特异度高,灵敏度尚需提高.
목적:탐색개량중국학령인동은력조사문권재대규모은력감퇴류행병학조사중적준학성급가행성.방법:의조WHO방안,용안용량비례개솔추양방법대강소성40개조사점8 412인진행이과질병화은력감퇴조사,87.9% (7세이상)피사인군유완정문권자료,동시진행금표준측시(순음측은)작위삼조.결과:문권득도은력감퇴적환병솔위12.9%,여금표준측시결과상비,령민도위58.5%,특이도위96.7%,양성예측치위78.9%,음성예측치위91.7%,부합솔위90.0%,문권대녀성령민도고우남성.결론:작위대규모은력사사적방법,중국학령인동은력조사문권적특이도고,령민도상수제고.
Objective:To develop and evaluate the improved Chinese hearing questionnaire for school children(CHQS)for mass epidemiology study on hearing impairment in China.Method:Using the probability proportion to size(PPS) method, 8 412 residents were investigated in 40 clusters in Jiangsu province with the WHO ear diseases and hearing disorders survey protocol.87.9% of the residents aged 7 years and over answered the questionnaire and accepted the pure tone audiometry.Result:The prevalence of hearing impairment was 12.9% by the questionnaire. Compared with "golden standard " (pure tone audiometry), Sen=58.5%, Spe=96.7%, PV+=78.9%, PV-=91.7%, overall accuracy=90.0% . The sensitivity for women was higher than men.Conclusion:The questionnaire produced high efficiency and specificity values.It could be used in mass hearing screening, particularly in remote and rural area, although the sensitivity was as low as most questionnaires.