Longitudinal study of self‐reported hearing loss and subjective cognitive function decline in women

Curhan, Sharon G.; Willett, Walter C.; Grodstein, Francine; Curhan, Gary C.

doi:10.1016/j.jalz.2019.08.194

Cited by 32 publications

(23 citation statements)

References 85 publications

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“…This may be due to their brain processing sound abnormally. Most large population-based longitudinal studies rely on self-reported hearing problems to establish the association of hearing impairment with dementia [ 7 , 8 ]. A recent systematic review of the links between hearing impairment and dementia found that only a few articles in the field measured hearing through the PTA, while participant self-reporting was often used [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Lack of Association between Audiogram and Hearing Disability Measures in Mild Cognitive Impairment and Dementia: What Audiogram Does Not Tell You

et al. 2021

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(1) Introduction: The validity of self-reported hearing disability measures has been assessed using their correlation with the pure-tone average (PTA) hearing loss for non-cognitively impaired adults. However, for people with cognitive impairment, factors in addition to the PTA can play a role in their self-reported difficulties. Patients with cognitive impairment may experience more hearing difficulties due to their brain processing sounds abnormally, irrespective of PTA. (2) Methods: Three groups of hearing aid users who had normal cognition, mild cognitive impairment and dementia were recruited. Self-reported hearing abilities were assessed with the modified Amsterdam inventory for auditory disability (mAIAD) and the speech, spatial and qualities of hearing scale (SSQ). (3) Results: The SSQ and mAIAD scores were highly correlated with each other for all three groups. However, a correlation with objective PTA was found in the normal cognition but not the cognitively impaired groups. Self-reported hearing scores were associated with cognitive scores for the dementia group (4) Discussion: In people with combined cognitive and hearing impairment, PTA alone may be a poor predictor of hearing abilities. Subjective hearing questionnaires together with hearing tests may provide a better understanding of their hearing difficulties.

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Section: Introductionmentioning

confidence: 99%

Lack of Association between Audiogram and Hearing Disability Measures in Mild Cognitive Impairment and Dementia: What Audiogram Does Not Tell You

et al. 2021

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“…For example, it has already been known that ARHI and AD differ in prevalence in terms of sex-ARHI is more common and severe in men, while the incidence of AD is greater in women (21-23)-but whether sex predisposes older adults with hearing loss to greater risk of cognitive impairment is a subject of controversy. There is a lack of consensus regarding sex-differing risk in this area, when such data were disaggregated by biological sex (14,(24)(25)(26). Although social and cultural behavior has been one explanation for these previous findings, the systematic consideration of one's psychosocial sex-the state of being an older man or woman under the influence of culture and society-remains rare.…”

Section: Introductionmentioning

confidence: 99%

Gender Modifies the Association of Cognition With Age-Related Hearing Impairment in the Health and Retirement Study

Yuan

Sang

Pham

et al. 2021

Front. Public Health

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Introduction: Despite growing recognition of hearing loss as a risk factor for late life cognitive disorders, sex and gender analysis of this association has been limited. Elucidating this is one means to advocate for holistic medicine by considering the psychosocial attributes of people. With a composite Gender Score (GS), we aimed to assess this among aging participants (50+) from the 2016 Health and Retirement Study (HRS) cohort.Methods: The GS was derived from gender-related variables in HRS by factor analyses and logistic regression, ranging from 0 (toward masculinity) to 100 (toward femininity). GS tertiles were also used to indicate three gender types (GS tertile 1: lower GS indicates masculinity; GS tertile 2: middle GS indicates androgyny; GS tertile 3: higher GS indicates femininity). Univariate followed by multiple logistic regressions were used to estimate the Odds Ratio (OR) and 95% confidence intervals (CI) of cognitive impairment (assessed by adapted Telephone Interview for Cognitive Status) from hearing acuity, as well as to explore the interactions of sex and gender with hearing acuity. The risk of cognitive impairment among hearing-impaired participants was assessed using multivariable models including sex and gender as exposure variables.Results: Five variables (taking risks, loneliness, housework, drinking, and depression) were retained to compute the GS for each participant. The distribution of GS between sexes partly overlapped. After adjusting for confounding factors, the OR for cognitive impairment associated with hearing impairment was significantly higher (OR = 1.65, 95% CI: 1.26, 2.15), and this association was not modified by female sex (OR = 0.77, 95% CI: 0.46, 1.27), but by androgynous gender (OR = 0.44, 95% CI: 0.24, 0.81). In the multivariable models for participants with hearing impairment, androgynous and feminine gender, as opposed to female sex, was associated with lower odds of cognitive impairment (OR of GS tertile 2 = 0.59, 95% CI: 0.41, 0.84; OR of GS tertile 3 = 0.60, 95% CI: 0.41, 0.87; OR of female sex = 0.78, 95% CI: 0.57, 1.08).Conclusions: Hearing impairment was associated with cognitive impairment among older people, and this association may be attenuated by a more feminine GS.

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“…Recent estimates from the National Health and Nutrition Examination Survey suggest that 48 million US adults suffer from hearing loss. 1 Hearing loss may be associated with impaired communication, decreased quality of life, depression, [2][3][4] and cognitive decline, 5,6 thus understanding how modifiable factors may influence risk could provide new insights into possibilities for prevention or delay of acquired hearing loss.…”

Section: Introductionmentioning

confidence: 99%

Cigarette Smoking, Smoking Cessation, and Risk of Hearing Loss in Women

Lin

Wang

Stanković

et al. 2020

The American Journal of Medicine

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Author contributions: BML and SGC conceived and designed the study. BML, SGC, MW, RE, KMS, MJM, and GCC were involved in the analysis and interpretation of the data. BML and SGC drafted the manuscript. All of the authors had full access to all of the data in the study and take responsibility for the integrity of the data and accuracy of the data analysis. All authors critically reviewed and revised the manuscript for important intellectual content, contributed to the writing, and are in agreement with its submission.Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Data Access, Responsibility, and Analysis: BML and SGC had full access to all the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.

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Longitudinal study of self‐reported hearing loss and subjective cognitive function decline in women

Cited by 32 publications

References 85 publications

Lack of Association between Audiogram and Hearing Disability Measures in Mild Cognitive Impairment and Dementia: What Audiogram Does Not Tell You

Lack of Association between Audiogram and Hearing Disability Measures in Mild Cognitive Impairment and Dementia: What Audiogram Does Not Tell You

Gender Modifies the Association of Cognition With Age-Related Hearing Impairment in the Health and Retirement Study

Cigarette Smoking, Smoking Cessation, and Risk of Hearing Loss in Women

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