Factors Associated With Social Isolation in Older Adults: A Systematic Review and Meta-Analysis

Wen, Zhi-Fei; Peng, Sihan; Yang, Liping; Wang, Hongyan; Liao, Xinqi; Liang, Qingfang; Zhang, Xian-Geng

doi:10.1016/j.jamda.2022.11.008

Cited by 26 publications

(11 citation statements)

References 60 publications

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“…Furthermore, the accumulation of the three impairments was associated with declines in social participation. These effects were independent of sociodemographic factors, behaviors, and medical conditions, all of which are known to be strong determinants of social participation, 4 loneliness, 31 and social isolation 32 …”

Section: Discussionmentioning

confidence: 83%

“…These effects were independent of sociodemographic factors, behaviors, and medical conditions, all of which are known to be strong determinants of social participation, 4 loneliness, 31 and social isolation. 32 This study has some limitations worth mentioning. First, we used observational data and, therefore, the findings do not support any conclusion about causality.…”

Section: Discussionmentioning

confidence: 93%

“…However, the current analysis has the advantage of using longitudinal data and time‐varying exposures, thus allowing assessment of the relationship between change in exposures and change in outcome over 9 years. The associations observed might be related to the fact that tooth, hearing, and vision loss can each impair social interactions and participation, which could subsequently lead to loneliness and social isolation 16,32 . It thus follows that preserving a functional dentition into older age is as important as maintaining good vision and hearing to enjoy most social activities.…”

Section: Discussionmentioning

confidence: 99%

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Social participation and tooth loss, vision, and hearing impairments among older Brazilian adults

Bernabé

Oliveira

Duarte

et al. 2023

J American Geriatrics Society

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BackgroundVision and hearing impairments can reduce participation in social activities. Given the prominent role of the mouth in face‐to‐face interactions, this study evaluated the associations of tooth loss, vision, and hearing impairments with social participation among older adults.MethodsThis analysis included 1947 participants, aged 60+ years, who participated in three waves (2006, 2010, and 2015) of the Health, Wellbeing and Aging Study (SABE) in Brazil. Social participation was measured by the number of formal and informal social activities (requiring face‐to‐face interaction) participants were regularly involved in. Teeth were counted during clinical examinations and categorized as 0, 1–19, and 20+ teeth. Reports on vision and hearing impairments were classified into three categories (good, regular, and poor). The associations of each impairment with the 9‐year change in the social participation score were tested in negative binomial mixed‐effects models adjusting for time‐variant and time‐invariant covariates.ResultsEach impairment was associated with the baseline social participation score and the annual rate of change in the social participation score. Participants with 1–19 (incidence rate ratio: 0.96, 95% CI: 0.91–1.01) and no teeth (0.92, 95% CI: 0.87–0.97), those with regular (0.98, 95% CI: 0.95–1.01) and poor vision (0.86, 95% CI: 0.81–0.90), and those with regular (0.94, 95% CI: 0.91–0.98) and poor hearing (0.91, 95% CI: 0.87–0.95) had lower baseline social participation scores than those with 20+ teeth, good vision, and good hearing, respectively. Furthermore, participants with 1–19 (0.996, 95% CI: 0.990–1.002) and no teeth (0.994, 95% CI: 0.987–0.999), those with regular (0.996, 95% CI: 0.992–0.999) and poor vision (0.997, 95% CI: 0.991–1.003), and those with regular (0.997, 95% CI: 0.992–1.001) and poor hearing (0.995, 95% CI: 0.990–0.999) had greater annual declines in the social participation score than those with 20+ teeth, good vision and good hearing, respectively.ConclusionThis 9‐year longitudinal study shows that tooth loss, vision, and hearing impairments are associated with reduced social participation among older adults.

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Section: Discussionmentioning

confidence: 83%

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

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Social participation and tooth loss, vision, and hearing impairments among older Brazilian adults

Bernabé

Oliveira

Duarte

et al. 2023

J American Geriatrics Society

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“…An individual patient's decision to elect observation therapy for VS may be affected by their expected hearing outcomes. A heightened risk of hearing loss may even change the decision calculus altogether given the substantial implications of hearing loss on quality of life and health outcomes (38)(39)(40). Continued evaluation of this relationship may prove useful in providing additional information for clinical decision making.…”

Section: Discussionmentioning

confidence: 99%

Presbycusis and Hearing Preservation in Observed Vestibular Schwannomas

et al. 2023

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Objective We reviewed a cohort of patients with untreated sporadic vestibular schwannoma (VS) and examined the relationship between high-frequency hearing loss (HFHL) in the non-VS ear and long-term hearing outcomes in the VS-affected ear. We hypothesized that the progression of HFHL is associated with accelerated hearing decline in sporadic VS. Study Design Retrospective cohort study. Setting Tertiary center. Patients We studied 102 patients with sporadic VS diagnosed from 1999 to 2015 with ≥5 years of observation (median, 6.92; interquartile range, 5.85–9.29). Sixty-six patients had AAO-HNS class A/B hearing at presentation and were included in analysis. Interventions Audiometry, serial magnetic resonance imaging for observation of VS. Main Outcome Measures Four-frequency pure tone average (PTA) and word recognition scores (WRS) in the VS-affected ear. Decline in high-frequency PTA (average of thresholds at 4000, 6000, and 8,000 Hz) was defined as ≥10 dB during the study period. Decline in WRS was defined as ≥10%. Results Compared with those without, patients with progressive HFHL in the non-VS ear were more likely to experience a decline in WRS in the VS ear (80% vs. 54%, p = 0.031). However, the same group showed no difference (52% vs. 41%, p = 0.40) in decline in PTA of the VS ear. Conclusions Patients with observed VS who experience progressive HFHL in the non-VS ear are more likely to experience significant declines in speech understanding in the VS-affected ear over time. Patients with a history of presbycusis may have an increased risk of losing serviceable hearing because of sporadic VS.

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“…Hearing loss has been associated with a wide variety of physical and mental health risks, including social isolation, depression, lower quality of life and a significantly elevated risk of dementia [8,9,10]. On average, individuals wait 9 years from hearing aid candidacy to hearing aid adoption, while earlier adoption may mitigate some of the risks associated with hearing loss [11,12].…”

Section: Problemmentioning

confidence: 99%

Requirements for Mass Adoption of Assistive Listening Technology by the General Public

Kaufmann¹,

Foroogozar²,

Liss³

et al. 2023

Preprint

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Assistive listening systems (ALSs) dramatically increase speech intelligibility and reduce listening effort. It is very likely that essentially everyone, not only individuals with hearing loss, would benefit from the increased signal-to-noise ratio an ALS provides in almost any listening scenario. However, ALSs are rarely used by anyone other than people with severe to profound hearing losses. To date, the reasons for this poor adoption have not been systematically investigated.The authors hypothesize that the reasons for poor adoption of assistive listening technology include (1) an inability to use personally owned receiving devices, (2) a lack of high-fidelity stereo sound, (3) receiving devices not providing an unoccluded listening experience, (4) distortion from alignment delay and (5) a lack of automatic connectivity to an available assistive listening audio signal.We propose solutions to each of these problems in an effort to pave the way for mass adoption of assistive listening technology by the general public.

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Factors Associated With Social Isolation in Older Adults: A Systematic Review and Meta-Analysis

Cited by 26 publications

References 60 publications

Social participation and tooth loss, vision, and hearing impairments among older Brazilian adults

Social participation and tooth loss, vision, and hearing impairments among older Brazilian adults

Presbycusis and Hearing Preservation in Observed Vestibular Schwannomas

Requirements for Mass Adoption of Assistive Listening Technology by the General Public

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