Evidence map›Paper›PMID 21871479›Full record

ArticlePreventive medicine2011

Modifiable determinants of hearing impairment in adults.

Weihai Zhan, Karen J Cruickshanks, Barbara E K Klein, Ronald Klein, Guan-Hua Huang, James S Pankow, Ronald E Gangnon, Theodore S Tweed

Abstract read
In one paragraph

Article in Preventive medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

35 citing papers in PubMed.

  1. Self-Reported Type 2 Diabetes and the Rate of Hearing Decline in Aging.Journal of speech, language, and hearing research : JSLHR · 2026
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  4. Generational Differences in Audiometric and Self-Reported Hearing and Hearing Aid Use.Journal of the Association for Research in Otolaryngology : JARO · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Weihai ZhanDepartment of Population Health Sciences, University of Wisconsin School of Medicine and Public Health, Madison, WI 53726, USA. wzhan@wesleyan.edu
Karen J Cruickshanks
Barbara E K Klein
Ronald Klein
Guan-Hua Huang
James S Pankow
Ronald E Gangnon
Theodore S Tweed

Funding

FAMILIAL AND BIRTH COHORT EFFECTS ON THE AGING SENSESR01AG021917 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI CRUICKSHANKS, KAREN J · 2004 to 2018
$25.2M
THE EPIDEMIOLOGY OF AGE-RELATED OCULAR DISEASEU10EY006594 · NEI · UNIVERSITY OF WISCONSIN-MADISON · PI GANGNON, RONALD E · 1987 to 2018
$17.3M
Epidemiology of Age-related Hearing LossR37AG011099 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI CRUICKSHANKS, KAREN J · 2009 to 2018
$7.4M
NEI NIH HHS U10 EY006594NEI NIH HHS U10EY06594NIA NIH HHS R01 AG021917NIA NIH HHS R01AG021917NIA NIH HHS R37 AG011099NIA NIH HHS R37AG11099
6 · The paper itself

Abstract

objectiveTo identify factors contributing to the declining prevalence of hearing impairment in more recent generations.

methodsWe used data on hearing thresholds and potential risk factors of hearing impairment collected from studies in Beaver Dam, Wisconsin, the Epidemiology of Hearing Loss Study (1993-1995, n=3753; 1998-2000, n=2800 and 2003-2005, n=2395), the concurrent Beaver Dam Eye Study on the same cohort, and a subgroup (n=2173) of the Beaver Dam Offspring Study (2005-2008).

resultsEducational attainment significantly reduced the odds ratio (OR) of the birth cohort effect on hearing impairment from 0.90 to 0.93, while a history of ear infection had a reverse effect on the decreasing trend (significantly changing the OR from 0.93 to 0.94). Occupational noise exposure, smoking, and a history of cardiovascular disease, while associated with hearing impairment, did not attenuate the cohort effect. The cohort effect remained significant after known risk factors were adjusted (OR=0.93; 95% confidence interval, 0.89-0.97).

conclusionThese data provide strong evidence that environmental, lifestyle, or other modifiable factors contribute to the etiology of hearing impairment and add support to the idea that hearing impairment in adults may be prevented or delayed.

Indexed as

Adult ChildrenAgedAged, 80 and overAge FactorsAudiometryCohort StudiesEducational StatusFemaleHearingHearing LossHumansMaleMiddle AgedNoise, OccupationalOtitis MediaPrevalence

Identifiers

PMID21871479
PMCPMC3208793

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.