1
|
Cao X, Liu Q, Liu J, Yang B, Zhou J. The impact of hearing loss on cognitive impairment: The mediating role of depressive symptoms and the moderating role of social relationships. Front Public Health 2023; 11:1149769. [PMID: 37089498 PMCID: PMC10116415 DOI: 10.3389/fpubh.2023.1149769] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Accepted: 03/16/2023] [Indexed: 04/25/2023] Open
Abstract
Background Given the potentially negative effects of hearing loss on mental health and cognitive function, it is critical to gain a better understanding of the mechanisms underlying the link between hearing loss and cognitive impairment. This study aimed to investigate the moderating effects of social relationships, including their components in the role of depressive symptoms as a mediator between hearing loss and cognitive impairment. Methods Cross-sectional analyses were conducted with 8,094 Chinese older adults (aged ≥65 years) from the Chinese Longitudinal Healthy Longevity Survey in 2018. Simple mediation analysis and moderated mediation analysis were conducted to examine the roles of depressive symptoms and social relationships in the association between hearing loss and cognitive impairment. Results There is a significant correlation between hearing loss, depressive symptoms, social relationships, and cognitive function. Depressive symptoms partially mediated the association between hearing loss and cognitive function [standardized regression B-coefficient (B) = -0.114; 95% confidence interval (CI): (-0.158, -0.076)]. Social relationships moderated the effect of hearing loss on cognitive function through both path b (depressive symptoms - cognitive function) [B = 0.021; 95% CI: (0.008, 0.034)], and path c' (hearing loss-cognitive function) [B = 0.597; 95% CI: (0.463, 0.730)]. Furthermore, social activities and social networks moderated both the direct and indirect effects of moderated mediation. However, there appeared to be no moderated effect of social support for both the direct and indirect paths. Conclusion Social relationships moderated both the direct and indirect effects of depressive symptoms on the association between hearing loss and cognitive impairment. These findings shed light on the mechanisms underlying the relationship between hearing loss and cognitive impairment in Chinese older adults. It might be worthwhile to recommend multidimensional health and social interventions aimed at improving mental health and social inclusion among older adults with hearing loss.
Collapse
Affiliation(s)
- Xia Cao
- Health Management Center, The Third Xiangya Hospital, Central South University, Changsha, China
| | - Qian Liu
- Department of Psychology, Hunan Normal University, Changsha, China
| | - Jiali Liu
- Department of Psychiatry and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital, Central South University, Changsha, China
| | - Bingfang Yang
- Health Management Center, The Third Xiangya Hospital, Central South University, Changsha, China
| | - Jiansong Zhou
- Department of Psychiatry and National Clinical Research Center for Mental Disorders, The Second Xiangya Hospital, Central South University, Changsha, China
- *Correspondence: Jiansong Zhou,
| |
Collapse
|
2
|
Fu X, Eikelboom RH, Liu B, Wang S, Jayakody DMP. The impact of untreated hearing loss on depression, anxiety, stress, and loneliness in tonal language-speaking older adults in China. Front Psychol 2022; 13:917276. [PMID: 36532984 PMCID: PMC9751871 DOI: 10.3389/fpsyg.2022.917276] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Accepted: 11/11/2022] [Indexed: 03/07/2024] Open
Abstract
BACKGROUND Age-related hearing loss, mental health conditions, and loneliness commonly affect older adults. This study aimed to determine whether untreated hearing loss is independently associated with depression, anxiety, stress, and loneliness in tonal language-speaking older adults in China. STUDY DESIGN Observational, cross-sectional study. METHODS 293 older adults (111 males, M = 70.33 ± 4.90 years; 182 females, M = 69.02 ± 4.08 years) were recruited. All participants completed a pure tone audiometric hearing assessment, and provided information on living arrangements, marital status, leisure activities, tobacco and alcohol use, and medical history. The Mandarin version of the De Jong Gierveld Loneliness Scale was used to measure loneliness, and the Mandarin version of the 21-item Depression Anxiety Stress Scale (DASS-21) was used to assess a range of symptoms common to depression, stress, and anxiety of the participants. The analysis focused on determining the predictors of depression, anxiety, and stress, and the predictors of measures of loneliness. RESULTS Multiple stepwise regression analyses revealed that the emotional loneliness (β = 0.303, p < 0.001) and living status (β = 0.110, p = 0.048) significantly predicted DASS depression scores; emotional loneliness (β = 0.276, p < 0.001) and a history of vascular disease (β = 0.148, p = 0.009) were significantly related to DASS anxiety scores; emotional loneliness (β = 0.341, p < 0.001) and a history of vascular disease (β = 0.129, p = 0.019) significantly predicted DASS stress scores. Furthermore, multiple stepwise regression analyses showed that DASS stress scores (β = 0.333, p < 0.001), education years (β = -0.126, p = 0.020), marriage status (β = 0.122, p = 0.024), and a history of vascular disease (β = 0.111, p = 0.044) significantly predicted emotional loneliness; four-frequency average hearing loss (β = 0.149, p = 0.010) and DASS stress scores (β = 0.123, p = 0.034) significantly predicted social loneliness scale; and four-frequency average hearing loss (β = 0.167, p = 0.003) and DASS stress scores (β = 0.279, p < 0.001) also significantly predicted overall loneliness. There were no significant associations with high-frequency hearing loss. CONCLUSION This study revealed that loneliness has a significant relationship both with hearing loss and aspects of mental health in an older adult Mandarin-speaking population. However, mental health was not significantly associated with hearing loss in this population.
