{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:37:00Z","timestamp":1785411420991,"version":"3.56.0"},"reference-count":55,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T00:00:00Z","timestamp":1730851200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background: In South Africa, the prevalence of tinnitus and its associated clinical and audiological characteristics remain underexplored, posing challenges in the assessment and management of the condition. This knowledge gap affects clinician preparedness and effectiveness in treating tinnitus.\n\nObjectives: This study aimed to explore the clinical and audiological characteristics of adult patients reporting tinnitus at a tertiary academic hospital in South Africa.\n\nMethod: A quantitative, non-experimental, retrospective review of 129 patient audiological records from the Audiology Department at Helen Joseph Hospital was conducted. Among these, 71 records were of patients who reported experiences of tinnitus.\n\nResults: Tinnitus was reported by 55% of patients, with a higher prevalence in females (76%). The mean age of patients was 51.9 years. Unilateral tinnitus was present in 28% of cases, while 78% of patients had hearing loss, predominantly sensorineural. Common audiological characteristics included vertigo (24%), otalgia (14%), otorrhea (17%) and perforated tympanic membrane (15%). Clinical conditions associated with tinnitus included hypertension (32%), heart disease (28%), diabetes (9%) and head trauma (9%). Findings regarding age and gender differences in the clinical and audiological manifestations of tinnitus are presented.\n\nConclusion: Further research with larger, diverse samples and prospective designs is necessary to confirm these findings and explore possible underlying causes.\n\nContribution: The findings highlight the significant prevalence of tinnitus and its association with various clinical and audiological conditions in the South African context. Understanding these characteristics will enhance the clinician\u2018s ability to accurately assess, diagnose and manage tinnitus, leading to improved treatment outcomes.<\/jats:p>","DOI":"10.4102\/sajcd.v71i1.1069","type":"journal-article","created":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T08:08:48Z","timestamp":1730880528000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Clinical and audiological characteristics in adults with tinnitus in South Africa"],"prefix":"10.4102","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6220-9606","authenticated-orcid":false,"given":"Katijah","family":"Khoza-Shangase","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03rp50x72","id-type":"ROR","asserted-by":"publisher"}],"name":"University of the Witwatersrand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5498-0664","authenticated-orcid":false,"given":"Snethemba P.","family":"Mkhize","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03rp50x72","id-type":"ROR","asserted-by":"publisher"}],"name":"University of the Witwatersrand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2024,11,6]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Akhtar, S., Shah, S.W.A., Rafiq, M., & Khan, A. (2016). Research design and statistical methods in Pakistan Journal of Medical Sciences (PJMS). Pakistan Journal of Medical Sciences, 32(1), 151. https:\/\/doi.org\/10.12669\/pjms.321.9033","DOI":"10.12669\/pjms.321.9033"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Al-Swiahb, J., & Park, S.N. (2016). Characterization of tinnitus in different age groups: A retrospective review. Noise and Health, 18(83), 214\u2013219. https:\/\/doi.org\/10.4103\/1463-1741.189240","DOI":"10.4103\/1463-1741.189240"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Baguley, D.M., & Atlas, M.D. (2007). Cochlear implants and tinnitus. Progress in Brain Research, 166, 