Self-Reported Hearing Loss in Older Adults Is Associated with Future Decline in Instrumental Activities of Daily Living but Not in Social Participation
Self-Reported Hearing Loss in Older Adults Is Associated with Future Decline in Instrumental Activities of Daily Living but Not in Social Participation
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DOI：
10.1111/j.1532-5415.2012.04039.x
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发表时间：
2012-07-01
影响因子：
6.3
通讯作者：
Takebayashi, Toru
中科院分区：
文献类型：
--
作者：
Yamada, Mutsuko;Nishiwaki, Yuji;Takebayashi, Toru
目的调查老年人自我报告的听力损失是否与日常生活工具活动能力下降或社会参与能力下降有关。前瞻性随访。设置社区。参与者1254名年龄在65至98岁之间的成年人。测量方法：通过家访调查评估自我报告的听力损失、IADL和社会参与。自我报告的听力损失是根据以下问题的回答来衡量的：“如果一个人在安静的房间里正常地对你说话，即使戴着助听器，你是否听不清和理解他对你说的话？”使用东京都老年学能力指数（TMIG-IC）的子量表测量IADL和社会参与水平。结果在921名具有完美基线IADL评分和有效随访评分的参与者中，105人也在基线时自我报告听力损失。在该组中，44.8%（总n = 105）报告在3年随访期间他们的IADL评分下降。在对主要混杂因素进行调整后，发现基线听力损失患者和无听力损失患者在3年内经历IADL下降方面存在统计学显著差异(优势比（OR) = 1.79, 95%可信区间(CI) = 1.122.87）。自我报告的基线听力损失在3年随访期间对社会参与下降没有统计学意义（OR = 1.05, 95% CI = 0.631.76）。结论自报听力损失与日常生活水平下降有关，但与社会参与无关。
Objectives To investigate whether self-reported hearing loss in older adults is associated with a decline in their ability to perform instrumental activities of daily living (IADL) or a decline in social participation. Design Prospective follow-up. Setting Community. Participants One thousand two hundred fifty-four adults aged 65 to 98. Measurements Self-reported hearing loss, IADL, and social participation were evaluated through home-visit surveys. Self-reported hearing loss was measured according to responses to the question, Do you have difficulty hearing and understanding what a person says to you in a quiet room if they speak normally to you, even when wearing your hearing aid? Levels of IADL and social participation were measured using the subscales of the Tokyo Metropolitan Institute of Gerontology Index of Competence (TMIG-IC). Results Of the 921 participants with a perfect baseline IADL score and valid follow-up scores, 105 also self-reported hearing loss at baseline. Of this group, 44.8% (total n = 105) reported a decline in their IADL score over the 3-year follow-up period. After adjusting for major confounders, a statistically significant difference in experiencing an IADL decline over the 3-year period was found between those with hearing loss at baseline and those without (odds ratio (OR) = 1.79, 95% confidence interval (CI) = 1.122.87). Self-reported hearing loss at baseline did not have a statistically significant effect on decline in social participation (OR = 1.05, 95% CI = 0.631.76) over the 3-year follow-up period. Conclusion Self-reported hearing loss was associated with a decline in IADL, but not with social participation.