Noise and Military Service: Implications for Hearing Loss and Tinnitus (2006)

Chapter: Appendix E Results from Alternative Analyses of Data on Reports of Audiometric Testing in Service Medical Records

Previous Chapter: Appendix D Summary Tables on Epidemiological Studies
Suggested Citation: "Appendix E Results from Alternative Analyses of Data on Reports of Audiometric Testing in Service Medical Records." Institute of Medicine. 2006. Noise and Military Service: Implications for Hearing Loss and Tinnitus. Washington, DC: The National Academies Press. doi: 10.17226/11443.

Appendix E
Results from Alternative Analyses of Data on Reports of Audiometric Testing in Service Medical Records

Chapter 6 reports the results of a review of service medical records to assess the availability of audiometric test records dating from a service member’s entry into and separation from military service. The analysis reported in Chapter 6 used a ±60-day window around entry and separation dates to determine the percentage of service medical records in which these audiometric records were present. To assess the effect of the ±60-day window, an alternative analysis was conducted using a ±120-day window. The results of that alternative analysis are shown below.

TABLE E-1 Percentages of Service Medical Records (95% Confidence Intervals) with Reports of Audiometric Examinations Within 120 Days of Entry into Active Duty (n = 3,212)

Branch

Before 1950

1950–1969

1970–Regulation Date

Regulation Date–1993

1994–2002

Army

1 (0–2)

10 (5–14)

45 (39–52)

42 (36–49)

54 (48–60)

Air Force

*

27 (17–37)

43 (36–50)

43 (37–50)

43 (36–50)

Marine Corps

0

17 (7–28)

48 (41–56)

62 (55–69)

76 (71–82)

Navy

1 (0–4)

11 (5–17)

48 (41–55)

66 (59–72)

76 (71–81)

*Fewer than 40 records in denominator.

NOTE: The time periods reflect the era of the service member’s release from active duty.

Suggested Citation: "Appendix E Results from Alternative Analyses of Data on Reports of Audiometric Testing in Service Medical Records." Institute of Medicine. 2006. Noise and Military Service: Implications for Hearing Loss and Tinnitus. Washington, DC: The National Academies Press. doi: 10.17226/11443.

TABLE E-2 Percentages of Service Medical Records (95% Confidence Intervals) with Reports of Audiometric Examinations Within 120 Days of Release from Active Duty (n = 3,226)

Branch

Before 1950

1950–1969

1970–Regulation Date

Regulation Date–1993

1994–2002

Army

3 (0–6)

16 (10–21)

52 (45–59)

47 (40–54)

34 (28–40)

Air Force

*

41 (30–51)

49 (42–56)

38 (31–45)

17 (12–22)

Marine Corps

0

4 (0–9)

65 (57–72)

69 (62–76)

60 (54–66)

Navy

0

11 (5–17)

61 (54–68)

67 (61–74)

66 (61–72)

 

*Fewer than 40 records in the denominator.

TABLE E-3 Percentages of Service Medical Records (95% Confidence Intervals) with Reports of Audiometric Examinations Within 120 Days of Entrance into and Release from Active Duty (n = 3,210)

Branch

Before 1950

1950–1969

1970–Regulation Date

Regulation Date–1993

1994–2002

Army

1 (0–2)

7 (3–11)

28 (22–34)

22 (16–27)

19 (14–23)

Air Force

*

23 (14–33)

25 (19–31)

16 (11–21)

9 (5–13)

Marine Corps

0

2 (0–6)

38 (31–45)

44 (37–51)

51 (45–57)

Navy

0

2 (0–5)

33 (26–40)

46 (39–53)

52 (46–58)

*Fewer than 40 records in the denominator.

NOTE: The time periods reflect the era of the service member’s release from active duty.

Suggested Citation: "Appendix E Results from Alternative Analyses of Data on Reports of Audiometric Testing in Service Medical Records." Institute of Medicine. 2006. Noise and Military Service: Implications for Hearing Loss and Tinnitus. Washington, DC: The National Academies Press. doi: 10.17226/11443.
Page 299
Suggested Citation: "Appendix E Results from Alternative Analyses of Data on Reports of Audiometric Testing in Service Medical Records." Institute of Medicine. 2006. Noise and Military Service: Implications for Hearing Loss and Tinnitus. Washington, DC: The National Academies Press. doi: 10.17226/11443.
Page 300
Next Chapter: Appendix F Selected Sources of Information on Sound Pressure Levels Measured in and Around Military Systems and Equipment
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