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Association between self-reported hearing impairment,use of a hearing aid and performance of instrumental activities of daily living
Affiliation:1. Department of Epidemiology and Preventive Medicine, Ehime University Graduate School of Medicine, Ehime, Japan;2. Research Promotion Unit, Translation Research Center, Ehime University Hospital, Ehime, Japan;3. Center for Data Science, Ehime University, Ehime, Japan;4. Department of Otolaryngology, Head and Neck Surgery, Ehime University Graduate School of Medicine, Ehime, Japan;5. Kato Dental Clinic;6. Machimi Dental Clinic;7. Department of Internal Medicine, Matsuyama Shimin Hospital, Ehime, Japan;8. Department of Otorhinolaryngology, HITO Hospital, Ehime, Japan;9. Department of Lifestyle-related Medicine and Endocrinology, Ehime University Graduate School of Medicine, Ehime, Japan;1. Department of Psychology, University of Tromsø, Norway;2. Department of Neurology, University Hospital North Norway, Tromsø, Norway;8. Shandong Institute of Endocrinology & Metabolism, Jinan, China;1. Center for Comprehensive Care and Research on Memory Disorders, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan;2. Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Itabashi, Tokyo, Japan;3. Department of Health and Nutrition, Faculty of Health and Science, Nagoya Women''s University, Nagoya, Aichi, Japan;4. Department of Physical Therapy, School of Health Sciences, Faculty of Medicine, Kagoshima University, Kagoshima, Kagoshima, Japan;5. Department of Otorhinolaryngology, Aichi Medical University, Nagakute, Aichi, Japan;6. Department of Otorhinolaryngology, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan;7. Department of Rehabilitation, Ichinomiya Medical Treatment & Habilitation Center, Ichinomiya, Aichi, Japan;1. University of North Carolina at Chapel Hill, United States;2. University of Michigan, Ann Arbor, United States;3. Texas Woman''s University, United States;4. Wake Forest Baptist Medical Center, United States;5. University of South Carolina, United States
Abstract:Background and purposeAge-related hearing loss is a prevalent condition among the growing elderly population, which has been associated with both cognitive decline and decreased daily functioning. Decreased functioning is linked to lower performance, predominantly regarding instrumental activities of daily living (IADLs). The present study aims to explore the association between hearing loss and impairment in IADLs.MethodsThis is a secondary analysis of The Health, Well-Being, and Aging Colombia study, performed in 2015. Participants were classified into three groups: 1) without hearing loss, 2) hearing loss corrected through the use of a hearing aid, and 3) hearing loss without a hearing aid. Bivariate and adjusted multivariate analyses were performed. The measured outcome was IADLs.Results and discussionInformation from a total of 23,694 community-dwelling Colombian older adults (age ≥ 60 years) was used. The prevalence of hearing impairment was 23.4%, 1.8% out of those reported the use of hearing aids. Independent associations were found for having impaired IADLs when comparing participants with hearing loss without a hearing aid and those with normal hearing. However, there was no statistical significance with respect to IADLs when comparing hearing loss corrected by hearing aids versus participants with normal hearing. Participants using hearing aids have better functioning evaluated by IADLs when compared with participants with hearing impairment and no hearing aids.ConclusionThis study evidences a positive association between hearing impairment and performance in the IADLs. This association is not significant in older adults using hearing aids
Keywords:Aged  Hearing loss  Hearing aid  Functionality  Older adult care  Disability
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