Collapse
Affiliation(s)
- Xinxing Fu
- Beijing Institute of Otolaryngology, Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China
- Medical School, The University of Western Australia, Crawley, WA, Australia
- Ear Science Institute Australia, Subiaco, WA, Australia
| | - Robert H. Eikelboom
- Medical School, The University of Western Australia, Crawley, WA, Australia
- Ear Science Institute Australia, Subiaco, WA, Australia
- Department of Speech-Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
- Curtin Medical School, Curtin University, Bentley, WA, Australia
| | - Bo Liu
- Beijing Institute of Otolaryngology, Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Shuo Wang
- Beijing Institute of Otolaryngology, Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China
| | - Dona M. P. Jayakody
- Medical School, The University of Western Australia, Crawley, WA, Australia
- Ear Science Institute Australia, Subiaco, WA, Australia
- Curtin Medical School, Curtin University, Bentley, WA, Australia
- WA Centre for Health and Aging, The University of Western Australia, Crawley, WA, Australia
| |
Collapse
|
3
|
Gao J, Zhu D, Deal JA, Lin FR, He P. Hearing impairment, family financial support, and depressive symptoms among Chinese middle-aged and older adults. Int J Geriatr Psychiatry 2022; 37. [PMID: 36004947 DOI: 10.1002/gps.5788] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2022] [Accepted: 07/11/2022] [Indexed: 11/07/2022]
Abstract
AIMS Hearing impairment (HI) is prevalent among middle-aged and older adults, but few studies have examined its mental health consequences in China. This study investigated the association of HI with depressive symptoms and whether family financial support moderated the association among adults aged 45 in China. METHODS Data were obtained from three waves of the China Health and Retirement Longitudinal Study (2011, 2013 and 2015). Hearing impairment was defined as a self-reported hearing problem in one or both ears. Depressive symptoms were measured with CESD-10. Associations between HI and depressive symptoms were modeled using fixed-effect models. RESULTS People with self-reported hearing loss were more likely than those without hearing loss to have depressive symptoms, with an odds ratio of 1.25 [1.07-1.47]. The association remained significant after adjusting for socio-demographic characteristics, lifestyle behaviors, and health conditions. Family financial support moderated this association. Among those with HI, adults with a higher level of family financial support tend to have better performance on symptoms of depression. CONCLUSIONS HI was positively associated with depressive symptoms among adults aged ≥45 in China, and family financial support played a buffering role in the relationship between HI and depressive symptoms.
Collapse
Affiliation(s)
- Jiamin Gao
- School of Social Development and Public Policy, Beijing Normal University, Beijing, China
| | - Dawei Zhu
- China Center for Health Development Studies, Peking University, Beijing, China
| | - Jennifer A Deal
- Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
| | - Frank R Lin
- School of Medicine, Johns Hopkins University, Baltimore, Maryland, USA.,Johns Hopkins Bloomberg School of Public Health, Cochlear Center for Hearing and Public Health, Baltimore, Maryland, USA
| | - Ping He
- China Center for Health Development Studies, Peking University, Beijing, China
| |
Collapse
|
4
|
Huang H, Wang J, Jiang CQ, Zhu F, Jin YL, Zhu T, Zhang WS, Xu L. Hearing loss and depressive symptoms in older Chinese: whether social isolation plays a role. BMC Geriatr 2022; 22:620. [PMID: 35883170 PMCID: PMC9316428 DOI: 10.1186/s12877-022-03311-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Accepted: 07/18/2022] [Indexed: 11/17/2022] Open
Abstract
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. Supplementary Information The online version contains supplementary material available at 10.1186/s12877-022-03311-0.
Collapse
Affiliation(s)
- Hao Huang
- School of Public Health, Sun Yat-Sen University, No. 74 Zhongshan 2ndRoad, Guangzhou, Guangdong Province, China
| | - Jiao Wang
- School of Public Health, Sun Yat-Sen University, No. 74 Zhongshan 2ndRoad, Guangzhou, Guangdong Province, China
| | | | - Feng Zhu
- Guangzhou Twelfth People's Hospital, Guangzhou, 510620, China
| | - Ya Li Jin
- Guangzhou Twelfth People's Hospital, Guangzhou, 510620, China
| | - Tong Zhu
- Guangzhou Twelfth People's Hospital, Guangzhou, 510620, China
| | - Wei Sen Zhang
- Guangzhou Twelfth People's Hospital, Guangzhou, 510620, China.
| | - Lin Xu
- School of Public Health, Sun Yat-Sen University, No. 74 Zhongshan 2ndRoad, Guangzhou, Guangdong Province, China. .,School of Public Health, the University of Hong Kong, Hong Kong, China.
| |
Collapse
|
5
|
Bennett RJ, Donaldson S, Mansourian Y, Olaithe M, Kelsall-Foreman I, Badcock JC, Eikelboom RH. Perspectives on Mental Health Screening in the Audiology Setting: A Focus Group Study Involving Clinical and Nonclinical Staff. Am J Audiol 2021; 30:980-993. [PMID: 34609173 DOI: 10.1044/2021_aja-21-00048] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023] Open
Abstract
PURPOSE Audiology clinical guidelines recommend the use of mental health screening tools; however, they remain underutilized in clinical practice. As such, psychological concerns are frequently undetected in adults with hearing loss. This study aimed to better understand audiology clinic staff's perspectives (including audiologists, audiometrists, reception staff, and clinic managers) on how to improve detection of poor mental health by (a) exploring the role of audiology clinic staff in detecting psychological concerns in adults with hearing loss and (b) investigating the appropriateness, acceptability, and usability of several screening tools in an audiology setting. METHOD Eleven audiology clinic staff (M age = 33.9 ± 7.3, range: 25-51 years) participated in a semistructured focus group. First, participants discussed the role of audiology clinic staff in detecting psychological difficulties in adults with hearing loss, including current practices and needs for improving practices. Second, participants discussed the appropriateness, acceptability, and usability of nine standardized mental health screening tools commonly used in wider health care settings. RESULTS Audiology clinic staff described their role in being aware of, and detecting, psychological difficulties, as well as their part in promoting an understanding of the link between hearing loss and mental health. Participants described the need to provide support following detection, and highlighted barriers to fulfilling these roles. The use of mental health screening tools was considered to be client and context specific. The language used within the screener was identified as an important factor for its acceptability by audiology clinic staff. CONCLUSIONS Audiology clinic staff acknowledged that they have an important role to play in the detection of psychological difficulties and identified the core barriers to using screening tools. Future research may explore the possibility of developing a mental health screening tool specific to the unique experiences of adults with comorbid hearing loss and mental health concerns. SUPPLEMENTAL MATERIAL https://doi.org/10.23641/asha.16702501.
