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KMID : 0371019960290030539
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Journal of Preventive Medicine and Public Health
1996 Volume.29 No. 3 p.539 ~ p.554
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Application of HHIE-S(Hearing Handicap Inventory for the Elderly-Screening version) to screening test of noise-induced hearing loss
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Lee Mi-Young
Suh Suk-Kwon
Lee Choong-Won
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Abstract
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The study was conducted from May to September in 1994 to investigate applicability of the Hearing Handicap Inventory for the Elderly-Screening version(HHIE-S) in parallel with the puretone audiometer to the initial screening test of noise-induced hearing loss(N1HL) in some noiseexposed workers. Subjects were selected by systemic sampling that took every fifth person from 6, 700 workers taking the annual occupational health examination by the department of Health Maintenance of Dongsan Hospital Keimyung University in Taegu. The authors administered the pure-tone audiometric test and self-reported questionnaire of HHIE-S including items of sociodemographic and job-related variables concurrently. The final subjects analysed were 1,019(488 males and 531 females) excluding fourteen persons who had many missing values in their questionnaires.
The reliability coefficients of HHIE-S scale by Cronbach´s alpha were, 0.84. In the univariate analysis of hearing handicap measured by the HHIE-S, work duration, military service and the hearing threshold loss at 1KHz and 4kKHz by the initial audiometer were significant in males while age, work duration and hearing threshold loss at 1KHz and 4KHz were significant in females. In the stepwise linear regression analysis, hearing threshold loss at 1KHz and 4KHz was the only selected variable explaining the hearing handicap in males and hearing threshold loss at 1KHz and 4KHz, age, and work duration were selected in females. In ROC curves for HHIE-S scores against NIHL as gold standard which was defined by the follow-up audiogram as more than 30d.B of the average of 0.5/1/2=7 and 50dB 4KHz the optimal cutoff for the parallel HHIE-S appeared to be 8. the results suggest that HIIE-S appeared to have some reliability and validity in this data and might be used in screening NIHL in parallel with pure-tone audiometer in noise-exposed workers.
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KEYWORD
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HHIE-S, Hearing handicap, NIHL, Audiometer
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