347\u2013355. https:\/\/doi.org\/10.1016\/S0079-6123(07)66033-6","DOI":"10.1016\/S0079-6123(07)66033-6"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Basso, L., Boecking, B., Brueggemann, P., Pedersen, N.L., Canlon, B., Cederroth, C.R., & Mazurek, B. (2020). Gender-specific risk factors and comorbidities of bothersome tinnitus. Frontiers in Neuroscience, 14, 706. https:\/\/doi.org\/10.3389\/fnins.2020.00706","DOI":"10.3389\/fnins.2020.00706"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Bauer, C.A. (2018). Tinnitus. New England Journal of Medicine, 378(13), 1224\u20131231. https:\/\/doi.org\/10.1056\/NEJMcp1506631","DOI":"10.1056\/NEJMcp1506631"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Bloomfield, J., & Fisher, M.J. (2019). Quantitative research design. Journal of the Australasian Rehabilitation Nurses Association, 22(2), 27\u201330. https:\/\/doi.org\/10.33235\/jarna.22.2.27-30","DOI":"10.33235\/jarna.22.2.27-30"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Boussaty, E.C., Friedman, R.A., Million Veteran Program, & Clifford, R. E. (2021). Hearing loss and tinnitus: Association studies for complex-hearing disorders in mouse and man. Human Genetics, 141(3\u20134), 981\u2013990. https:\/\/doi.org\/10.1007\/s00439-021-02317-9","DOI":"10.1007\/s00439-021-02317-9"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Bovo, R., Ciorba, A., & Martini, A. (2011). Tinnitus and cochlear implants. Auris Nasus Larynx, 38(1), 14\u201320. https:\/\/doi.org\/10.1016\/j.anl.2010.05.003","DOI":"10.1016\/j.anl.2010.05.003"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Carrera, E.L.L., Rosa, M.R.D.D., Oliveira, J.R.M.D., Lopes, A.C., & Mondelli, M.F.C.G. (2022). Characterization of patients with tinnitus seen by the hearing health service. Revista CEFAC, 24, 1\u20137. https:\/\/doi.org\/10.1590\/1982-0216\/20222467922","DOI":"10.1590\/1982-0216\/20222467922s"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Cederroth, C.R., & Schlee, W. (2022). Sex and gender differences in tinnitus. Frontiers in Neuroscience, 16, 844267. https:\/\/doi.org\/10.3389\/fnins.2022.844267","DOI":"10.3389\/fnins.2022.844267"},{"key":"ref10","unstructured":"Chamouton, C.S., & Nakamura, H.Y. (2021, September). Profile and prevalence of people with tinnitus: A health survey. In CoDAS 33(6), 1\u20137."},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Cherian, N., & Kahn, K.M. (2011). Tinnitus: Patients do not have to \u2018just live with it\u2019. Cleveland Clinic Journal of Medicine, 78(5), 313. https:\/\/doi.org\/10.3949\/ccjm.78a.10136","DOI":"10.3949\/ccjm.78a.10136"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"Cima, R.F.F., Mazurek, B., Haider, H., Kikidis, D., Lapira, A., Nore\u00f1a, A., & Hoare, D.J. (2019). A multidisciplinary European guideline for tinnitus: Diagnostics, assessment, and treatment. HNO, 67(1), 10\u201342. https:\/\/doi.org\/10.1007\/s00106-019-0633-7","DOI":"10.1007\/s00106-019-0633-7"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"Dawood, F., Bagwandin, V., & Khan, N.B. (2019). Management of adult patients with tinnitus: Preparedness, perspectives and practices of audiologists. South African Journal of Communication Disorders, 66(1), 1\u201310. https:\/\/doi.org\/10.4102\/sajcd.v66i1.621","DOI":"10.4102\/sajcd.v66i1.621"},{"key":"ref14","doi-asserted-by":"crossref","unstructured":"De Ridder, D., Vanneste, S., Song, J.J., & Adhia, D. (2022). Tinnitus and the triple network model: A perspective. Clinical and Experimental Otorhinolaryngology, 15(3), 205\u2013212. https:\/\/doi.org\/10.21053\/ceo.2022.00815","DOI":"10.21053\/ceo.2022.00815"},{"key":"ref15","doi-asserted-by":"crossref","unstructured":"Degeest, S., Corthals, P., Vinck, B., & Keppler, H. (2014). Prevalence and characteristics of tinnitus after leisure noise exposure in young adults. Noise and Health, 16(68), 26. https:\/\/doi.org\/10.4103\/1463-1741.127850","DOI":"10.4103\/1463-1741.127850"},{"key":"ref16","doi-asserted-by":"crossref","unstructured":"Du, H., Feng, X., Qian, X., Zhang, J., Liu, B., Huang, Z., & Gao, X. (2022). Hearing