Collapse
Affiliation(s)
- Rebecca J. Bennett
- Ear Science Institute Australia, Subiaco, Western Australia
- Ear Sciences Centre, The University of Western Australia, Crawley
| | - Sara Donaldson
- School of Psychological Science, The University of Western Australia, Crawley
| | - Yazdan Mansourian
- School of Information and Communication Studies, Charles Sturt University, Wagga Wagga, New South Wales, Australia
| | - Michelle Olaithe
- School of Psychological Science, The University of Western Australia, Crawley
| | | | - Johanna C. Badcock
- School of Psychological Science, The University of Western Australia, Crawley
| | - Robert H. Eikelboom
- Ear Science Institute Australia, Subiaco, Western Australia
- Ear Sciences Centre, The University of Western Australia, Crawley
- Department of Speech-Language Pathology and Audiology, University of Pretoria, South Africa
| |
Collapse
|
6
|
Knopke S, Bauknecht HC, Gräbel S, Häußler SM, Szczepek AJ, Olze H. White Matter Lesions as Possible Predictors of Audiological Performance in Adults after Cochlear Implantation. Brain Sci 2021; 11:600. [PMID: 34066703 PMCID: PMC8150980 DOI: 10.3390/brainsci11050600] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2021] [Revised: 05/05/2021] [Accepted: 05/06/2021] [Indexed: 12/25/2022] Open
Abstract
The presented prospective study investigated whether structural brain damage, measured with the Fazekas score, could predict hearing rehabilitation outcomes with cochlear implantation (CI). With a follow-up period of 24 months, this study included 49 bilaterally, postlingually hearing impaired CI candidates for unilateral CI (67.3 ± 8.7 years; 20 men, 29 women) older than 50 at the time of implantation. The differences in the predictive value between two age groups, 50-70 year-olds (mid-age; n = 26) and over 70-year-olds (elderly; n = 23), were analyzed. The patients were evaluated using speech perception (SP) measured in quiet (Freiburg monosyllabic test; FMT) and noise (Oldenburg sentence test; OLSA). The subjective hearing ability was assessed using Oldenburg inventory (OI). The Fazekas PVWM score predicted postoperative speech perception two years after CI in the mid-age population. The periventricular white matter lesions (PVWM) could explain 27.4% of the speech perception (FMT) variance. Our findings support the hypothesis about the influence of pre-existing WMLs on CI outcome. We recommend the evaluation of Fazekas score as a predictive factor for post-implantation hearing ability.
Collapse
Affiliation(s)
- Steffen Knopke
- Department of Otorhinolaryngology, Head and Neck Surgery, Campus Virchow-Klinikum, Charité—Universitätsmedizin Berlin, 13353 Berlin, Germany; (S.G.); (S.M.H.)
| | - Hans-Christian Bauknecht
- Department of Neuroradiology, Campus Virchow-Klinikum, Charité—Universitätsmedizin Berlin, 13353 Berlin, Germany;
| | - Stefan Gräbel
- Department of Otorhinolaryngology, Head and Neck Surgery, Campus Virchow-Klinikum, Charité—Universitätsmedizin Berlin, 13353 Berlin, Germany; (S.G.); (S.M.H.)
| | - Sophia Marie Häußler
- Department of Otorhinolaryngology, Head and Neck Surgery, Campus Virchow-Klinikum, Charité—Universitätsmedizin Berlin, 13353 Berlin, Germany; (S.G.); (S.M.H.)
| | - Agnieszka J. Szczepek
- Department of Otorhinolaryngology, Head and Neck Surgery, Campus Charité Mitte, Charité—Universitätsmedizin Berlin, 10117 Berlin, Germany
| | - Heidi Olze
- Department of Otorhinolaryngology, Head and Neck Surgery, Campus Virchow-Klinikum, Charité—Universitätsmedizin Berlin, 13353 Berlin, Germany; (S.G.); (S.M.H.)
