British Medical Bulletin 43:1027-1037 (1987)
© 1987 The British Council
research-article |
Hearing as a community health problem
MRC Imtitute of Hearing Research, Nottingham University Nottingham
Abstract
In hearing impairment, the scope for primary prevention and treatment are currently restricted, so the most useful type of epidemiological data concern patterns of prevalence and details of natural histories. Data on the latter are surprisingly few, but longitudinal studies are beginning to provide them. Such data speak directly to the optimal scale and timing of intervention for the two most common forms of hearing impairmentthe fluctuating conductive loss associated with secretory otitis media in childhood and the progressive sensorineural loss associated with degeneration of the cochlea in ageing. Symptoms correlate with referral and intervention but not necessarily with the ability to benefit from management; a proactive approach via community services is required.