Association between smoking and hearing status: a comparative study between smokers and non – smokers
Abstract
Background: Smoking, age, gender, socioeconomic class and education may contribute to the hearing loss. In this study hearing loss between smokers (current and ex) and non smokers was compared.
Materials and Methods: 145 smokers [79 current (68 males, 11 females) and 66 ex smokers (60 males, 6 females)] and 145 non smokers (69 males, 76 females) were studied. Modified Kuppuswamy scale and smoking index were used. Hearing loss was assessed by Audiometry. P value of<0.05(unpaired t test and chi square test) was taken as statistically significant.
Result: Statistically significant and non significant differences were found between the mean age and educational status of current -ex smokers and smokers-non smokers respectively. Statistically significant and non significant differences were found between the socioeconomic status of smokers-non smokers and current -ex smokers respectively. Difference was significant between smoking index of current and ex smokers (p=0.003). 70.05% males had hearing loss as compared to females (49.46%). About 59.24% and 26.09% hearing loss cases belonged to low education and upper and upper middle social class respectively. 68% and 24.24% of moderate and severe smoking index were of professional to graduate educational status. 36.17% and 30.30% of moderate to severe smoking index belonged to upper and upper middle socioeconomic class. 73.91% were from low social classes. 47.59% non smokers and 25.51% smokers had no hearing loss. The severity of hearing loss was more in heavy smokers.
Conclusion: Hearing loss associated with smoking was found to be more in male gender, advancing age, low socioeconomic and educational classes.
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References
Rogha M, Hashemi M, Askari N, Abtahi SH, Sepehrnejad M, Nilforoush MH. Cigarette smoking effect on human cochlea responses. Adv Biomed Res. 2015; 4:148. doi: https://dx.doi.org/10.4103%2F2277-9175.161575. eCollection 2015.
Kyoko Nomura, Mutsuhiro Nakao, Takeshi Morimoto. Effect of smoking on hearing loss: quality assessment and meta-analysis. Preventive Medicine. 2005; 40(2):138-14. DOI: https://doi.org/10.1016/j.ypmed.2004.05.011.
Carper K and Machlin SR. Variations in Smoking by Selected Demographic, Socioeconomic, Insurance, and Health Characteristics, United States, 2003. Statistical Brief #101.October 2005. Agency for Healthcare Research and Quality Rockville,Md. http://meps.ahrq.gov/mepsweb/datafiles/publications/st101/stat101.pdf.
Mishra S, Joseph RA, Gupta PC, Pezzack B, Ram F, Sinha DN, Dikshit R, Patra J, Jha P. Trends in bidi and cigarette smoking in India from 1998 to 2015, by age, gender and education. BMJ Glob Health. 2016 Apr 6;1(1):e000005. doi: http://dx.doi.org/10.1136/bmjgh-2015-000005. eCollection 2016 Apr.
Guleria TC,Mohindroo S,Mohindroo SK and Azad RK.Prevalaence and etiology of hearing imapairment in urban areas of Shimla, Himachal Pradesh, India: a cross sectional observational study. International Journal of Research in Medical Sciences.2017; 5(4):1252-1255.
Panigrahi R and Maheshwari A. Prevalence of Hearing Loss in Adolescet Smokers. Journal of Evolution of Medical and Dental Sciences.2015; 4(48):8298-8303.
Gaur K, Kasliwal N and Gupta R. Association of smoking or tobacco use with ear diseases among men: a retrospective study. Tobacco Induced Diseases201210:4.doi: https://dx.doi.org/10.1186%2F1617-9625-10-4.
National Family Health Survey (NFHS-3) India; Vol 1, Table 13.10, Page 433(2005-2006). MOHFW/GOI.
Katbamna B. Effects of Smoking on Auditory System. Audiology Online. available online at http://www.audiologyonline.com/articles/effects-smoking-on-auditory-system-899.
Kumar A, Gulati R, Singhal S, Hasan A, Khan A. The Effect of Smoking on the Hearing Status–A Hospital Based Study. Journal of Clinical and Diagnostic Research : JCDR. 2013; 7(2):210-214. doi: https://dx.doi.org/10.7860%2FJCDR%2F2013%2F4968.2730.