- Department of Otorhinolaryngology, Head and Neck Surgery, Campus Charité Mitte, Charité—Universitätsmedizin Berlin, 10117 Berlin, Germany
| |
Collapse
|
7
|
Sun J, Li H, Jin L, Luo H. Does Hearing Impairment Affect Mental Health Among Chinese Older Adults? Evidence from the Chinese Longitudinal Healthy Longevity Survey. Risk Manag Healthc Policy 2021; 14:629-641. [PMID: 33623453 PMCID: PMC7896788 DOI: 10.2147/rmhp.s299180] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Accepted: 02/04/2021] [Indexed: 11/23/2022] Open
Abstract
Background and Aim Hearing impairment is a commonly reported chronic condition among older adults. Hearing impairment is significantly associated with reduced quality of life and diminished function status. This study aimed to investigate the association between hearing impairment and mental health among Chinese older adults, with a focus on exploring the moderating effects of social participation and exercise on this association. Methods The data of this study were obtained from the 2018 wave of Chinese Longitudinal Healthy Longevity Survey (CLHLS). We employed ordinary least squares regression models to analyze the effect of hearing impairment on mental health. Propensity score matching (PSM) and doubly robust estimation were employed to conduct robustness checks. Results Hearing impairment produced an adverse effect on Mini-Mental State Examination (MMSE) score (coefficient = -1.4073, p < 0.001), while it had a positive effect on depression score (coefficient = 0.8682, p < 0.001). Further analyses using PSM and doubly robust estimation reported similar results. Moreover, social participation (coefficient = 0.9424, p < 0.001) and exercise (coefficient = 0.7001, p < 0.01) moderated the association between hearing impairment and MMSE score. Social participation (coefficient = -0.5991, p > 0.05) and exercise (coefficient = 0.7806, p > 0.05) did not moderate the association between hearing impairment and depression score. Conclusion We provide robust evidence indicating that hearing impairment had significantly negative effects on the cognitive function and depression status of older adults. Furthermore, we find that social participation and exercise relieved the negative effect of hearing impairment on cognitive function.
Collapse
Affiliation(s)
- Jian Sun
- School of International and Public Affairs, Shanghai Jiao Tong University, Shanghai, People's Republic of China
| | - Hongheng Li
- School of Information and Management, Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, People's Republic of China
| | - Ling Jin
- Liuzhou People's Hospital, Liuzhou, Guangxi Zhuang Autonomous Region, People's Republic of China
| | - Hongye Luo
- School of Information and Management, Guangxi Medical University, Nanning, Guangxi Zhuang Autonomous Region, People's Republic of China
| |
Collapse
|
8
|
Bennett RJ, Barr C, Cortis A, Eikelboom RH, Ferguson M, Gerace D, Heffernan E, Hickson L, van Leeuwen L, Montano J, Preminger JE, Pronk M, Saunders GH, Singh G, Timmer BHB, Weinstein B, Bellekom S. Audiological approaches to address the psychosocial needs of adults with hearing loss: perceived benefit and likelihood of use. Int J Audiol 2020; 60:12-19. [PMID: 33176511 DOI: 10.1080/14992027.2020.1839680] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
OBJECTIVE To explore the perceived benefit and likely implementation of approaches used by audiologists to address their adult clients' psychosocial needs related to hearing loss. DESIGN Adults with hearing loss and audiologists completed separate, but related, surveys to rate their perceived benefit and also their likely use of 66 clinical approaches (divided over seven themes) that aim to address psychosocial needs related to hearing loss. STUDY SAMPLE A sample of 52 Australian adults with hearing loss, and an international sample of 19 audiologists. RESULTS Overall, participants rated all of the approaches highly on both benefit and likelihood of use; the highest ranked theme was Providing Emotional Support. Cohort comparisons showed that audiologists ranked the approaches significantly higher than did adults with hearing loss. Overall, participants ranked the themes higher on benefit than on the likelihood to use scales. CONCLUSIONS Adults with hearing loss and audiologists recognise the importance of approaches that address the psychosocial impacts of hearing loss in audiological rehabilitation. However, both groups placed slightly greater value on the internal-based approaches (the clients own emotional response, empowerment, and responsibility), and slightly less emphasis on the external-based approaches (being supported by communication partners, support groups or other health professionals).
Collapse
Affiliation(s)
- Rebecca J Bennett
- Ear Science Institute Australia, Subiaco, WA, Australia.,Medical School, The University of Western Australia, Crawley, WA, Australia.,School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia
| | | | - Alex Cortis
- Ear Science Institute Australia, Subiaco, WA, Australia.,Medical School, The University of Western Australia, Crawley, WA, Australia
| | - Robert H Eikelboom
- Ear Science Institute Australia, Subiaco, WA, Australia.,Medical School, The University of Western Australia, Crawley, WA, Australia.,Department of Speech Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
| | - Melanie Ferguson
- National Acoustic Laboratories, Macquarie University, Sydney, NSW, Australia
| | - Daniel Gerace
- Ear Science Institute Australia, Subiaco, WA, Australia.,Medical School, The University of Western Australia, Crawley, WA, Australia
| | - Eithne Heffernan
- Discipline of General Practice, Clinical Science Institute, School of Medicine, National University of Ireland Galway, Galway, Ireland
| | - Louise Hickson
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia
| | - Lisette van Leeuwen
- Department of Otolaryngology-Head and Neck Surgery, Ear & Hearing, Amsterdam Public Health research institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | | | - Jill E Preminger
- Program in Audiology, University of Louisville School of Medicine, Louisville, KY, USA.,Speech, Language and Hearing Sciences, San Diego State University, San Diego, CA, USA
| | - Marieke Pronk
- Department of Otolaryngology-Head and Neck Surgery, Ear & Hearing, Amsterdam Public Health research institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| | - Gabrielle H Saunders
- Manchester Centre for Audiology and Deafness, School of Health Sciences, University of Manchester, Manchester, UK
| | - Gurjit Singh
- Phonak Canada, Mississauga, ON, Canada.,Department of Psychology, Ryerson University, Toronto, ON, Canada.,Department of Speech-Language Pathology, University of Toronto, Toronto, ON, Canada
| | - Barbra H B Timmer
- School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, Australia.,Sonova AG, Staefa, Switzerland
| | | | - Sandra Bellekom
- Ear Science Institute Australia, Subiaco, WA, Australia.,Medical School, The University of Western Australia, Crawley, WA, Australia
| |
Collapse
|
9
|
Bennett RJ, Barr C, Montano J, Eikelboom RH, Saunders GH, Pronk M, Preminger JE, Ferguson M, Weinstein B, Heffernan E, van Leeuwen L, Hickson L, Timmer BHB, Singh G, Gerace D, Cortis A, Bellekom SR. Identifying the approaches used by audiologists to address the psychosocial needs of their adult clients. Int J Audiol 2020; 60:104-114. [PMID: 32940093 DOI: 10.1080/14992027.2020.1817995] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
OBJECTIVE To identify the approaches taken by audiologists to address their adult clients' psychosocial needs related to hearing loss. DESIGN A participatory mixed methods design. Participants generated statements describing the ways in which the psychosocial needs of their adult clients with hearing loss are addressed, and then grouped the statements into themes. Data were obtained using face-to-face and online structured questions. Concept mapping techniques were used to identify key concepts and to map each of the concepts relative to each other. STUDY SAMPLE An international sample of 65 audiologists. RESULTS Ninety-three statements were generated and grouped into seven conceptual clusters: Client Empowerment; Use of Strategies and Training to Personalise the Rehabilitation Program; Facilitating Peer and Other Professional Support; Providing Emotional Support; Improving Social Engagement with Technology; Including Communication Partners; and Promoting Client Responsibility. CONCLUSIONS Audiologists employ a wide range of approaches in their attempt to address the psychosocial needs associated with hearing loss experienced by their adult clients. The approaches described were mostly informal and provided in a non-standardised way. The majority of approaches described were not evidence-based, despite the availability of several options that are evidence-based, thus highlighting the implementation gap between research and clinical practice.
