Tinnitus in Later Life: The Role of Socio-Cultural Determinants, Social Support, Health Conditions, and Lifestyle Behaviours among the Rural Elderly in North-Central Nigeria
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Abstract
Background: Tinnitus, defined as the perception of sound without external stimuli, significantly affects the life quality among elderly populations worldwide. This study investigated the prevalence and associations of tinnitus with socio-cultural determinants, social support, health conditions, and lifestyle behaviors among rural elderly residents in Asa Local Government Area of Kwara state, North-Central Nigeria.
Methods: This was a cross-sectional study conducted among 427 elderly residents (≥65 years) using structured questionnaires to collect data on tinnitus symptoms, socio-demographic characteristics, cultural beliefs, social support (measured by the Oslo Social Support Scale), health conditions, and lifestyle behaviors. Chi-square analysis was employed to determine associations between variables.
Results: Tinnitus prevalence was found to be 41.7% among participants. Observed was significant associations between tinnitus and educational status (χ² = 12.36, p = 0.006), age (χ² = 9.84, p = 0.007), cultural beliefs about loss of hearing (χ² = 18.73, p < 0.001), social support levels (χ² = 15.28, p < 0.001), hypertension (χ² = 11.42, p < 0.001), diabetes (χ² = 7.65, p = 0.006), and exposure to environmental noise (χ² = 14.32, p < 0.001). Low social support was more common among tinnitus sufferers (52.8%) compared to non-sufferers (31.5%).
Conclusion: There is significant association between tinnitus among rural elderly Nigerians and socio-cultural factors, lack of social support, chronic health conditions, and lifestyle behaviors. Culturally sensitive interventions that address modifiable risk factors and strengthen social support systems are recommended to reduce tinnitus burden in this population.
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References
1. World Health Organization. World report on hearing. Geneva: WHO; 2021.
2. Bhatt JM, Lin HW, Bhattacharyya N. Prevalence, severity, exposures, and treatment patterns of tinnitus in the United States. JAMA Otolaryngol Head Neck Surg. 2016;142(10):959-965.
3. Baguley D, McFerran D, Hall D. Tinnitus. Lancet. 2013 Nov 9;382(9904):1600-7. doi: 10.1016/S0140-6736(13)60142-7.
4. Lasisi AO, Ayodele OE, Ajuwon AJ. Characterization of tinnitus in Nigeria. J Laryngol Otol. 2012;126(3):288-293. doi:10.1017/S0022215111003221.
5. Lasisi AO, Abiona T, Gureje O. Tinnitus in the elderly: Profile, correlates, and impact in the Nigerian Study of Ageing. Otolaryngol Head Neck Surg. 2010 Oct;143(4):510-5. doi: 10.1016/j.otohns.2010.06.817. PMID: 20869560.
6. Nigerian National Bureau of Statistics. Demographic statistics bulletin 2023. Abuja: NBS; 2023.
7. Global Research on Developmental Disabilities Collaborators. Developmental disabilities among children younger than 5 years in 195 countries and territories, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Glob Health. 2018 Oct;6(10):e1100-e1121. doi: 10.1016/S2214-109X(18)30309-7. Epub 2018 Aug 29. Erratum in: Lancet Glob Health. 2018 Dec;6(12):e1287. doi: 10.1016/S2214-109X(18)30443-1. PMID: 30172774; PMCID: PMC6139259.
8. Ezeanolue BC, Okoye BC, Ezeanolue CO. Tinnitus and its effect on the quality of life of sufferers: A Nigerian cohort study. Otolaryngol Head Neck Surg. 2017;157(4):651-655. doi:10.1177/0194599817713451
9. Ministry of Health, Kwara State. Annual health sector performance report 2022-2023. Ilorin: Kwara State Government; 2023.
10. Sule SO, Fasunla AJ, Nwaorgu OG. Hearing loss
among the elderly at a geriatric centre in South-west Nigeria. Niger J Med 2023; 32:351-5.
11.Sogebi OA. Profile of ear diseases among elderly patients in Sagamu, south-western Nigeria. Niger J Med. 2013 Apr-Jun;22(2):143-7. Erratum in: Niger J Med. 2013 Jul-Sep;22(3):257. Olusola, A S [corrected to Sogebi, O A]. PMID: 23829127.
12. Shargorodsky J, Curhan GC, Farwell WR. Prevalence and characteristics of tinnitus among US adults. Am J Med. 2010 Aug;123(8):711-8. doi: 10.1016/j.amjmed.2010.02.015. PMID: 20670725.
13. Chen Z, Lu Y, Chen C, Lin S, Xie T, Luo X, Lin Y, Chen Y, Feng Y, Xiong G, Ma X, Zeng C and Lin C (2024) Association between tinnitus and hearing impairment among older adults with age-related hearing loss: a multi-center cross-sectional study. Front. Neurol. 15: 1501561.doi: 10.3389/fneur.2024.1501561