loss and tinnitus: Uncover the mechanism of tinnitus using resting-state functional magnetic resonance imaging (rs-fMRI) technologies. medRxiv. https:\/\/doi.org\/10.1101\/2022.06.26.22276920","DOI":"10.1101\/2022.06.26.22276920"},{"key":"ref17","doi-asserted-by":"crossref","unstructured":"Etikan, I., Musa, S.A., & Alkassim, R.S. (2016). Comparison of convenience sampling and purposive sampling. American Journal of Theoretical and Applied Statistics, 5(1), 1\u20134. https:\/\/doi.org\/10.11648\/j.ajtas.20160501.11","DOI":"10.11648\/j.ajtas.20160501.11"},{"key":"ref18","doi-asserted-by":"crossref","unstructured":"Fife, T.D., & Tourkevich, R. (2021). Tinnitus, hyperacusis, otalgia, and hearing loss. Continuum: Lifelong Learning in Neurology, 27(2), 491\u2013525. https:\/\/doi.org\/10.1212\/CON.0000000000000961","DOI":"10.1212\/CON.0000000000000961"},{"key":"ref19","doi-asserted-by":"crossref","unstructured":"Gaspar, L., Makovnik, M., Bendzala, M., Hlinstakova, S., Ocadlik, I., & Gasparova, E. (2011). Components of metabolic syndrome and their relation to tinnitus. In F. Bahmad Jr. (Ed.), Up to date on tinnitus (p. 117). IntechOpen.","DOI":"10.5772\/26980"},{"key":"ref20","unstructured":"Gearing, R.E., Mian, I.A., Barber, J., & Ickowicz, A. (2006). A methodology for conducting retrospective chart review research in child and adolescent psychiatry. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 15(3), 126."},{"key":"ref21","doi-asserted-by":"crossref","unstructured":"Han, B.I., Lee, H.W., Kim, T.Y., Lim, J.S., & Shin, K.S. (2009). Tinnitus: Characteristics, causes, mechanisms, and treatments. Journal of Clinical Neurology, 5(1), 11\u201319. https:\/\/doi.org\/10.3988\/jcn.2009.5.1.11","DOI":"10.3988\/jcn.2009.5.1.11"},{"key":"ref22","unstructured":"Henry, J., Zaugg, T., Myers, P., & Kendall, C. (2010). Progressive tinnitus management. In J.A. Henry, T. Zaugg, P. Myers, & C.J. Kendall (Eds.), Clinical handbook for audiologists appendixes (Vol. 59, p. 97). VA Employee Education System."},{"key":"ref23","doi-asserted-by":"crossref","unstructured":"Hoare, D.J., Stacey, P.C., & Hall, D.A. (2010). The efficacy of auditory perceptual training for tinnitus: A systematic review. Annals of Behavioral Medicine, 40(3), 313\u2013324. https:\/\/doi.org\/10.1007\/s12160-010-9213-5","DOI":"10.1007\/s12160-010-9213-5"},{"key":"ref24","unstructured":"Human, D., & Fluss, S.S. (2001). The World Medical Association\u2019s declaration of Helsinki: Historical and contemporary perspectives (pp. 1\u201324). 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Tinnitus in the elderly: Profile, correlates, and impact in the Nigerian study of ageing. Otolaryngology \u2013 Head and Neck Surgery, 143(4), 510\u2013515. https:\/\/doi.org\/10.1016\/j.otohns.2010.06.817","DOI":"10.1016\/j.otohns.2010.06.817"},{"key":"ref31","doi-asserted-by":"crossref","unstructured":"Lewis, R.M., Jahn, K.N., Parthasarathy, A., Goedicke, W.B., & Polley, D.B. (2020). Audiometric predictors of bothersome tinnitus in a large clinical cohort of adults with sensorineural hearing loss. Otology & Neurotology, 41(4), e414. https:\/\/doi.org\/10.1097\/MAO.0000000000002568","DOI":"10.1097\/MAO.0000000000002568"},{"key":"ref32","doi-asserted-by":"crossref","unstructured":"Martines, F., Bentivegna, D., Di Piazza, F., Martines, E., Sciacca, V., & Martinciglio, G. (2010). Investigation of tinnitus patients in Italy: Clinical and audiological characteristics. International Journal of Otolaryngology, 2010, 265861. https:\/\/doi.org\/10.1155\/2010\/265861","DOI":"10.1155\/2010\/265861"},{"key":"ref33","doi-asserted-by":"crossref","unstructured":"McCormack, A., Edmondson-Jones, M., Somerset, S., & Hall, D. (2016). A systematic review of the reporting of tinnitus prevalence and severity. Hearing Research, 337, 70\u201379. https:\/\/doi.org\/10.1016\/j.heares.2016.05.009","DOI":"10.1016\/j.heares.2016.05.009"},{"key":"ref34","doi-asserted-by":"crossref","unstructured":"Messina, A., Corvaia, A., & Marino, C. (2022). Definition