Self-rated health and hearing disorders: study of the Brazilian hearing-impaired population

Anderle, Paula; Rech, Rafaela Soares; Baumgarten, Alexandre; Goulart, Bárbara Niegia Garcia de

doi:10.1590/1413-81232021269.2.07762020

Cited by 5 publications

(5 citation statements)

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“…Additionally, after access to hearing aids and/or rehabilitation, they develop coping strategies to integrate with the community, such as sign language, orofacial reading, etc. Moreover, hearing impairment is a type of "silent impairment" that does not impede physical mobility and integration into the community, even though, at times, spoken messages may not be understood [22,32].…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, information about the impairments was obtained through self-reports and depended on the personal understanding of each participant and their values, conception of health, and culture [5,22]. In this regard, a review study indicated the significance of standardized definitions of impairments, as there is considerable variation in self-reports about impairments during census [42].…”

Section: Discussionmentioning

confidence: 99%

“…Thus, people with congenital impairments, and who have adaptive behaviors, are associated with better SRH compared to those with impairment acquired later in life. Furthermore, aging in this population increases the association with poor SRH status [16,21,22].…”

Section: Introductionmentioning

confidence: 99%

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Association between impairment and self-rated health: a brazilian population study considering type, origin, and degree of limitation

2023

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Background Perceived health is a well-known, low-cost measure in public health, and has been used in several studies on individuals with impairment. Although many studies have related impairment to self-rated health (SRH), few have considered the origin and degree of limitation of the impairment. This study examined whether physical, hearing, or visual impairments—when analyzed according to origin (congenital or acquired) and degree of limitation (with or without)—are associated with the SRH status. Methods This cross-sectional study used data of 43,681 adult individuals from the Brazilian National Health Survey (NHS, 2013). The outcome SRH was dichotomized into poor (including the regular, poor, and very poor responses) or good (including the good and very good responses). Crude and adjusted (for socio-demographic characteristics and chronic diseases history) prevalence ratios (PR) estimates were evaluated using Poisson regression models with the robust variance estimator. Results Poor SRH prevalence was estimated at 31.8% (95%CI:31.0–33.0) among the non-impaired population, 65.6% (95%CI:60.6–70.0) among individuals with physical impairment, 50.3% (95%CI:45.0–56.0) for people with hearing impairment, and 55.3% (95%CI:51.8–59.0) for the visually impaired. Individuals with congenital physical impairment—with or without limitations—presented the strongest association with the poorest SRH status. Participants with non-limiting, congenital hearing impairment showed a protective factor to poor SRH (PR = 0.40 95%CI: 0.38–0.52). Individuals with acquired visual impairment with limitations demonstrated the strongest association with poor SRH (PR = 1.48 95%CI:1.47–1.49). Among the impaired population, middle-aged participants showed a stronger association with poor SRH than older adult participants. Conclusions Impairment is associated with poor SRH status, especially among people with physical impairment. The origin and degree of limitation of each type of impairment differently impacts SRH among the impaired population.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Association between impairment and self-rated health: a brazilian population study considering type, origin, and degree of limitation

2023

Self Cite

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“…In addition to the high burden of hearing loss and its adverse influence on the quality of life, hearing loss affects patients’ SRH and psychosocial ( Jayakody et al, 2022 ). Patients with hearing loss may have poor SRH due to limited social participation and disability in daily activities in the absence of hearing aids ( Anderle et al, 2021 ). A Brazilian study found that the odds of reporting poor SRH in peers who perceived hearing loss as a health problem were 3.72 times higher compared with peers who failed to perceive hearing loss as a health problem ( Guia et al, 2018 ).…”

Section: Discussionmentioning

confidence: 99%

Impact of hearing loss on cognitive function in community-dwelling older adults: serial mediation of self-rated health and depressive anxiety symptoms

Chen,

Jiang

et al. 2023

Front. Aging Neurosci.

