The Combined Effect of Hearing Impairment and Cognitive Impairment with Health-Related Outcomes in Chinese Older People

Xiao, Yingfeng; Jia, Shuli; Zhao, Wenchuan; Zhang, Y.; Qiao, Runjuan; Xia, Xin; Hou, Lisha; Dong, Birong

doi:10.1007/s12603-021-1623-5

Cited by 7 publications

(3 citation statements)

References 34 publications

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“…O apoio familiar é fundamental na efetividade do processo de reabilitação, pois colaboram na compreensão de instruções, aumentam o sentimento de segurança do usuário, facilitam o reconhecimento de suas dificuldades e o acesso a serviços de saúde 22,23 . Em contrapartida, a descontinuidade dos serviços de saúde auditiva durante a pandemia dificultou o acesso à compra de pilhas, reparo de dispositivos quebrados, confecção de novos moldes auriculares e reprogramação de dispositivos [19][20][21] , com consequente diminuição no tempo de uso diário dos DAES, problemas relacionados à audição (infecções, tontura e zumbido) e dificuldades de comunicação com familiares 19 . A maioria dos participantes referiu independência no manuseio dos dispositivos e pilhas, gostam de utilizar os dispositivos em casa e em ambientes externos, e sentem-se apoiados pela família, tendo suas expectativas contempladas.…”

Section: Conclusãounclassified

Access to health service and hearing rehabilitation for adult and older adults during the initial period of the COVID-19 pandemic in Brazil

Guesser,

Haas,

Quialheiro

et al. 2024

Distúrb Comun

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Introduction: Hearing loss is a common disability in the world population and contributes to difficulty in verbal communication and reduced quality of life, highlighting the importance of early identification, rehabilitation and audiological monitoring of this disability to mitigate its consequences. During the COVID-19 pandemic, restrictive measures reduced the service capacity of hearing health services and made it difficult to seek help to solve problems related to adaptation to personal sound amplification products (PSAPs), being a barrier in the rehabilitation process of hearing loss. Aim: To characterize PSAPs users and the initial hearing rehabilitation process for adults and elderly people and verify the factors associated with the return to hearing monitoring consultations in the initial period of the COVID-19 pandemic. Methods: Cross-sectional observational study with adults and elderly people: elderly users of an outpatient hearing health service who return for a scheduled hearing monitoring consultation in the initial period of the implementation of restrictive measures of the COVID-19 pandemic in Brazil. Results: Most participants were able to return to the hearing monitoring clinic, the majority of whom were elderly, female and vaccinated against COVID-19. There was a higher prevalence of adequate adaptation to the PSAPs. There was no statistical association between variables related to adaptation to PSAPs, COVID-19 and mental health and return to hearing monitoring consultation. Conclusion: Factors related to adaptation to PSAPs, COVID-19 or mental health did not influence the return to hearing monitoring consultation in the present investigation.

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Section: Conclusãounclassified

Access to health service and hearing rehabilitation for adult and older adults during the initial period of the COVID-19 pandemic in Brazil

Guesser,

Haas,

Quialheiro

et al. 2024

Distúrb Comun

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“…From 19.65 million in 1999 to 45.92 million in 2019, Chinese adults with moderate VI have doubled. It is estimated that 68.62% of older adults with a mean age of 69 had moderate or severe hearing loss, according to a hearing survey conducted in China in 2019 (4). The prevalence of VI in urban and rural areas was 0.58 and 1.15%, respectively, with significant statistical differences (5).…”

Section: Introductionmentioning

confidence: 99%

Association of socioeconomic position with sensory impairment among Chinese population: a nationally representative cohort and Mendelian randomization study