of tinnitus. Audiology Research, 12(3), 281\u2013289. https:\/\/doi.org\/10.3390\/audiolres12030029","DOI":"10.3390\/audiolres12030029"},{"key":"ref35","doi-asserted-by":"crossref","unstructured":"Moroe, N.F., & Khoza-Shangase, K. (2014). The impact of tinnitus on daily activities in adult tinnitus sufferers: A pilot study. South African Journal of Communication Disorders, 61(1), 10. https:\/\/doi.org\/10.4102\/sajcd.v61i1.65","DOI":"10.4102\/sajcd.v61i1.65"},{"key":"ref36","doi-asserted-by":"crossref","unstructured":"Naude, A., Joubert, K., & Millar, A. (2020). Prevalence of hearing loss and tinnitus in a group of adults with human immunodeficiency virus. South African Journal of Communication Disorders, 67(1), 1\u20137. https:\/\/doi.org\/10.4102\/sajcd.v67i1.631","DOI":"10.4102\/sajcd.v67i1.631"},{"key":"ref37","doi-asserted-by":"crossref","unstructured":"Norena, A.J., & Eggermont, J.J. (2003). Changes in spontaneous neural activity immediately after an acoustic trauma: Implications for neural correlates of tinnitus. Hearing Research, 183(1\u20132), 137\u2013153. https:\/\/doi.org\/10.1016\/S0378-5955(03)00225-9","DOI":"10.1016\/S0378-5955(03)00225-9"},{"key":"ref38","doi-asserted-by":"crossref","unstructured":"Oiticica, J., & Bittar, R.S.M. (2015). Tinnitus prevalence in the city of S\u00e3o Paulo. Brazilian Journal of Otorhinolaryngology, 81(2), 167\u2013176. https:\/\/doi.org\/10.1016\/j.bjorl.2014.12.004","DOI":"10.1016\/j.bjorl.2014.12.004"},{"key":"ref39","doi-asserted-by":"crossref","unstructured":"Peltzer, K., & Phaswana-Mafuya, N. (2013). Hypertension and associated factors in older adults in South Africa: Cardiovascular topics. Cardiovascular Journal of Africa, 24(3), 66\u201371. https:\/\/doi.org\/10.5830\/CVJA-2013-002","DOI":"10.5830\/CVJA-2013-002"},{"key":"ref40","unstructured":"Pentang, J.T., & Pentang, J. (2021). Quantitative data analysis. Holy Angel University Graduate School of Education: Research and Academic Writing."},{"key":"ref41","doi-asserted-by":"crossref","unstructured":"Ramatsoma, H., & Patrick, S.M. (2022). Hypertension associated with hearing loss and tinnitus among hypertensive adults at a tertiary hospital in South Africa. Frontiers in Neurology, 13, 857600. https:\/\/doi.org\/10.3389\/fneur.2022.857600","DOI":"10.3389\/fneur.2022.857600"},{"key":"ref42","doi-asserted-by":"crossref","unstructured":"Saeed, S., & Khan, Q.U. (2021). The pathological mechanisms and treatments of tinnitus. Discoveries, 9(3), e137. https:\/\/doi.org\/10.15190\/d.2021.16","DOI":"10.15190\/d.2021.16"},{"key":"ref43","doi-asserted-by":"crossref","unstructured":"Sharma, J.R., Mabhida, S.E., Myers, B., Apalata, T., Nicol, E., Benjeddou, M., Muller, C., & Johnson, R. (2021). Prevalence of hypertension and its associated risk factors in a rural black population of Mthatha Town, South Africa. International Journal of Environmental Research and Public Health, 18(3), 1215. https:\/\/doi.org\/10.3390\/ijerph18031215","DOI":"10.3390\/ijerph18031215"},{"key":"ref44","unstructured":"Sidley, C.G. (2004). Prevalence of tinnitus and hearing loss in South African dentists and investigation into possible connections with noise levels and frequencies in the dental environment. Doctoral dissertation. Stellenbosch University."},{"key":"ref45","doi-asserted-by":"crossref","unstructured":"Sogebi, O.A. (2013). Characterization of tinnitus in Nigeria. Auris Nasus Larynx, 40(4), 356\u2013360. https:\/\/doi.org\/10.1016\/j.anl.2012.11.003","DOI":"10.1016\/j.anl.2012.11.003"},{"key":"ref46","doi-asserted-by":"crossref","unstructured":"Sourgen, P.M., & Ross, E. (1998). Perceptions of tinnitus in a group of senior citizens. South African Journal of Communication Disorders, 45(1), 61\u201375. https:\/\/doi.org\/10.4102\/sajcd.v45i1.719","DOI":"10.4102\/sajcd.v45i1.719"},{"key":"ref47","unstructured":"Sullivan-Bolyai, S., & Bova, C. (2014). Data analysis: Descriptive and inferential statistics. In G. LoBiondo-Wood & J. Haber, (Eds.), Nursing research-e-book: Methods and critical appraisal for evidence-based practice (p. 310). Mosby."