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However, the prevalence of hearing\/vestibular problems, racial differences, and relationships to physical function are poorly characterized in breast cancer survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between July and September 2023, we surveyed the Chicago Multiethnic Epidemiologic Breast Cancer Cohort. Tinnitus, hearing loss, and vertigo were self-reported and verified through electronic health records. Physical function impairment was measured using the SF-36 10-item instrument. We fit logistic regression models for hearing\/vestibular problems and linear regression models for physical function score, controlling for sociodemographic and clinical factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 1466 breast cancer survivors (mean [SD] age, 63.5 [11.8] years), 16.6%, 17.3%, and 8.6% reported experiencing tinnitus, hearing loss, and vertigo, respectively. Black survivors had lower odds of hearing loss (adjusted odds ratio [AOR] = 0.51; 95% confidence interval [CI] = 0.31 to 0.86) but greater odds of vertigo (AOR = 2.29; 95% CI = 1.34 to 3.89) than White survivors. Survivors with hearing\/vestibular problems had higher average impairment scores (worse physical function) than those without. In the adjusted regression models, survivors who reported experiencing tinnitus (\u03b2 = 0.76; 95% CI = 0.10 to 1.43), hearing loss (\u03b2 = 0.73; 95% CI = 0.06 to 1.40), or vertigo (\u03b2 = 1.70; 95% CI = 0.81 to 2.58) had a higher level of physical function impairment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study demonstrates racial differences in hearing\/vestibular problems and associations between these problems and physical function impairment. Survivorship programs should consider routine screening and interventions to improve hearing health and physical function among breast cancer survivors.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/jncics\/pkag047","type":"journal-article","created":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T11:35:45Z","timestamp":1777116945000},"source":"Crossref","is-referenced-by-count":0,"title":["Hearing\/vestibular problems, racial differences, and associations with physical function impairment among breast cancer survivors"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1119-2146","authenticated-orcid":false,"given":"Jincong Q","family":"Freeman","sequence":"first","affiliation":[{"name":"Department of Public Health Sciences, The University of Chicago , Chicago, IL,","place":["United States"]},{"name":"Cancer Prevention and Control Research Program, The University of Chicago Medicine Comprehensive Cancer Center , Chicago, 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