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The prevalence of tinnitus in China: a systematic review of the literature

Published online by Cambridge University Press:  22 January 2021

D Zhang ,
Q Xu ,
C Caimino  and
D M Baguley
D Zhang
Affiliation:
Department of Otolaryngology Head and Neck Surgery, The Second Affiliated Hospital of Nanjing Medical University, China Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, UK
Q Xu
Affiliation:
NHS Leicestershire Partnership Trust, Leicester, UK
C Caimino
Affiliation:
Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, UK NIHR Nottingham Biomedical Research Centre, University of Nottingham
D M Baguley*
Affiliation:
Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, UK NIHR Nottingham Biomedical Research Centre, University of Nottingham Nottingham Audiology Services, Nottingham University Hospitals NHS Trust, UK
*
Author for correspondence: Dr David M Baguley, Hearing Sciences, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, University Park, Nottingham NG7 2RD, UK E-mail: david.baguley@nottingham.ac.uk
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Abstract

Objective

The aim of the present study was to identify reports of the prevalence of tinnitus in China and to present these findings in a review format.

Method

This study assessed and collated published prevalence estimates of tinnitus and tinnitus severity, creating a narrative synthesis of the data from publications identified from a combination of Chinese and English language databases.

Results

A total of 23 studies were included. Tinnitus prevalence ranged from 4.3 per cent to 51.33 per cent but varied with age and gender. The highest increase in prevalence from previous decade in age occurs during the fifth and sixth decades, and the highest prevalence was in the seventh decade at 32.47 per cent. There is also evidence that tinnitus prevalence is related to certain risk factors including comorbid disorders.

Conclusion

The prevalence of tinnitus in mainland China in this study is consistent with global data. With increasing awareness of the prevalence of tinnitus in China, the development of epidemiological standards is a priority.

Keywords

TinnitusPrevalenceChinaEpidemiology

Information

Type
Review Article
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 1 , January 2021 , pp. 3 - 9
Copyright
Copyright © JLO (1984) Limited, 2021

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Footnotes

Dr D M Baguley takes responsibility for the integrity of the content of the paper