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BackgroundHearing loss can exacerbate cognitive decline; therefore, exploring the mechanisms through which hearing loss affects cognitive function is crucial. The current study aimed to investigate the impact of hearing loss on cognitive function and the mediating role played by self-rated health and depressive anxiety symptoms.MethodsUsing stratified whole-group random sampling, the study employed a cross-sectional design and included 624 participants aged ≥65 years from three communities in Urumqi, China. Cognitive function was assessed using the Mini-Mental State Examination. Hearing function and self-rated health were determined by self-report. The 15-item Geriatric Depression Scale and the 7-item Generalized Anxiety Disorder Scale were used to assess depressive anxiety symptoms. Serial mediation analysis was performed using AMOS 26.0.ResultsHearing loss can not only negatively affect cognitive function in older adults directly (direct effect = −0.106; SE = 0.045; 95% confidence interval (CI): −0.201 to −0.016), but also indirectly affect the relationship between hearing loss and cognitive function through self-rated health and depressive anxiety symptoms. The results of the serial mediation analysis showed that the total indirect effect of self-rated health and depressive anxiety symptoms was −0.115 (95% CI: −0.168 to −0.070), and the total effect of the model was −0.221 (95% CI: −0.307 to −0.132), with the total indirect effect accounting for 52.04% of the total effect of the model.ConclusionOur study discovered that there is a partial mediation of the relationship between hearing loss and cognitive function by self-rated health and depressive anxiety symptoms. It is suggested that by enhancing self-rated health and ensuring good mental health, the decline in cognitive function among older adults with hearing loss can be delayed.

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“…Potential confounders adjusted in the multivariable model were age, sex, socioeconomic position (occupation, education, household income), smoking [ 35 , 36 ], alcohol use [ 36 , 37 ], number of comorbidities [ 38 , 39 ] and self-rated health [ 40 , 41 ]. Occupation referred to the occupation that participants had for the longest period in their life.…”

Section: Methodsmentioning

confidence: 99%

Hearing loss and depressive symptoms in older Chinese: whether social isolation plays a role

et al. 2022

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Background Existing evidence links hearing loss to depressive symptoms, with the extent of association and underlying mechanisms remaining inconclusive. We conducted a cross-sectional study to examine the association of hearing loss with depressive symptoms and explored whether social isolation mediated the association. Methods Eight thousand nine hundred sixty-two participants from Guangzhou Biobank Cohort Study were included. Data on self-reported hearing status, the 15-item Geriatric Depression Scale (GDS-15), social isolation and potential confounders were collected by face-to-face interview. Results The mean (standard deviation) age of participants was 60.2 (7.8) years. The prevalence of poor and fair hearing was 6.8% and 60.8%, respectively. After adjusting for age, sex, household income, education, occupation, smoking, alcohol use, self-rated health, comorbidities, compared with participants who had normal hearing, those with poor hearing (β = 0.74, 95% confidence interval (CI) 0.54, 0.94) and fair hearing (β = 0.59, 95% CI 0.48, 0.69) had higher scores of GDS-15. After similar adjustment, those with poor hearing (odds ratio (OR) = 2.13, 95% CI 1.65, 2.74) or fair hearing (OR = 1.68, 95% CI 1.43, 1.99) also showed higher odds of depressive symptoms. The association of poor and fair hearing with depressive symptoms attenuated slightly but not substantially after additionally adjusting for social isolation. In the mediation analysis, the adjusted proportion of the association mediated through social isolation was 9% (95% CI: 6%, 22%). Conclusion Poor hearing was associated with a higher risk of depressive symptoms, which was only partly mediated by social isolation. Further investigation of the underlying mechanisms is warranted.

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Self-rated health and hearing disorders: study of the Brazilian hearing-impaired population

Cited by 5 publications

References 31 publications

Association between impairment and self-rated health: a brazilian population study considering type, origin, and degree of limitation

Association between impairment and self-rated health: a brazilian population study considering type, origin, and degree of limitation

Impact of hearing loss on cognitive function in community-dwelling older adults: serial mediation of self-rated health and depressive anxiety symptoms

Hearing loss and depressive symptoms in older Chinese: whether social isolation plays a role

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