The impact of hearing loss on quality of life in older adults
The impact of hearing loss on quality of life in older adults
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DOI：
10.1093/geront/43.5.661
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发表时间：
2003-10-01
期刊：
影响因子：
5.7
通讯作者：
Nondahl, DM
中科院分区：
文献类型：
--
作者：
Dalton, DS;Cruickshanks, KJ;Nondahl, DM
目的：作者们在一大群老年人中研究听力损失对生活质量的影响。
设计与方法：数据来自听力损失流行病学研究的5年随访，这是一项在威斯康星州比弗丹进行的基于人群的年龄相关性听力障碍纵向研究。参与者（N = 2688）年龄在53 - 97岁之间（平均69岁），42%为男性。通过使用老年人听力障碍筛查版（HHIE - S）评估沟通困难，并附加有关特定情况下沟通困难的问题。通过使用日常生活活动能力（ADLs）、工具性日常生活活动能力（IADLs）以及简明健康状况调查问卷（SF - 36）的测量来评估与健康相关的生活质量。通过听力测定法测量的听力损失是根据0.5、1、2和4 kHz听力阈值的纯音平均值进行分类的。
结果：在参与者中，28%有轻度听力损失，24%有中度至重度听力损失。听力损失的严重程度与听力障碍以及自我报告的沟通困难显著相关。中度至重度听力损失的个体比没有听力损失的个体更有可能出现日常生活活动能力和工具性日常生活活动能力受损。听力损失的严重程度与SF - 36的精神成分综合评分和身体成分综合评分的功能下降以及八个单独领域评分中的六个显著相关。
启示：听力损失的严重程度与老年人生活质量下降有关。
Purpose: The authors investigate the impact of hearing loss on quality of life in a large population of older adults. Design and Methods: Data are from the 5-year follow-up Epidemiology of Hearing Loss Study, a population-based longitudinal study of age-related hearing impairment conducted in Beaver Dam, WI. Participants (N = 2,688) were 53-97 years old (mean = 69 years) and 42% were male. Difficulties with communication were assessed by using the Hearing Handicap for the Elderly-Screening version (HHIE-S), with additional questions regarding communication difficulties in specific situations. Health-related quality of life was assessed by using measures of activities of daily living (ADLs), instrumental ADLs (IADLs) and the Short Form 36 Health Survey (SF-36). Hearing loss measured by audiometry was categorized on the basis of the pure-tone average of hearing thresholds at 0.5, 1, 2, and 4 kHz. Results: Of participants, 28% had a mild hearing loss and 24% had a moderate to severe hearing loss. Severity of hearing loss was significantly associated with having a hearing handicap and with self-reported communication difficulties. Individuals with moderate to severe hearing loss were more likely than individuals without hearing loss to have impaired ADLs and IADLs. Severity of hearing loss was significantly associated with decreased function in both the Mental Component Summary score and the Physical Component Summary score of the SF-36 as well as with six of the eight individual domain scores. Implications: Severity of hearing loss is associated with reduced quality of life in older adults.