References

Baguley, D, McFerran, D, Hall, D. Tinnitus. Lancet 2013;382:1600–7CrossRefGoogle ScholarPubMed
Gopinath, B, McMahon, CM, Rochtchina, E, Karpa, MJ, Mitchell, P. Incidence, persistence, and progression of tinnitus symptoms in older adults: the blue mountains hearing study. Ear Hear 2010;31:407–12CrossRefGoogle ScholarPubMed
Bhatt, JM, Lin, HW, Bhattacharyya, N. Prevalence, severity, exposures, and treatment patterns of tinnitus in the United States. JAMA Otolaryngol Neck Surg 2016;142:959–65CrossRefGoogle ScholarPubMed
Nondahl, DM, Cruickshanks, KJ, Dalton, DS, Klein, BE, Klein, R, Schubert, CR et al. The impact of tinnitus on quality of life in older adults. J Am Acad Audiol 2007;18:257–66Google ScholarPubMed
Folmer, RL, Griest, SE. Tinnitus and insomnia. Am J Otolaryngol 2000;21:287–93CrossRefGoogle ScholarPubMed
Langguth, B, Landgrebe, M, Kleinjung, T, Sand, GP, Hajak, G. Tinnitus and depression. World J Biol Psychiatry 2011;12:489–500CrossRefGoogle ScholarPubMed
Pattyn, T, Van Den Eede, F, Vanneste, S, Cassiers, L, Veltman, DJ, Van De Heyning, P et al. Tinnitus and anxiety disorders: a review. Hear Res 2016;333:255–65CrossRefGoogle ScholarPubMed
McFerran, DJ, Stockdale, D, Holme, R, Large, CH, Baguley, DM. Why is there no cure for tinnitus? Front Neurosci 2019;13:802CrossRefGoogle ScholarPubMed
Cima, RFF, Mazurek, B, Haider, H, Kikidis, D, Lapira, A, Norena, A et al. A multidisciplinary European guideline for tinnitus: diagnostic, assessment, and treatment. HNO 2019;67:10–42CrossRefGoogle ScholarPubMed
Møller, AR. Epidemiology of tinnitus in adults. In: Møller, AR, Langguth, B, De Ridder, D, Kleinjung, T, eds. Textbook of Tinnitus, 1st edn. New York: Springer, 2011;29–37CrossRefGoogle Scholar
McCormack, A, Edmondson-Jones, M, Somerset, S, Hall, DA. Corrigendum to “A systematic review of the reporting of tinnitus prevalence and severity” [Hear. Res. 337 (2016) 70–79]. Hear Res 2016;339:219CrossRefGoogle Scholar
Xia, J, Wright, J, Adams, CE. Five large Chinese biomedical bibliographic databases: accessibility and coverage. Health Info Libr J 2008;25:55–61CrossRefGoogle ScholarPubMed
Huang, W, Yu, P, Liu, G, Gao, F, Yang, Z, Gu, M et al. Epidemiological investigation of hearing loss and tinnitus in the elderly [in Chinese]. Zhong Guo Lao Nian Xue Za Zhi 2003;23:82–3Google Scholar
Zhu, Y. Epidemiological investigation of tinnitus in northern Shaanxi [in Chinese]. Ji Bing Kong Zhi Za Zhi 2005;6:149–50Google Scholar
Xu, X, Bu, X, Xing, G, Zhou, L, Liu, Y, Wang, D et al. Epidemiological investigation of subjective tinnitus in the elderly in Jiangsu Province [in Chinese]. Zhong Hua Lao Nian Yi Xue Za Zhi 2006;7:548–50Google Scholar
Xu, X. Epidemiological investigation of tinnitus and dizziness in Jiangsu [in Chinese]. Nanjing Medical University;2006Google Scholar
Liu, P, Pei, Z, Gong, H, Guo, E, An, L. Investigation on the incidence of tinnitus in patients with deafness due to different causes [in Chinese]. Ting Li Xue Ji Yan Yu Ji Bing Za Zhi 2011;19:133–6Google Scholar
Gao, L, Huang, Y, Yang, L, Liu, X, Chang, H, Chen, Y et al. The use of college students' earphones and their effects on noise-induced hearing impairment [in Chinese]. Zhong Guo Gong Gong Wei Sheng 2011;27:362–3Google Scholar
Zhang, S, Li, Z. Epidemiological survey of tinnitus symptoms among middle school students in Yinchuan City [in Chinese]. Zhong Guo Xue Xiao Wei Sheng 2012;33:59–60Google Scholar
Li, Z, Qiu, S, Qiu, J, Xu, Z, Chen, Y, Wang, Z et al. . Epidemiological investigation of tinnitus among middle school students in Xi'an Chinese Medical Association [in Chinese]. Combined Proceedings from the 8th National Conference in Audiological and Speech and Language Medicine and the 5th National Conference in Artificial Hearing Technology. 2012;66–7Google Scholar
Liang, Y, Qu, H, Quan, C, Yang, C, Yu, R. Investigation on the prevalence and clinical characteristics of tinnitus and deafness in patients with chronic kidney disease [in Chinese]. Zhong Guo Zhong Xi Yi Jie He Shen Bing Za Zhi 2012;13:38–40Google Scholar