Collapse
Affiliation(s)
- Rebecca J Bennett
- Ear Science Institute Australia, Subiaco, Australia.,The University of Western Australia, Crawley, Australia.,School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Australia
| | - Caitlin Barr
- Soundfair, Melbourne, Australia.,Department of Audiology and Speech Pathology, The University of Melbourne, Melbourne Australia
| | | | - Robert H Eikelboom
- Ear Science Institute Australia, Subiaco, Australia.,The University of Western Australia, Crawley, Australia.,Department of Speech Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
| | - Gabrielle H Saunders
- Manchester Centre for Audiology and Deafness, School of Health Sciences, University of Manchester, Manchester, UK
| | - Marieke Pronk
- Department of Otolaryngology-Head and Neck Surgery, Ear & Hearing, Amsterdam Public Health research institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Jill E Preminger
- Program in Audiology, University of Louisville School of Medicine, Louisville, KY, USA
| | | | | | - Eithne Heffernan
- Discipline of General Practice, Clinical Science Institute, School of Medicine, National University of Ireland Galway, Galway, Ireland
| | - Lisette van Leeuwen
- Department of Otolaryngology-Head and Neck Surgery, Ear & Hearing, Amsterdam Public Health research institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
| | - Louise Hickson
- School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Australia
| | - Barbra H B Timmer
- School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, Australia.,Sonova AG, Staefa, Switzerland
| | - Gurjit Singh
- Sonova AG, Staefa, Switzerland.,Department of Psychology, Ryerson University, Toronto, Canada.,Department of Speech-Language Pathology, University of Toronto, Toronto, Canada
| | - Daniel Gerace
- Ear Science Institute Australia, Subiaco, Australia.,The University of Western Australia, Crawley, Australia
| | - Alex Cortis
- Ear Science Institute Australia, Subiaco, Australia.,The University of Western Australia, Crawley, Australia
| | - Sandra R Bellekom
- Ear Science Institute Australia, Subiaco, Australia.,The University of Western Australia, Crawley, Australia
| |
Collapse
|
10
|
Völter C, Götze L, Haubitz I, Dazert S, Thomas JP. Benefits of Cochlear Implantation in Middle-Aged and Older Adults. Clin Interv Aging 2020; 15:1555-1568. [PMID: 32982193 PMCID: PMC7500174 DOI: 10.2147/cia.s255363] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Accepted: 07/08/2020] [Indexed: 12/16/2022] Open
Abstract
Introduction Nowadays cochlear implantation (CI) is the treatment of choice in adults in case conventional hearing devices fail. Besides speech perception, an improvement in quality of life and in cognitive performance has been reported. Thereby, the study focused on the impact of age. Participants and Methods Thirty middle-aged (MA) between 50 and 64 years and 41 older subjects (OA) aged 65 and older with bilateral severe hearing loss performed a comprehensive computer-based neurocognitive test battery (ALAcog) pre- and 12 months post-implantation. Besides, monosyllabic speech perception in quiet (Freiburg monosyllabic speech test), health-related quality of life (HR-QoL, Nijmegen Cochlear Implant Questionnaire) and depressive symptoms (GDS-15) have been assessed. Results Both age groups significantly improved in all three categories after 12 months. No differences were evaluated between MA and OA regarding speech perception and HR-QoL pre- and post-operatively. In contrast, cognitive performance differed between the age groups: pre-operatively OA performed worse in most neurocognitive subdomains like working memory (p=0.04), inhibition (p=0.004), processing speed (p=0.003) and mental flexibility (p=0.01), post-operatively MA outperformed OA only in inhibition (p=0.01). Age only slightly influenced cognitive performance in MA, whereas in OA age per se tremendously impacted on working memory (p=0.04), inhibition (p=0.02), memory (p=0.04) and mental flexibility (p=0.01). Educational level also affected processing speed, mental flexibility (p=0.01) and working memory (p=0.01). This was more pronounced in OA. In both age groups, hearing status had a strong effect on attentional tasks (p=0.01). In MA, depressive symptoms were more influential on cognitive functioning and on HR-QoL than in OA. Improvement in quality of life (p=0.0002) and working memory (p=0.001) was greater for those with a higher pre-operative depression score. Conclusion Speech perception and HR-QoL improved in hearing impaired, independently of age. Pre-operative differences in cognitive performance between OA and MA clearly attenuated 12 months after CI. Impact of comorbidities differed between age groups.
