Submitted for Publication: July 8, 2013; final revision received January 3, 2014; accepted January 15, 2014.
Published Online: March 6, 2014. doi:10.1001/jamaoto.2014.42.
Study concept and design: Li, Zhang, Hoffman, Cotch.
Acquisition, analysis, or interpretation of data: Li, Hoffman, Themann.
Analysis and interpretation of data: All authors.
Drafting of the manuscript: Li, Hoffman, Themann.
Critical revision of the manuscript for important intellectual content: All authors.
Statistical analysis: Li, Zhang, Hoffman.
Obtained funding: Hoffman.
Administrative, technical, or material support: Zhang, Hoffman, Cotch, Themann, Wilson.
Study supervision: Hoffman.
Conflict of Interest Disclosures: None reported.
Funding/Support: The National Health and Nutrition Examination Survey (NHANES) hearing questionnaire and examination component was supported with research contract funds via Interagency Agreement between the National Institute on Deafness and Other Communication Disorders (NIDCD)/National Institutes of Health and the National Center for Health Statistics (NCHS)/Centers for Disease Control and Prevention (CDC). The NIDCD also provided funding via Interagency Agreement to the National Institute for Occupational Safety and Health/CDC for calibration and maintenance of the audiometric equipment, training and monitoring the performance of health technicians conducting the hearing examinations, and jointly editing the preliminary data files.
Role of the Sponsor: The NCHS staff contributed to the design and conduct of NHANES overall but were not involved in the analysis or interpretation of results in this manuscript; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.
Disclaimer: The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of their respective federal agencies.
Previous Presentation: Preliminary findings from this report were presented orally at the annual meeting of the American Auditory Society; March 9, 2013; Scottsdale, Arizona.
Additional Contributions: We thank the NHANES participants, without whom this study would not have been possible, and the professional staff of NHANES and Westat Inc who conducted the study. May Chiu, BS, and Katalin Losonczy, MA, members of the Epidemiology and Statistics Program at the NIDCD, provided technical support. No financial compensation was given for these services.