Li, Y, Tang, Z, Yu, X. Investigation and clinical characteristics of subjective tinnitus in elderly people in a community [in Chinese]. J South Med Univ 2013; 33:1243–5Google Scholar
He, Q, Shang, C, Cheng, H, Zhao, H. Epidemiological investigation of tinnitus in Kaifeng area [in Chinese]. Jie Fang Jun Yi Xue Za Zhi 2014;39:593–4Google Scholar
Yin, Z, Ma, L, Liu, H, Wang, G. Analysis of epidemiological characteristics of tinnitus population [in Chinese]. Yi Yao Lun Tan Za Zhi 2015;36:55–6Google Scholar
Hong, Z, Liu, X, Liu, Q. The investigation and analysis of the tinnitus in 1596 cases of physical examinees [in Chinese]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2016;30:1525–8Google Scholar
Hong, Z, Liu, X, Liu, Q. Investigation of the tinnitus’ prevalence in healthy check-up in Dalian [in Chinese]. Zhong Guo Er Bi Yan Hou Tou Jing Wai Ke 2017;24:171–4Google Scholar
Lu, J, Yang, Y, Lu, Y, Tang, L. Survey of tinnitus in 620 medical examination subjects [in Chinese]. Yi Yao Dao Bao 2017;36:45–6Google Scholar
Lu, J, Tan, H, Hou, X, Wu, M, Tang, L. Analysis about characteristics of patients with tinnitus in Urumpi [in Chinese]. Xin Jiang Yi Xue 2017;47:618–20Google Scholar
Liu, C, Liu, C, Ding, D, Yang, F, Zhu, Y, Zhai, S et al. Auditory characteristics of aged and middle-aged population in Beijing [in Chinese]. Zhong Hua Er Ke Xue Za Zhi 2018;16:332–5Google Scholar
Han, L, Ma, R, Wu, X, Lin, Y, Jing, Y, Yu, L et al. Relevant factors of tinnitus in elderly: an analysis of volunteers [in Chinese]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018;32:587–91Google Scholar
Ding, Y. Epidemiological investigation of tinnitus in Jinan University students and the relationship between earphone use and tinnitus [in Chinese]. Jinan University;2018Google Scholar
Chen, Y. Investigation and analysis of the correlation between hypertension, diabetes and tinnitus [in Chinese]. Zhong Yi Yan Erg Bi Hou Za Zhi 2018;8:158–60Google Scholar
Liu, B, Li, J, Zhang, Y, Lu, J, Yang, Y. Investigation and analysis of tinnitus in diabetes patients [in Chinese]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018;32:566–9Google Scholar
Yang, H, Cai, Y, Guo, H, Xiong, H, Sun, Y, Huang, X et al. Prevalence and factors associated with tinnitus: data from adult residents in Guangdong province, South of China. Int J Audiol 2018;57:892–9CrossRefGoogle ScholarPubMed
Liu, XL, Wang, J, Hong, ZJ, Zhongshan, MF. A preliminary study on the correlation between OSAHS and chronic tinnitus [in Chinese]. Lin Chung Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2018;32:575–8Google Scholar
Zhuo, Q, Wang, Z, Piao, J, Ma, G, Zhai, F, He, Y et al. Geographic variation in the prevalence of overweight and economic status in Chinese adults. Br J Nutr 2009;102:413–8CrossRefGoogle ScholarPubMed
Stohler, NA, Reinau, D, Jick, SS, Bodmer, D, Meier, CR. A study on the epidemiology of tinnitus in the United Kingdom. Clin Epidemiol 2019;11:855–71CrossRefGoogle Scholar
Choi, JS, Yu, AJ, Voelker, CCJ, Doherty, JK, Oghalai, JS, Fisher, LM. Prevalence of tinnitus and associated factors among Asian Americans: results from a national sample. Laryngoscope 2020;130:E933–40CrossRefGoogle ScholarPubMed
Baguley, DM, Andersson, G, McKenna, L, McFerran, DJ. Tinnitus: A Multidisciplinary Approach, 2nd edn. Chichester: Wiley, 2013CrossRefGoogle Scholar
Parving, A, Hein, HO, Suadicani, P, Ostri, B, Gyntelberg, F. Epidemiology of hearing disorders. some factors affecting hearing. The Copenhagen Male Study. Scand Audiol 1993;22:101–7CrossRefGoogle ScholarPubMed
Wang, H, Jiang, S, Yang, W, Han, D. Introduction of a tinnitus classification questionnaire (analysis of subjective tinnitus in 225 cases) [in Chinese]. Ting Li Xue Ji Yan Yu Ji Bing Za Zhi 2001;1:48–9Google Scholar
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