Collapse
Affiliation(s)
- Christiane Völter
- Department of Otorhinolaryngology, Head and Neck Surgery, Katholisches Klinikum, Ruhr-University of Bochum, Bochum, Germany
| | - Lisa Götze
- Department of Otorhinolaryngology, Head and Neck Surgery, Katholisches Klinikum, Ruhr-University of Bochum, Bochum, Germany
| | - Imme Haubitz
- Department of Otorhinolaryngology, Head and Neck Surgery, Katholisches Klinikum, Ruhr-University of Bochum, Bochum, Germany
| | - Stefan Dazert
- Department of Otorhinolaryngology, Head and Neck Surgery, Katholisches Klinikum, Ruhr-University of Bochum, Bochum, Germany
| | - Jan Peter Thomas
- Department of Otorhinolaryngology, Head and Neck Surgery, Katholisches Klinikum, Ruhr-University of Bochum, Bochum, Germany
| |
Collapse
|
11
|
Niazi Y, Ejaz B, Muazzam A. Impact of hearing impairment on psychological distress and subjective well-being in older adults. Pak J Med Sci 2020; 36:1210-1215. [PMID: 32968382 PMCID: PMC7501003 DOI: 10.12669/pjms.36.6.2457] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Objective: The main objective of this study was to explore the impact of hearing impairment on psychological distress and subjective well-being in older adults with hearing impairment. Methods: The study with cross sectional research design was conducted in three public sector hospitals of Lahore, from February 2017 to June 2017. Participants of the study were adults aged 50-90 years and with hearing impairment, selected through non-probability sampling technique. Demographic Information sheet, Kessler psychological distress scale by Kessler, Mroczek. in 1992 and Satisfaction with life scale by Diener, Emmons, Larsen, Griffin in 1985 were used for data collection. SPSS 21 was used to analyze the data. Results: There were 200 participants with age ranged from 53 to 89 years (M= 65.92, SD= 9.70). Of the total, 100 (50%) subjects were men and 100 (50%) were women. Significant gender differences were found in psychological distress, with men reflecting more symptoms of psychological distress (p<0.01), whereas non-significant gender differences were found in case of subjective well-being (p>0.05). Moreover, psychological distress was observed as a predictor of subjective well-being (p<0.01). One-way analysis of variance revealed insignificant differences of psychological distress and subjective well-being across three levels of hearing impairment. Conclusion: Early diagnosis and rehabilitation of age-related hearing loss improves the overall quality of life of older adults living with hearing impairment.
Collapse
Affiliation(s)
- Yasmeen Niazi
- Yasmeen Niazi, MS Scholar. Department of Applied Psychology, Lahore College for Women University, Lahore, Pakistan
| | - Bisma Ejaz
- Bisma Ejaz, Assistant Professor, Department of Applied Psychology, Lahore College for Women University, Lahore, Pakistan
| | - Amina Muazzam
- Amina Muazzam Tenured Associate Professor, Department of Applied Psychology, Lahore College for Women University, Lahore, Pakistan
| |
Collapse
|
12
|
Brenowitz WD, Kaup AR, Yaffe K. Incident dementia and faster rates of cognitive decline are associated with worse multisensory function summary scores. Alzheimers Dement 2020; 16:1384-1392. [PMID: 32657033 DOI: 10.1002/alz.12134] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2020] [Revised: 04/20/2020] [Accepted: 05/19/2020] [Indexed: 12/19/2022]
Abstract
INTRODUCTION We created a summary score for multiple sensory (multisensory) impairment and evaluated its association with dementia. METHODS We studied 1794 adults aged 70 to 79 who were dementia-free at enrollment and followed for up to 10 years in the Health, Aging, and Body Composition Study. The multisensory function score (0 to 12 points) was based on sample quartiles of objectively measured vision, hearing, smell, and touch summed overall. Risk of incident dementia and cognitive decline (measured by two cognitive tests) associated with the score were assessed in regression models adjusting for demographics and health conditions. RESULTS Dementia risk was 2.05 times higher (95% confidence interval [CI] 1.50-2.81) comparing "poor" to "good" multisensory score tertiles and 1.45 times higher comparing the "middle" to "good" tertiles (95% CI 1.09-1.91). Each point worse in the multisensory function score was associated with faster rates of cognitive decline (P < .05). CONCLUSIONS Worsening multisensory function, even at mild levels, was associated with accelerated cognitive aging.
Collapse
Affiliation(s)
- Willa D Brenowitz
- Department of Psychiatry, University of California San Francisco, San Francisco, California, USA
| | - Allison R Kaup
- Department of Psychiatry, University of California San Francisco, San Francisco, California, USA.,The Neurology Center of Southern California, Carlsbad, California, USA.,San Francisco VA Health Care System, San Francisco, California, USA
| | - Kristine Yaffe
- Department of Psychiatry, University of California San Francisco, San Francisco, California, USA.,San Francisco VA Health Care System, San Francisco, California, USA.,Department of Epidemiology & Biostatistics and Neurology, University of California San Francisco, San Francisco, California, USA
| |
Collapse
|
13
|
Sucher CM, Eikelboom RH, Stegeman I, Jayakody DMP, Atlas MD. The effect of hearing loss configuration on cochlear implantation uptake rates: an Australian experience. Int J Audiol 2020; 59:828-834. [PMID: 32496880 DOI: 10.1080/14992027.2020.1768445] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Objective: Recent changes to cochlear implant (CI) candidacy criteria have led to the inclusion of candidates with greater levels of hearing in the contralateral and/or implanted ear. This study assessed the impact of various hearing loss configurations on CI uptake rates (those assessed as eligible for CI, who proceed to CI).Design: Retrospective cohort study.Study sample: Post-lingually deaf adult CI candidates (n = 619) seen at a Western Australian cochlear implant clinic.Results: An overall CI uptake rate of 44% was observed. Hearing loss configuration significantly impacted uptake rates. Uptake rates of 62% for symmetrical hearing loss, 48% for asymmetrical hearing loss (four-frequency average hearing loss (4FAHL) asymmetry ≤60 dB), 25% for highly asymmetrical hearing loss (4FAHL asymmetry >60 dB), 38% for hearing losses eligible for electric-acoustic stimulation, and 22% for individuals with single-sided hearing loss were observed. Hearing loss configuration and age were both significant factors in relation to CI uptake although the impact of age was limited.Conclusion: CI clinics who apply or are considering applying expanded CI candidacy criteria within their practice should be aware that candidates with greater levels of residual hearing in at least the contralateral ear are less likely to proceed to CI.