Kobayashi Y, Tamiya N, Moriyama Y and Nishi A. Triple Difficulties in Japanese Women with Hearing Loss: Marriage, Smoking, and Mental Health Issues. PLOS One. 2015; 10(2): e0116648.
Cruickshanks KJ, Klein R, Klein BE, Wiley TL, Nondahl DM, Tweed TS. Cigarette smoking and hearing loss: the epidemiology of hearing loss study. JAMA. 1998 Jun 3;279(21):1715-9.
Nondhal DM, Cruickshanks KJ, Dalton DS, Schubert CR, Klein BEK, Klein R and Tweed TS.Serum Cotinine Level and Incident Hearing Loss: A Case-Control Study.Archives of Otolaryngology, Head and Neck Surgery. 2004; 130(11): 1260-1264.
Sung JH, Chang SS, Lee CR, Yoo CI, LeeH, Yanghokim and Lee J. Relationship of cigarette smoking and hearing loss in workers exposed to occupational noise. Annals of Occupational and Environmental Medicine. 2013; 25:8. DOI: https://doi.org/10.1186/2052-4374-25-8.
Ferrite S, Santana V. Joint effects of smoking, noise exposure and age on hearing loss. Occup Med (Lond). 2005 Jan;55(1):48-53.
Liang K, Poytress BS, Chen Y, Leslie FM, Weinberger NM, Metherate R. Neonatal nicotine exposure impairs nicotinic enhancement of central auditory processing and auditory learning in adult rats. Eur J Neurosci. 2006 Aug;24(3):857-66. Epub 2006 Jul 18.
Lustig LR. Nicotinic acetylcholine receptor structure and function in the efferent auditory system. The Anatomical Record. Part A. Discoveries in Molecular, Cellular, and Evolutionary Biology.2006; 288(4):424-434.
Morley BJ. Nicotinic cholinergic intercellular communication: implications for the developing auditory system. Hear Res. 2005 Aug;206(1-2):74-88.
Siegelaub AB, Friedman GD, Adour K, Seltzer CC. Hearing loss in adults: relation to age, sex, exposure to loud noise, and cigarette smoking. Arch Environ Health. 1974 Aug;29(2):107-9.
Yun WJ, Rhee JA,Kim SA,Kweon SS,Lee YH, Ryu SY, Park SW, Kim DH and Shin MH. Household and area income levels are associated with smoking status in the Korean adult population. BMC Public Health. 2015; 15:39.DOI: https://doi.org/10.1186/s12889-015-1365-6.
Zin T, Myint T, Naing DKS, Htay K, Wynn AA, SabaiAung T, Musleh ASB and Robinson F. A study on health-related quality of life and co-morbidity among elderly population in rural Sabah, Malaysia. South East Asia Journal of Public Health. 2015; 5(2):35-42.
Shaikh Z, Pathak R. Revised Kuppuswamy and B G Prasad socio-economic scales for 2016. International Journal of Community Med Public Health. 2017; 4(4):997-9.
Singh N, Aggarwal AN, Gupta D, Behera D, Jindal SK. Quantified smoking status and non-small cell lung cancer stage at presentation: analysis of a North Indian cohort and a systematic review of literature. Journal of Thoracic Disease.2012; 4(5):474-484.
WHO. Available online at http://www.who.int/topics/tobacco/en.
Waseem SM, Mobarak MH, Islam N, Ahmad Z. Comparative study of pulmonary functions and oxidative stress in smokers and non-smokers. Indian J Physiol Pharmacol. 2012 Oct-Dec;56(4):345-52.
Nair PG, Jestina JJ, Unnikrishnan H and Chandrahasan H. Effects of Cigarette Smoking on Auditory Function. Research in Otolaryngology.2016; 5(1):9-15.
Shabina, Kabali B, Kapali BSC. Evaluation of Brainstem Auditory Evoked Potential in Chronic Smokers. Indian Journal of Innovations and Developments. 2012; 1(8):15-17.
Henderson D, Bielefeld EC, Harris KC, Hu BH. The role of oxidative stress in noise-induced hearing loss. Ear Hear. 2006 Feb;27(1):1-19.
