Functional status of elderly people with hearing loss.
ABSTRACT The objective is to determine the prevalence of hearing loss in people over 65 years of age, to describe the functional status of people with hearing loss and to identify the need for hearing aid use. In a cross-sectional study, a random sample of 1387 people aged 65 years and over was selected. The primary study variables were: hearing level by audiometric assessment, self-perceived hearing loss, screening for hypoacusia using the Hearing Handicap Inventory for the Elderly-Screening (HHIE-S) and physical, cognitive and emotional functional status. Using the HHIE-S it was determined that 11.3% of the subjects had severe hearing handicap. According to the Ventry/Weinstein criteria 43.6% had hearing handicap. When asked about the use of hearing aids, 4.5% of the study subjects said they used them, although 41.9% had hearing loss of 35 dB or more in their better ear. The variables associated with the need for a hearing aid were age >75 years (odds ratio=OR=3.2), ADL dependence (OR=2.7), cognitive impairment (OR=2.0), multiple health problems (OR=1.8), male sex (OR=1.6) and single/widowed (OR=1.5). In conclusion, there is a high prevalence of hearing loss associated with other functional limitations. Of those people who would benefit from a hearing aid (more than a third of people over 65 years old), 89.3% do not own one. The screening of hearing loss needs to be improved.
- SourceAvailable from: icphs2011.hk[Show abstract] [Hide abstract]
ABSTRACT: When screening participants for speech perception experiments, formal audiometric screens are often not an option, especially when studies are conducted over the Internet. We investigated whether a brief standardized self-report questionnaire, the screening version of the Hearing Handicap Inventory for Adults (HHIA-S), could be used to approximate the results of audiometric screening. Our results suggest that while the HHIA-S is useful, it needs to be used with extremely strict cut-off values that could exclude around 25% of people with no hearing impairment who are interested in participating. Well constructed, standardized single questions might be a good alternative for web experiments.
- Ciência & Saúde Coletiva 01/2014; 19(8):3335-3342. · 0.40 Impact Factor
- [Show abstract] [Hide abstract]
ABSTRACT: Objectives To determine whether hearing impairment, defined by using objective audiometry, is associated with multiple categories of self-reported physical functioning in a cross-sectional, nationally representative sample of older adults.DesignMultivariate secondary analysis of cross-sectional data.SettingThe 2005–06 and 2009–10 cycles of the National Health and Nutrition Examination Survey.ParticipantsAdults aged 70 and older who completed audiometric testing (N = 1,669).MeasurementsHearing was measured using pure-tone audiometry. Physical functioning was assessed using a structured interview.ResultsIn a model adjusted for age and demographic and cardiovascular risk factors, greater hearing impairment (per 25 dB hearing level (HL)) was associated with greater odds of physical disability in activities of daily living (odds ratio (OR) = 1.4, 95% confidence interval (CI) = 1.1–1.9), instrumental activities of daily living (OR = 1.6, 95% CI = 1.2–2.2), leisure and social activities (OR = 1.5, 95% CI = 1.1–2.0), lower extremity mobility (OR = 1.4, 95% CI = 1.1–1.7), general physical activities (OR = 1.3, 95% CI = 1.1–1.6), work limitation (OR = 1.4, 95% CI = 1.0–1.9), walking limitation (OR = 1.6, 95% CI = 1.3–2.0), and limitation due to memory or confusion (OR = 1.4, 95% CI = 1.1–1.8). Hearing impairment was not associated with limitations in amount or type of work done (OR = 1.2, 95% CI = 1.0–1.6).Conclusion Hearing impairment in older adults is independently associated with greater disability and limitations in multiple self-reported categories of physical functioning.Journal of the American Geriatrics Society 04/2014; · 4.22 Impact Factor