Collapse
Affiliation(s)
- Cathy M Sucher
- Ear Science Clinic, Ear Science Institute Australia, Subiaco East, Australia.,Ear Sciences Centre, Medical School, The University of Western Australia, Nedlands, Australia
| | - Robert H Eikelboom
- Ear Science Clinic, Ear Science Institute Australia, Subiaco East, Australia.,Ear Sciences Centre, Medical School, The University of Western Australia, Nedlands, Australia.,Department of Speech Language Pathology and Audiology, University of Pretoria, Pretoria, South Africa
| | - Inge Stegeman
- Department of Otorhinolaryngology - Head and Neck Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands.,UMC Utrecht Brain Center, Utrecht, The Netherlands
| | - Dona M P Jayakody
- Ear Science Clinic, Ear Science Institute Australia, Subiaco East, Australia.,Ear Sciences Centre, Medical School, The University of Western Australia, Nedlands, Australia
| | - Marcus D Atlas
- Ear Science Clinic, Ear Science Institute Australia, Subiaco East, Australia.,Ear Sciences Centre, Medical School, The University of Western Australia, Nedlands, Australia
| |
Collapse
|
14
|
Lawrence BJ, Jayakody DMP, Bennett RJ, Eikelboom RH, Gasson N, Friedland PL. Hearing Loss and Depression in Older Adults: A Systematic Review and Meta-analysis. THE GERONTOLOGIST 2019; 60:e137-e154. [DOI: 10.1093/geront/gnz009] [Citation(s) in RCA: 98] [Impact Index Per Article: 19.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Indexed: 12/31/2022] Open
Abstract
AbstractBackground and ObjectivesStudies reporting an association between hearing loss and depression in older adults are conflicting and warrant a systematic review and meta-analysis of the evidence.Research Design and MethodsA search of academic databases (e.g., MEDLINE) and gray literature (e.g., OpenGrey) identified relevant articles published up to July 17, 2018. Cross-sectional or cohort designs were included. Outcome effects were computed as odds ratios (ORs) and pooled using random-effects meta-analysis (PROSPERO: CRD42018084494).ResultsA total of 147,148 participants from 35 studies met inclusion criteria. Twenty-four studies were cross-sectional and 11 were cohort designs. Overall, hearing loss was associated with statistically significantly greater odds of depression in older adults (OR = 1.47, 95% confidence interval [CI] = 1.31−1.65). When studies were stratified by design, hearing loss was associated with greater odds of depression in cross-sectional studies (OR = 1.54, 95% CI = 1.31−1.80) and cohort studies (OR = 1.39, 95% CI = 1.16 − 1.67), and there was no difference between cross-sectional or cohort effect estimates (Q = 0.64, p = .42). There was no effect of moderator variables (i.e., hearing aid use) on the association between hearing loss and depression, but these findings must be interpreted with caution. There was no presence of publication bias but certainty in the estimation of the overall effect was classified as “low.”Discussion and ImplicationsOlder adults may experience increased odds of depression associated with hearing loss, and this association may not be influenced by study or participant characteristics.
Collapse
Affiliation(s)
- Blake J Lawrence
- Ear Science Institute Australia, Subiaco, Western Australia, Crawley, Australia
- Ear Sciences Centre, Faculty of Health and Medical Sciences, The University of Western Australia, Crawley, Australia
| | - Dona M P Jayakody
- Ear Science Institute Australia, Subiaco, Western Australia, Crawley, Australia
- Ear Sciences Centre, Faculty of Health and Medical Sciences, The University of Western Australia, Crawley, Australia
| | - Rebecca J Bennett
- Ear Science Institute Australia, Subiaco, Western Australia, Crawley, Australia
- Ear Sciences Centre, Faculty of Health and Medical Sciences, The University of Western Australia, Crawley, Australia
| | - Robert H Eikelboom
- Ear Science Institute Australia, Subiaco, Western Australia, Crawley, Australia
- Ear Sciences Centre, Faculty of Health and Medical Sciences, The University of Western Australia, Crawley, Australia
- Department of Speech-Language Pathology and Audiology, University of Pretoria, South Africa
| | - Natalie Gasson
- School of Psychology and Speech Pathology, Faculty of Health Sciences, Curtin University, Bentley, Western Australia
| | - Peter L Friedland
- Ear Science Institute Australia, Subiaco, Western Australia, Crawley, Australia
- Ear Sciences Centre, Faculty of Health and Medical Sciences, The University of Western Australia, Crawley, Australia
- Department of Otolaryngology Head Neck Skull Based Surgery, Sir Charles Gairdner Hospital, Nedlands, Western Australia, Australia
- School of Medicine, Notre Dame University, Fremantle, Western Australia, Australia
| |
Collapse
|
15
|
Heffernan E, Habib A, Ferguson M. Evaluation of the psychometric properties of the social isolation measure (SIM) in adults with hearing loss. Int J Audiol 2019; 58:45-52. [DOI: 10.1080/14992027.2018.1533257] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Eithne Heffernan
- National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, UK
- Hearing Sciences Section, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK
| | - Alia Habib
- National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, UK
- Hearing Sciences Section, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK
- School of Life & Health Sciences, Aston University, Birmingham, UK
| | - Melanie Ferguson
- National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham, UK
- Hearing Sciences Section, Division of Clinical Neuroscience, School of Medicine, University of Nottingham, Nottingham, UK
- Queens Medical Centre, Nottingham University Hospitals National Health Service (NHS) Trust, Nottingham, UK
| |
Collapse
|
16
|
McAlpine D, McMahon C, Dillon H, Leigh G, Hungerford J, Patrick J, Cowan R, Dodd L. Introducing the Australian Hearing Hub. Trends Hear 2018; 21:2331216517722920. [PMID: 28752812 PMCID: PMC5536382 DOI: 10.1177/2331216517722920] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
This special issue contains a collection of papers highlighting the collaborative research taking place at Macquarie University's Australian Hearing Hub. Included in this introduction is a brief outline of the challenges in the hearing health and communication space and a brief description of the Australian Hearing Hub and its members, alongside an overview of the studies included in this special issue.
