中华耳科学杂志2024,Vol.22Issue(5) :749-753.DOI:10.3969/j.issn.1672-2922.2024.05.011

湛江市大学生耳鸣流行病学及心理状态相关性研究

Epidemiology of Tinnitus and Psychological State among College Students in Zhanjiang

李兰 邱海涛 陈麒竹 樊世晓 谭绍锐 刘磊峰
中华耳科学杂志2024,Vol.22Issue(5) :749-753.DOI:10.3969/j.issn.1672-2922.2024.05.011

湛江市大学生耳鸣流行病学及心理状态相关性研究

Epidemiology of Tinnitus and Psychological State among College Students in Zhanjiang

李兰 1邱海涛 1陈麒竹 1樊世晓 1谭绍锐 1刘磊峰1
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作者信息

  • 1. 广东医科大学附属医院耳鼻咽喉头颈外科(湛江 524000)
  • 折叠

摘要

目的 调查湛江市在校大学生人群中耳鸣的患病情况,分析相关危险因素,探讨湛江市在校大学生焦虑、抑郁特征及与耳鸣的相关性.方法 采用便利抽样方法,选取广东医科大学、广东海洋大学、岭南师范学院在校大学生2197例为研究对象,无效问卷12例,根据耳鸣定义分为耳鸣组191例和非耳鸣组1994例.统计分析湛江在校大学生耳鸣流行病学及相关影响因素.集中发放耳鸣调查问卷,排除题目回答缺失、答题前后矛盾等无效问卷.结果 湛江市在校大学生耳鸣患病率为8.7%(191/2185),年龄、年级、学校封闭式管理对情绪影响、线上听课、耳机使用时长与耳鸣发生相关,差异均有统计学意义(P<0.05).年龄<18岁、年龄>30岁、焦虑情绪、抑郁情绪增加耳鸣发病风险,差异均有统计学意义(P<0.05).耳鸣病程6~12月、耳鸣响度分级、睡眠障碍与耳鸣合并焦虑相关,差异均有统计学意义(P<0.05).性别、耳鸣频率、耳鸣响度分级、睡眠障碍与耳鸣合并抑郁相关,差异均有统计学意义(P<0.05),男性耳鸣合并抑郁发病风险高于女性,差异有统计学意义(P<0.05).结论 湛江市在校大学生耳鸣发病率不高,但线上上课、耳机使用可能影响耳鸣的发生,提倡合理减少线上上课时间并关注在校大学生的心理健康.耳鸣患者焦虑、抑郁状态可能与病程长短、睡眠障碍等因素相关.

Abstract

Objective To report the prevalence of tinnitus among college students in Zhanjiang City,as well as risk factors and potential correlation with anxiety and depression.Methods By convenience sampling,2,197 college students from Guangdong Medical University,Guangdong Ocean University,and Lingnan Normal University were recruited as the objects.They were divided into a tinnitus group(n=191)and a non-tinnitus group(n=l,994),and required to complete a tinnitus questionnaire,regarding epidemiological and related influencing factors.Results The prevalence of tinnitus was 8.7%(191/2,185).Single factor analysis suggested that age,year in school and closed management were correlated with the occurrence of tinnitus.Online learning and time of headset use were correlated with anxiety and depression(P<0.05).Age,Anxiety and depression increased the risk of tinnitus(P<0.05).Univariate analysis suggested that duration of tinnitus,tinnitus loudness rating and sleep disorders may be associated with concomitant anxiety(P<0.05),newly onset tinnitus and sleep disorders were associated with increased risk for anxiety(P<0.05).Male gender had an increased risk for tinnitus with depression(P<0.05).Conclusion While the prevalence of tinnitus among college students in Zhanjiang is not high,online classes and headphone use may affect its occurrence.Appropriate online class time reasonably and adequate mental healthcare are needed for college students.Anxiety and depression in tinnitus may be related to disease course and sleep disorders.

关键词

耳鸣/大学生/焦虑/抑郁/流行病学研究

Key words

tinnitus/university students/anxiety/depression/epidemiologic studies

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出版年

2024
中华耳科学杂志
解放军总医院耳鼻咽喉科研究所

中华耳科学杂志

CSTPCD北大核心
影响因子:0.954
ISSN:1672-2922
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