Abstract：
UNASSIGNED: Describe how the Revised Hearing Handicap Inventory (RHHI) changes over time and determine associated factors.
UNASSIGNED: Data were from a community-based cohort study. Linear regression models were used to estimate mean baseline and final RHHI scores and change (final minus baseline score). Logistic regression models were used to determine factors associated with substantial RHHI change, defined as ±6 points. Factors included baseline age, sex, race, hearing aid use, and baseline pure-tone average (PTA; 0.5, 1.0, 2.0, 4.0 kHz, worse ear).
UNASSIGNED: This study included 583 participants (mean age: 66.4 [SD 9.1] years; 59.9% female; 14.2% Minority race) with a mean follow-up time of 7.6 (SD 4.9) years.
UNASSIGNED: Baseline and final RHHI scores were 7.9 and 9.2 points, corresponding to an average 1.3-point increase in hearing difficulty over time. Most participants (65.4%) did not show substantial RHHI change, whereas 21.4% and 13.2% experienced substantial increase and decrease, respectively. In separate multivariable models, PTA and hearing aid use were associated with substantial increase in hearing difficulty, and PTA was associated with substantial decrease.
UNASSIGNED: The average RHHI change was relatively small. Hearing aid use and PTA were associated with RHHI change.
UNASSIGNED: Data were from a community-based cohort study. Linear regression models were used to estimate mean baseline and final RHHI scores and change (final minus baseline score). Logistic regression models were used to determine factors associated with substantial RHHI change, defined as ±6 points. Factors included baseline age, sex, race, hearing aid use, and baseline pure-tone average (PTA; 0.5, 1.0, 2.0, 4.0 kHz, worse ear).
UNASSIGNED: This study included 583 participants (mean age: 66.4 [SD 9.1] years; 59.9% female; 14.2% Minority race) with a mean follow-up time of 7.6 (SD 4.9) years.
UNASSIGNED: Baseline and final RHHI scores were 7.9 and 9.2 points, corresponding to an average 1.3-point increase in hearing difficulty over time. Most participants (65.4%) did not show substantial RHHI change, whereas 21.4% and 13.2% experienced substantial increase and decrease, respectively. In separate multivariable models, PTA and hearing aid use were associated with substantial increase in hearing difficulty, and PTA was associated with substantial decrease.
UNASSIGNED: The average RHHI change was relatively small. Hearing aid use and PTA were associated with RHHI change.
摘要：
■描述修订后的听力障碍清单（RHHI）如何随时间变化并确定相关因素。
■数据来自一项基于社区的队列研究。线性回归模型用于估计平均基线和最终RHHI评分和变化(最终减去基线评分)。Logistic回归模型用于确定与RHHI实质性变化相关的因素，定义为±6分。因素包括基线年龄，性别,种族,助听器使用,和基线纯音平均值(PTA；0.5、1.0、2.0、4.0kHz，更坏的耳朵）。
这项研究包括583名参与者（平均年龄：66.4[SD9.1]岁；59.9％的女性；14.2％的少数民族种族），平均随访时间为7.6（SD4.9）年。
■基线和最终RHHI得分分别为7.9和9.2分，相当于听力困难随着时间的推移平均增加1.3个百分点。大多数参与者(65.4%)没有表现出显著的RHHI变化，而21.4%和13.2%经历了大幅增长和下降，分别。在单独的多变量模型中，PTA和助听器的使用与听力困难的大幅增加有关，PTA与大幅下降有关。
■平均RHHI变化相对较小。助听器使用和PTA与RHHI变化有关。
■数据来自一项基于社区的队列研究。线性回归模型用于估计平均基线和最终RHHI评分和变化(最终减去基线评分)。Logistic回归模型用于确定与RHHI实质性变化相关的因素，定义为±6分。因素包括基线年龄，性别,种族,助听器使用,和基线纯音平均值(PTA；0.5、1.0、2.0、4.0kHz，更坏的耳朵）。
这项研究包括583名参与者（平均年龄：66.4[SD9.1]岁；59.9％的女性；14.2％的少数民族种族），平均随访时间为7.6（SD4.9）年。
■基线和最终RHHI得分分别为7.9和9.2分，相当于听力困难随着时间的推移平均增加1.3个百分点。大多数参与者(65.4%)没有表现出显著的RHHI变化，而21.4%和13.2%经历了大幅增长和下降，分别。在单独的多变量模型中，PTA和助听器的使用与听力困难的大幅增加有关，PTA与大幅下降有关。
■平均RHHI变化相对较小。助听器使用和PTA与RHHI变化有关。