},{"key":"ref48","unstructured":"Sweetow R., Baguley D., Hall J., Johnson M., Levy M., Marghzar S., Martin, B., Ruth, R., & Tyler, R. (2000). Audiologic guidelines for the diagnosis and management of tinnitus patients. Retrieved March 18, 2023 from http:\/\/www.audiology.org\/publications-resources\/document-library\/audiologic-guidelines-diagnosis-management-tinnitus-patients"},{"key":"ref49","doi-asserted-by":"crossref","unstructured":"Sweetow, R.W., & Sabes, J.H. (2010). An overview of common procedures for the management of tinnitus patients. The Hearing Journal, 63(11), 11\u201312. https:\/\/doi.org\/10.1097\/01.HJ.0000390815.94747.14","DOI":"10.1097\/01.HJ.0000390815.94747.14"},{"key":"ref50","doi-asserted-by":"crossref","unstructured":"Vassar, M., & Matthew, H. (2013). The retrospective chart review: Important methodological considerations. Journal of Educational Evaluation for Health Professions, 10, 12. https:\/\/doi.org\/10.3352\/jeehp.2013.10.12","DOI":"10.3352\/jeehp.2013.10.12"},{"key":"ref51","doi-asserted-by":"crossref","unstructured":"Vielsmeier, V., Kleinjung, T., Strutz, J., B\u00fcrgers, R., Kreuzer, P.M., & Langguth, B. (2011). Tinnitus with temporomandibular joint disorders: A specific entity of tinnitus patients? Otolaryngology \u2013 Head and Neck Surgery, 145(5), 748\u2013752. https:\/\/doi.org\/10.1177\/0194599811413376","DOI":"10.1177\/0194599811413376"},{"key":"ref52","doi-asserted-by":"crossref","unstructured":"Yang, C.W., & Byun, J.Y. (2016). Tinnitus assessment. Hanyang Medical Reviews, 36(2), 109\u2013112. https:\/\/doi.org\/10.7599\/hmr.2016.36.2.109","DOI":"10.7599\/hmr.2016.36.2.109"},{"key":"ref53","doi-asserted-by":"crossref","unstructured":"Yang, S., Weiner, B.D., Zhang, L.S., Cho, S.J., & Bao, S. (2011). Homeostatic plasticity drives tinnitus perception in an animal model. Proceedings of the National Academy of Sciences, 108(36), 14974\u201314979. https:\/\/doi.org\/10.1073\/pnas.1107998108","DOI":"10.1073\/pnas.1107998108"},{"key":"ref54","doi-asserted-by":"crossref","unstructured":"Zeman, F., Koller, M., Schecklmann, M., Langguth, B., & Landgrebe, M. (2012). Tinnitus assessment by means of standardized self-report questionnaires: Psychometric properties of the Tinnitus Questionnaire (TQ), the Tinnitus Handicap Inventory (THI), and their short versions in an international and multi-lingual sample. Health and Quality of Life Outcomes, 10(1), 1\u201310. https:\/\/doi.org\/10.1186\/1477-7525-10-128","DOI":"10.1186\/1477-7525-10-128"}],"container-title":["South African Journal of Communication Disorders"],"original-title":[],"link":[{"URL":"https:\/\/sajcd.org.za\/index.php\/sajcd\/article\/viewFile\/1069\/2355","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/sajcd.org.za\/index.php\/sajcd\/article\/viewFile\/1069\/2356","content-type":"application\/epub+zip","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/sajcd.org.za\/index.php\/sajcd\/article\/viewFile\/1069\/2357","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/sajcd.org.za\/index.php\/sajcd\/article\/viewFile\/1069\/2358","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/sajcd.org.za\/index.php\/sajcd\/article\/view\/1069\/2358","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T11:00:53Z","timestamp":1779102053000},"score":1,"resource":{"primary":{"URL":"https:\/\/sajcd.org.za\/index.php\/sajcd\/article\/view\/1069"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,6]]},"references-count":55,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,1,1]]}},"URL":"https:\/\/doi.org\/10.4102\/sajcd.v71i1.1069","relation":{},"ISSN":["0379-8046","2225-4765"],"issn-type":[{"value":"0379-8046","type":"print"},{"value":"2225-4765","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,6]]},"article-number":"a1069"}}