Ramma L and Sebothoma B. The prevalence of hearing impairment within the Cape Town Metropolitan area. South African Journal of Communication Disorders .2016; 63(1), a105. doi: http://dx.doi.org/10.4102/sajcd.v63i1.105.
Kanjikar S, Doddamani A, Malige R and Reddy N. Audiometric analysis of type and degree of hearing impairment and its demographic correlation: A retrospective study. Journal of Advanced Clinical & Research Insights .2015; 2(5), 189–192.
Prasad BK and Nayak Sunanda V. Study of of Effect of Smoking on Auditory Acuity. Indian Journal of Public Health Research & Development.2013; 4(4): 162-167.
Paschoal CP, Azevedo MF. Cigarette smoking as a risk factor for auditory problems. Braz J Otorhinolaryngol. 2009 Nov-Dec;75(6):893-902.
Monahan RA and Sieminski LR Hearing Loss-Undiagnosed and Untreated. Today’s Geriatric Medicine.2014; 7(3):14.
Chang J, Ryou M, Jun HJ, Hwang SY, Song JJ and Chae SW. Effect of Cigarette Smoking and Passive Smoking on Hearing Impairment: Data from a Population BasedStudy.PLOSOne.2016;11(1).e0146608. doi: https://doi.org/10.1371/journal.pone.0146608.
Lalwani AK, Liu YH, Weitzman M. Secondhand smoke and sensorineural hearing loss in adolescents. Arch Otolaryngol Head Neck Surg. 2011 Jul;137(7):655-62. doi: https://doi.org/10.1001/archoto.2011.109.
Lin TY, Wu LW, Kao TW, Wu CJ, Yang HF, Peng TC, Lin YJ and Chen WL. Secondhand Smoke is Associated with Hearing Threshold Shifts in Obese Adults. Scientific Reports. 2016; 6, 33071; doi: https://doi.org/10.1038/srep33071.
Zir EE,Doumit M, and Chahine R. Nicotine Addiction and Hearing Loss in Young Subjects From Beirut, Lebanon.Int J High Risk Behav Addict.2016;5(4): 31522.
Fabry DA, Davila EP, Arheart KL, Serdar B, Dietz NA, Bandiera FC, Lee DJ. Secondhand smoke exposure and the risk of hearing loss. Tob Control. 2011 Jan;20(1):82-5. doi: http://dx.doi.org/10.1136/tc.2010.035832. Epub 2010 Nov 15.
Cruickshanks KJ, Dhar S, Dinces E, Fifer RC, Gonzalez F 2nd, Heiss G, Hoffman HJ, Lee DJ, Newhoff M, Tocci L, Torre P 3rd, Tweed TS. Hearing Impairment Prevalence and Associated Risk Factors in the Hispanic Community Health Study/Study of Latinos. JAMA Otolaryngol Head Neck Surg. 2015 Jul; 141(7):641-8. doi: https://doi.org/10.1001/jamaoto.2015.0889.
Rigters SC, Metselaar M Wieringa MH, de Jong RJB, Hofman A and Goedegebure A. Contributing Determinants to Hearing Loss in Elderly Men and Women: Results from the Population-Based Rotterdam Study. Audiol Neurotol. 2016; 21(suppl 1):10–15.
Pampel FC. Socioeconomic Distinction, Cultural Tastes, and Cigarette Smoking. Social science quarterly. 2006; 87(1):19-35. doi: https://doi.org/10.1111/j.0038-4941.2006.00366.x.
Kim JS. Prevalence and factors associated with hearing loss and hearing aid use in korean elders. Iran J Public Health. 2015 Mar;44(3):308-17.
Yun C, Wang Z, Gao J, He P, Guo C, Chen G and Zheng X. Prevalence and Social Risk Factors for Hearing Impairment in Chinese Children—A National Survey. International Journal of Environmental Research and Public Health.2017, 14(1), 88; doi: https://doi.org/10.3390/ijerph14010088.
Emmett SD, Francis HW. The socioeconomic impact of hearing loss in U.S. adults. Otol Neurotol. 2015 Mar;36(3):545-50. doi: https://dx.doi.org/10.1097%2FMAO.0000000000000562.
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