Concurrent Visual and Hearing Impairment and Risk of Mortality

Abstract

To determine the association between reported concurrent visual and hearing impairment and risk of mortality. Design, Setting, and Participants: Annual crosssectional multistage area probability surveys of the US civilian noninstitutionalized population living at addressed dwellings were conducted by the National Center for Health Statistics, Hyattsville, Md. Mortality linkage with the National Death Index of participants from 1986 to 1994 was performed through 1997. Complete reported visual and hearing impairment data and survival status were available for 116 796 adults aged 18 years and older. A total of 3620 participants reported visual impairment only, 12 330 reported hearing impairment only, and 1461 reported concurrent visual and hearing impairment. Main Outcome Measure: Risk of mortality. Results: Mortality linkage identified 8949 deaths with an average follow-up of 7.0 years. After controlling for survey design, age, marital status, educational level, selfrated health, and number of nonocular and nonauditory conditions, white participants and "other-race" par

Prevalence and characteristics of dual sensory impairment (hearing and vision) in a veteran population

“…Second, Lieberman et al reported a 35 percent prevalence rate in an institutionalized population [17], consistent with other studies showing higher single sensory impairment rates in this unique group of older adults. Third, Lam et al found a low DSI prevalence rate of 1.3 percent by including a wider community-based age range that included adults as young as 18 [12], which probably skewed the data.…”

“…One study reported that hearing impairment did not increase depressive symptoms in participants with vision impairment [10]. In comparison with a single sensory impairment, DSI is associated with lower healthrelated quality of life [11] and increased risk of mortality [12]. Interestingly, one report found that individuals with vision impairment also may have poorer hearing sensitivity than individuals without vision impairment, suggesting an underlying biological contribution to impairments with both senses [11].…”

“…Data from several studies indicate that the prevalence rate of DSI ranges from 1.3 to 35.0 percent in adult populations [2][3][8][9][10][11][12][16][17]. Table 1 summarizes the hearing and vision impairment definitions and the overall DSI prevalence rate from the just-mentioned studies.…”

“…Regardless of the definition used, that the studies summarized in Table 1 had similar overall prevalences (i.e., in the 6%-13% range) is interesting. The three exceptions to this were Brennan et al [2], Lieberman et al [17], and Lam et al [12]. First, Brennan et al reported a 21 percent DSI prevalence in a large sample from a community-based population (N = 5,151) [2], which is probably high because of the selfreport data used to classify DSI.…”

Körlük Ölüme Yakın Mı?

“…[1][2][3][4][5] İlginç olarak, görme azalmasına eşlik eden duyma azalması varlığında mortalite riskinin daha da arttığı ortaya konulmuş, yapılan bir çalışmada ırk ve cinsiyetten bağımsız olarak birebir ilişkinin varlığı bildirilmiştir. 6 Benzer olarak Blue Mountain Eye Çalışması bünyesindeki 55 yaş üstü 2812 hastanın 10 senelik takip sonuçlarında da tüm diğer risk faktörlerü dışlandığında kombine görme ve duyma kaybının bağımsız olarak mortalite riskini arttırdığı ve bu riskin tek başına görme veya tek başına duyma kaybına oranla daha fazla olduğu gösterilmiştir. 7 Gerçekten de görme keskinliğinde azalma, artmış mortalite riskini öngörebilir mi?…”