Collapse
Affiliation(s)
| | - Catherine McMahon
- 1 Macquarie University, Sydney, Australia.,2 The HEARing Cooperative Research Centre, Melbourne, Australia
| | - Harvey Dillon
- 2 The HEARing Cooperative Research Centre, Melbourne, Australia.,3 National Acoustic Laboratories, Sydney, Australia
| | - Greg Leigh
- 1 Macquarie University, Sydney, Australia.,2 The HEARing Cooperative Research Centre, Melbourne, Australia.,4 Royal Institute of Deaf and Blind Children, Sydney, Australia
| | - Jim Hungerford
- 2 The HEARing Cooperative Research Centre, Melbourne, Australia.,4 Royal Institute of Deaf and Blind Children, Sydney, Australia.,5 The Shepherd Centre, Sydney, Australia
| | - Jim Patrick
- 1 Macquarie University, Sydney, Australia.,2 The HEARing Cooperative Research Centre, Melbourne, Australia.,6 Cochlear Limited, Sydney, Australia.,7 University of Melbourne, Melbourne, Australia
| | - Robert Cowan
- 1 Macquarie University, Sydney, Australia.,2 The HEARing Cooperative Research Centre, Melbourne, Australia.,7 University of Melbourne, Melbourne, Australia
| | | |
Collapse
|
17
|
Hay-McCutcheon MJ, Hyams A, Yang X, Parton J. Hearing loss and social support in urban and rural communities. Int J Audiol 2018; 57:610-617. [PMID: 29671659 DOI: 10.1080/14992027.2018.1461262] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Abstract
OBJECTIVE Perceived social support and hearing handicap were assessed in adults with and without hearing loss who lived in different geographical regions of Alabama. DESIGN The Hearing Handicap Inventory for Adults (HHIA) assessed emotional and social consequences of hearing loss. The Medical Outcomes Study (MOS) Social Support Survey and the Social Functioning, Role Emotional and Mental Health scales of the SF-36 were administered. STUDY SAMPLE Data were collected from 71 study participants with hearing loss and from 45 adults without hearing loss. RESULTS Degree of hearing loss and outcomes from the HHIA did not differ between adults who lived in rural or urban settings. Tangible support was poorer for adults with hearing loss who lived in rural settings compared to those who lived in urban settings. For adults without hearing loss, residency was not associated with tangible support. For these adults, income was associated with other types of social support (i.e. informational support, affection, positive social interaction). CONCLUSIONS Adults with hearing loss living in rural areas had poor perceived tangible support. The provision of support to address a hearing loss could be worse for these adults compared to adults who lived in urban settings.
Collapse
Affiliation(s)
| | - Adriana Hyams
- b Department of Psychology , The University of Alabama , Tuscaloosa , AL , USA.,c Department of Psychiatry , Rhode Island Hospital , Providence , RI , USA
| | - Xin Yang
- d Department of Information Systems, Statistics and Management Science , The University of Alabama , Tuscaloosa , AL , USA
| | - Jason Parton
- d Department of Information Systems, Statistics and Management Science , The University of Alabama , Tuscaloosa , AL , USA
| |
Collapse
|
18
|
Convery E, Meyer C, Keidser G, Hickson L. Assessing hearing loss self-management in older adults. Int J Audiol 2017; 57:313-320. [DOI: 10.1080/14992027.2017.1390268] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Elizabeth Convery
- National Acoustic Laboratories, Sydney, Australia,
- HEARing Cooperative Research Centre, Melbourne, Australia, and
- School of Health and Rehabilitation Sciences, University of Queensland, St. Lucia, Australia
| | - Carly Meyer
- HEARing Cooperative Research Centre, Melbourne, Australia, and
- School of Health and Rehabilitation Sciences, University of Queensland, St. Lucia, Australia
| | - Gitte Keidser
- National Acoustic Laboratories, Sydney, Australia,
- HEARing Cooperative Research Centre, Melbourne, Australia, and
- School of Health and Rehabilitation Sciences, University of Queensland, St. Lucia, Australia
| | - Louise Hickson
- HEARing Cooperative Research Centre, Melbourne, Australia, and
- School of Health and Rehabilitation Sciences, University of Queensland, St. Lucia, Australia
| |
Collapse
|