Association Between Hearing Loss and Multiple Negative Emotional States in the US Hispanic Population

Grewal, Maeher; Golub, Justin S.

doi:10.1002/ohn.208

Cited by 3 publications

(2 citation statements)

References 43 publications

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“…Kim et al ( 59 ) demonstrated that anxiety and depression showed significant correlation with overestimation of hearing loss. On the other hand, hearing impairment has adverse influence on depression and cognition, especially in the older adults ( 60 , 61 ). Moreover, depression and anxiety have been reported to be strongly correlated with self-reported hearing loss ( 61 , 62 ).…”

Section: Discussionmentioning

confidence: 99%

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Bidirectional associations between sensorineural hearing loss and depression and anxiety: a meta-analysis

Zhang,

Li,

et al. 2024

Front. Public Health

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BackgroundRecently, the prevalence of sensorineural hearing loss (SNL) has been increasing, and several studies have suggested that depression, anxiety, and SNL may be associated with each other, however, individual findings still have discrepancies. To the best of our knowledge, no scholars have systematically elucidated the bidirectional associations between SNL, depression, and anxiety disorders from the perspective of meta-analysis. In this study, we aimed to systematically evaluate the bidirectional associations between SHL and depressive and anxiety symptoms, and to provide evidence-based medical evidence for reducing SNL, depression, and anxiety disorders.MethodsWe performed systematic review based on priori protocol that was registered with PROSPERO (No. CRD42022365963). Systematic search of PubMed, Embase, and Web of Science databases identified articles published as of June 1, 2023, on the relationship between SNL and depression and anxiety. Meta-analysis was performed to calculate the odds ratios (OR) and 95% confidence intervals (CIs) for the outcome metrics, and the results were combined to assess bivariate associations between the disorders with fixed or random effects. Sensitivity and subgroup analyzes were conducted to analyze sources of heterogeneity, and Egger’s and Begg’s tests combined with funnel plots were applied to assess publication bias.ResultsSummary analysis of the results of 20 studies covering 675,291 individuals showed that the bidirectional association between SNL and depression and anxiety disorders. The incidence (OR = 0.17, 95% CI: 0.09–0.28) and risk (OR = 1.43, 95% CI: 1.32–1.55) of depression and morbidity were higher in SNL patients than the general population. Elevated prevalence (OR = 0.46, 95% CI: 0.28–0.65) and risk (OR = 1.30, 95% CI: 1.11–1.48) of SNL were also observed in depressed patients. The prevalence of anxiety disorders among SNL patients was about 40% (OR = 0.40, 95% CI: 0.24%-0.57), which was associated with higher risk (OR = 1.83, 95% CI: 1.42–2.24) of development than the general population. Incidence of SNL in patients with anxiety disorders was approximately 31% (OR = 0.31, 95% CI: 0.29–0.33). Additionally, subgroup analyzes showed that the bidirectional associations between SNL, depression, and anxiety disorders was influenced by age, region, and mode of diagnosis of the disorders (SNL, depression, anxiety).ConclusionThere are bidirectional associations between SNL and depression and anxiety disorders, which was influenced by age and region and the method the disorders (SNL, depression, anxiety) were diagnosed.

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Section: Discussionmentioning

confidence: 99%

“…On the other hand, hearing impairment has adverse influence on depression and cognition, especially in the older adults ( 60 , 61 ). Moreover, depression and anxiety have been reported to be strongly correlated with self-reported hearing loss ( 61 , 62 ).…”

Section: Discussionmentioning

confidence: 99%

Bidirectional associations between sensorineural hearing loss and depression and anxiety: a meta-analysis

Zhang,

Li,

et al. 2024

Front. Public Health

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National Cohort Data Suggests an Association Between Serious Mental Illness and Audiometric Hearing Loss

Alter,

Tucker,

Dragon

et al. 2024

Otolaryngol.--head neck surg.

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ObjectiveTo explore whether there is an association between serious mental illness (SMI) and hearing loss (HL) among US Hispanic adults.Study Design and SettingCross‐sectional epidemiological study (Hispanic Community Health Study), including multicentered US volunteers.MethodsMultivariable linear regressions were conducted to study the association between SMI and HL. Adjustments were made for potential confounders including age, sex, education, vascular disease (hypertension or diabetes mellitus), and cognition. SMI was defined by (1) antipsychotic medication classification and (2) the use of at least 1 antipsychotic medication specifically used to treat SMI in clinical psychiatric practice. HL was measured by pure tone audiometry.ResultsA total of 7581 subjects had complete data. The mean age was 55.2 years (SD = 7.5 years) and the mean pure tone average in the better ear was 16.8 dB (SD = 10.7 dB). A total of 194 (2.6%) subjects were taking a HCHS‐defined antipsychotic and 98 (1.3%) were taking at least 1 antipsychotic specifically used to treat SMI. On multivariable regression, use of HCHS's classified antipsychotics was associated with 3.75 dB worse hearing (95% confidence interval [CI] = 2.36‐5.13, P < .001) and use of antipsychotics specific for SMI was associated with 4.49 dB worse hearing (95% CI = 2.56‐6.43, P < .001) compared to those not using antipsychotics.ConclusionSMI, as defined by either the use of HCHS‐defined antipsychotics or the use of antipsychotic medication specific for SMI, is associated with worse hearing, controlling for potential confounders. Whether SMI contributes to HL, antipsychotic medication (through ototoxicity) contributes to HL, or whether HL contributes to SMI is unknown and warrants further investigation.

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Hearing Loss and Reduced Income Growth: A Longitudinal Socioeconomic Analysis

Denham,

Tucker,

Gorroochurn

et al. 2024

Otolaryngol.--head neck surg.

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ObjectiveHearing loss (HL) has been linked to negative socioeconomic states, including low income. This study examines the relationship between HL and income growth.Study DesignLongitudinal observational study.SettingMulticentered US epidemiologic study (Hispanic Community Health Study, HCHS).MethodsUsing data from 2 waves of the HCHS, we analyzed the association between HL and income growth in adults ages 18 to 74 years using generalized estimating equations. The exposure was HL, measured by 4‐frequency pure‐tone average (PTA). The outcome was yearly household income growth, with income graded on a 10‐bracket scale from <$10,000 to >$100,000. Models controlled for demographics, hearing aid use, and vascular risk.ResultsA total of 1342 participants met inclusion criteria. At visit 1, average age was 47.6 years (SD = 12.2), and average PTA was 13.9 decibels (dB, SD = 9.5). Average follow‐up was 5.9 years (SD = 0.6). There was a significant time × HL interaction: with each 10 dB worsening in HL, the odds of belonging to a higher versus a lower income bracket changed by a factor of 0.979 (P < .001) between waves 1 and 2. In other words, the odds of belonging to a higher income group decreased with worsening HL. At 38.6 dB, the odds for income growth became <1, indicating income loss rather than growth.ConclusionIncreased HL is associated with reduced income growth, including the possibility of negative growth (ie, income decline). This study emphasizes the value of including socioeconomic measures in randomized controlled trials assessing the impact of HL treatment and the importance of extended follow‐up for study participants.

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Association Between Hearing Loss and Multiple Negative Emotional States in the US Hispanic Population

Cited by 3 publications

References 43 publications

Bidirectional associations between sensorineural hearing loss and depression and anxiety: a meta-analysis

Bidirectional associations between sensorineural hearing loss and depression and anxiety: a meta-analysis

National Cohort Data Suggests an Association Between Serious Mental Illness and Audiometric Hearing Loss

Hearing Loss and Reduced Income Growth: A Longitudinal Socioeconomic Analysis

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