Wei,

Zhou,

Abuduxukuer

et al. 2024

Front. Public Health

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AimsTo investigate the association between socioeconomic position (SEP) and sensory impairments (SIs).MethodsWe used data from the China Health and Retirement Longitudinal Study (CHARLS) (2015). Logistic regressions estimated the odds ratio for associations of SEP with SIs. In addition, Mendelian randomization (MR) analysis was conducted to assess the causal relationship between them with the inverse variance weighting (IVW) estimator. MR-Egger, simple median, weighted median, maximum likelihood, and robust adjusted profile score were employed for sensitivity analyses.ResultsIn the observational survey, we enrolled 19,690 individuals aged 45 and above. SEP was negatively associated with SIs. Adjusted odds of vision impairment were higher for illiterate (1.50; 95%CI: 1.19, 1.91), less than elementary school diploma (1.76; 95%CI: 1.39, 2.25), middle school diploma (1.53; 95%CI: 1.21, 1.93) and lower income (all p < 0.001). The odds of hearing impairment were significantly higher for people with less than a high school diploma than those with a college degree or higher diploma, for agricultural workers than non-agricultural workers, and for people in low-income families (p < 0.01). The MR analysis also showed that occupation was associated with HI (1.04, 95%CI: 1.01, 1.09, p < 0.05) using IVW.ConclusionWe found that both observational and causal evidence supports the theory that SEP can result in SIs and that timely discovery, targeted management, and education can prevent SIs among middle-aged and older adults.

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“…Notably, there is a frequent association between cognitive decline and hearing impairment in adults ( Ma et al, 2022 ). The two prevalent geriatric symptoms are linked to future negative outcomes, including falls, disabilities, and even mortality, which impose a significant burden on public health ( Amieva et al, 2018 ; Xiao et al, 2021 ; Liu et al, 2022 ; Zhang et al, 2023 ).…”

Section: Introductionmentioning

confidence: 99%

Bidirectional associations between hearing difficulty and cognitive function in Chinese adults: a longitudinal study

Li,

Hu,

Zhao

et al. 2023

Front. Aging Neurosci.

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BackgroundMiddle-aged and older adults frequently experience hearing loss and a decline in cognitive function. Although an association between hearing difficulty and cognitive function has been demonstrated, its temporal sequence remains unclear. Therefore, we investigated whether there are bidirectional relationships between hearing difficulty and cognitive function and explored the mediating role of depressive symptoms in this relationship.MethodWe used the cross-lagged panel model and the random-intercept cross-lagged panel model to look for any possible two-way link between self-reported hearing difficulty and cognitive function. To investigate depressive symptoms’ role in this association, a mediation analysis was conducted. The sample was made up of 4,363 adults aged 45 and above from the China Health and Retirement Longitudinal Study (CHARLS; 2011–2018; 44.83% were women; mean age was 56.16 years). One question was used to determine whether someone had a hearing impairment. The tests of cognitive function included episodic memory and intelligence. The Center for Epidemiologic Studies Depression Scale, which consists of 10 items, was used to measure depressive symptoms.ResultsA bidirectional association between hearing and cognition was observed, with cognition predominating (Wald χ2 (1) = 7.241, p < 0.01). At the between-person level, after controlling for potential confounders, worse hearing in 2011 predicted worse cognitive function in 2013 (β = −0.039, p < 0.01) and vice versa (β = −0.041, p < 0.01) at the between-person level. Additionally, there was no corresponding cross-lagged effect of cognitive function on hearing difficulty; rather, the more hearing difficulty, the greater the cognitive decline at the within-person level. According to the cross-lagged mediation model, depressive symptoms partially mediates the impact of cognitive function on subsequent hearing difficulty (indirect effect: −0.003, bootstrap 95% confidence interval: −0.005, −0.001, p < 0.05), but not the other way around.ConclusionThese results showed that within-person relationships between hearing impairment and cognitive function were unidirectional, while between-person relationships were reciprocal. Setting mental health first may be able to break the vicious cycle that relates hearing loss to cognitive decline. Comprehensive long-term care requires services that address depressive symptoms and cognitive decline to be integrated with the hearing management.

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The Combined Effect of Hearing Impairment and Cognitive Impairment with Health-Related Outcomes in Chinese Older People

Cited by 7 publications

References 34 publications

Access to health service and hearing rehabilitation for adult and older adults during the initial period of the COVID-19 pandemic in Brazil

Access to health service and hearing rehabilitation for adult and older adults during the initial period of the COVID-19 pandemic in Brazil

Association of socioeconomic position with sensory impairment among Chinese population: a nationally representative cohort and Mendelian randomization study

Bidirectional associations between hearing difficulty and cognitive function in Chinese adults: a longitudinal study

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