摘要:We assessed socioeconomic position and hearing loss in a Norwegian population of 17 593 men and women aged 30–54 years in 1984–1986 who were followed for 11 years. We used analysis of variance, logistic regression, and population-attributable fraction analyses to examine associations. Significant socioeconomic inequalities in hearing loss were found among men. Adjusted odds ratios for hearing loss were approximately 1.3 to 1.9 for semi- and unskilled manual workers compared with participants with high occupational class; the population-attributable fraction of the prevalence of hearing loss over the cutpoint in the high-frequency (3, 4, 6, and 8 kHz) range was 35%. Hearing impairment in adults is 1 of the most common chronic health problems in the Western world. 1 In Norway, the estimated prevalence of permanent hearing loss in the adult population is approximately 15%, 2 similar to that in other countries. 3 – 5 This prevalence is expected to increase to 25% by 2020 along with increased life expectancy. 3 , 6 A relatively stable occurrence of noise-induced hearing loss despite reduced occupational noise exposure 7 might be explained by increased exposure to noise during leisure activities. 8 Additional risk factors for hearing loss are heritage, infection, trauma, toxicity, and disease. 9 Few reports have documented the relation between hearing loss and socioeconomic position as measured by education level and occupational class. 4 , 10 – 15 The total-population–based Nord-Trøndelag Health Study (HUNT) and its Nord-Trøndelag Hearing Loss Study component offered a unique opportunity to study the relation between socioeconomic position and hearing loss with a prospective study design.