{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T15:55:55Z","timestamp":1773417355819,"version":"3.50.1"},"reference-count":18,"publisher":"American Academy of Audiology","issue":"3","funder":[{"DOI":"10.13039\/100006989","name":"Jackson State University","doi-asserted-by":"crossref","award":["HHSN268201800013I"],"award-info":[{"award-number":["HHSN268201800013I"]}],"id":[{"id":"10.13039\/100006989","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Tougaloo College","award":["HHSN268201800014I"],"award-info":[{"award-number":["HHSN268201800014I"]}]},{"DOI":"10.13039\/100018098","name":"Mississippi State Department of Health","doi-asserted-by":"crossref","award":["HHSN268201800015I"],"award-info":[{"award-number":["HHSN268201800015I"]}],"id":[{"id":"10.13039\/100018098","id-type":"DOI","asserted-by":"crossref"}]},{"name":"University of Mississippi Medical Center","award":["HHSN268201800010I"],"award-info":[{"award-number":["HHSN268201800010I"]}]},{"name":"University of Mississippi Medical Center","award":["HHSN268201800011I"],"award-info":[{"award-number":["HHSN268201800011I"]}]},{"name":"University of Mississippi Medical Center","award":["HHSN268201800012I"],"award-info":[{"award-number":["HHSN268201800012I"]}]},{"DOI":"10.13039\/100006545","name":"National Institute for Minority Health and Health Disparities","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100006545","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["j am acad audiol"],"published-print":{"date-parts":[[2021,3,1]]},"abstract":"<jats:p><jats:bold>Abstract<\/jats:bold>  <jats:bold>Background<\/jats:bold>\u2003Balance dysfunction is a complex, disabling health condition that can present with multiple phenotypes and etiologies. Data regarding prevalence, characterization of dizziness, or associated factors is limited, especially in an African American\n population. <jats:bold>Purpose<\/jats:bold>\u2003The aim of the study is to characterize balance dysfunction presentation and prevalence in an African American cohort, and balance dysfunction relationship to cardiometabolic factors. <jats:bold>Research Design<\/jats:bold>\u2003The study design is descriptive, cross\n sectional analysis. <jats:bold>Study Sample<\/jats:bold>\u2003The study sample consist of <jats:italic>N<\/jats:italic>\u2009=\u20091,314, participants in the Jackson Heart Study (JHS). <jats:bold>Data Collection and Analysis<\/jats:bold>\u2003JHS participants were presented an initial Hearing health screening questionnaire (<jats:italic>N<\/jats:italic>\u2009=\u20091,314).\n Of these, 317 participants reported dizziness and completed a follow-up Dizziness History Questionnaire. Descriptive analysis was used to compare differences in the cohorts' social-demographic characteristics and cardiometabolic variables to the 997 participants who did not report dizziness\n on the initial screening questionnaire. Based on questionnaire responses, participants were grouped into dizziness profiles (orthostatic, migraine, and vestibular) to further examine differences in cardiometabolic markers as related to different profiles of dizziness. Logistical regression\n models were adjusted for age, sex, education, reported noise exposure, and hearing sensitivity. <jats:bold>Results<\/jats:bold>\u2003Participants that reported any dizziness were slightly older and predominantly women. Other significant complaints in the dizzy versus nondizzy cohort included hearing loss,\n tinnitus, and a history of noise exposure (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Participants that reported any dizziness had significantly higher prevalence of hypertension, blood pressure medication use, and higher body mass index (BMI). Individuals with symptoms alluding to an orthostatic\n or migraine etiology had significant differences in prevalence of hypertension, blood pressure medication use, and BMI (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Alternatively, cardiometabolic variables were not significantly related to the report of dizziness symptoms consistent with vestibular\n profiles. <jats:bold>Conclusion<\/jats:bold>\u2003Dizziness among African Americans is comparable to the general population with regards to age and sex distribution, accordingly to previously published estimates. Participants with dizziness symptoms appear to have significant differences in BMI and blood\n pressure regulation, especially with associated orthostatic or migraine type profiles; this relationship does not appear to be conserved in participants who present with vestibular etiology symptoms.<\/jats:p>","DOI":"10.1055\/s-0041-1722949","type":"journal-article","created":{"date-parts":[[2021,5,24]],"date-time":"2021-05-24T22:52:28Z","timestamp":1621896748000},"page":"186-194","source":"Crossref","is-referenced-by-count":8,"title":["Association Between Cardiometabolic Factors and Dizziness in African Americans: The Jackson Heart Study"],"prefix":"10.3766","volume":"32","author":[{"given":"Amrita","family":"Ray","sequence":"first","affiliation":[{"name":"Department of Otolaryngology and Communicative Sciences, University of Mississippi Medical Center, Jackson, Mississippi"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Spankovich","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Communicative Sciences, University of Mississippi Medical Center, Jackson, Mississippi"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles E.","family":"Bishop","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Communicative Sciences, University of Mississippi Medical Center, Jackson, Mississippi"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dan","family":"Su","sequence":"additional","affiliation":[{"name":"Department of Data Science, University of Mississippi Medical Center, Jackson, Mississippi"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuan-I","family":"Min","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Mississippi Medical Center, Jackson, Mississippi"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John M.","family":"Schweinfurth","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology and Communicative Sciences, University of Mississippi Medical Center, Jackson, Mississippi"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2087","reference":[{"issue":"10","key":"ref1","doi-asserted-by":"crossref","first-page":"938","DOI":"10.1001\/archinternmed.2009.66","article-title":"Disorders of balance and vestibular function in US adults: data from the National Health and Nutrition Examination Survey, 2001-2004","volume":"169","author":"Y Agrawal","year":"2009","journal-title":"Arch Intern Med"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"231","DOI":"10.3389\/fneur.2016.00231","article-title":"Age-related vestibular loss: current understanding and future research directions","volume":"7","author":"Q Arshad","year":"2016","journal-title":"Front Neurol"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1097\/MAO.0000000000000691","article-title":"Epidemiology of balance symptoms and disorders in the community: a systematic review","volume":"36","author":"L Murdin","year":"2015","journal-title":"Otol Neurotol"},{"issue":"07","key":"ref4","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1136\/jnnp.2006.100420","article-title":"Epidemiology of benign paroxysmal positional vertigo: a population based study","volume":"78","author":"M von Brevern","year":"2007","journal-title":"J Neurol Neurosurg Psychiatry"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1055\/s-0029-1241043","article-title":"Vertigo: epidemiologic aspects","volume":"29","author":"H K Neuhauser","year":"2009","journal-title":"Semin Neurol"},{"issue":"05","key":"ref6","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1097\/MOO.0b013e32833ce5a6","article-title":"Geriatric 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hypertension","volume":"25","author":"L J D'Silva","year":"2016","journal-title":"J Vestib Res"},{"issue":"02","key":"ref10","first-page":"131","article-title":"Arteriosclerotic changes as background factors in patients with peripheral vestibular disorders","volume":"14","author":"M Wada","year":"2008","journal-title":"Int Tinnitus J"},{"issue":"02","key":"ref11","first-page":"193","article-title":"Correlation between arteriosclerotic changes and prognosis in patients with peripheral vestibular disorders","volume":"15","author":"M Wada","year":"2009","journal-title":"Int Tinnitus J"},{"issue":"05","key":"ref12","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1097\/MAO.0000000000001352","article-title":"Clinical significance of arterial stiffness and metabolic syndrome scores in vestibular neuritis","volume":"38","author":"J H Chung","year":"2017","journal-title":"Otol 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