Falls, injuries from falls, health related quality of life and mortality in older adults with vision and hearing impairment-Is there a gender difference?
Falls, injuries from falls, health related quality of life and mortality in older adults with vision and hearing impairment-Is there a gender difference?
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DOI：
10.1016/j.maturitas.2011.05.006
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发表时间：
2011-08-01
期刊：
影响因子：
4.9
通讯作者：
Flicker, Leon
中科院分区：
文献类型：
--
作者：
Lopez, Derrick;McCaul, Kieran A.;Flicker, Leon
背景：视力和听力随年龄增长而下降。这些感官的丧失与跌倒、跌倒伤害、死亡率和与健康有关的生活质量（HRQOL）下降的风险增加有关。我们的目的是确定视觉和听力障碍与这些结果之间的关联是否存在性别差异。方法：对来自男性健康研究和澳大利亚女性健康纵向研究的年龄在76-81岁之间的2340名男性和3014名女性进行了平均6.36年的随访。因变量为自我报告的视力和听力障碍。结局变量为跌倒、跌倒损伤、HRQOL的身心组成部分（SF-36 PCS和MCS）和全因死亡率。结果：女性以视力障碍多见，男性以听力障碍多见。视力障碍与跌倒风险增加相关(男性优势比(OR) = 1.77, 95% CI = 1.35-2.32；OR = 1.82, 95% CI = 1.44-2.30，女性)、跌倒损伤（男性OR = 1.69,95% CI = 1.23-2.34，女性OR = 1.79, 95% CI = 1.38-2.33）和死亡率(危险比(HR)= 1.44；男性95% CI = 1.17-1.77；HR = 1.50, 95% CI = 1.24-1.82（女性），SF-36 PCS和MCS下降。听力障碍与跌倒风险增加（男性OR = 1.38, 95% CI = 1.08-1.78；女性OR = 1.45,95% CI = 1.08-1.93）和SF-36 PCS和MCS下降相关。总体而言，视力和听力障碍与结果之间的关系没有性别差异。结论：在76-81岁的男性和女性中，自我报告的视力和听力损害与跌倒、死亡率和HRQOL的相关性没有性别差异。2011爱思唯尔爱尔兰有限公司版权所有。
Background: Vision and hearing decline with age. Loss of these senses is associated with increased risk of falls, injuries from falls, mortality and decreased health-related quality of life (HRQOL). Our objective was to determine if there are gender differences in the associations between visual and hearing impairment and these outcomes.Methods: 2340 men and 3014 women aged 76-81 years from the Health in Men Study and the Australian Longitudinal Study on Women's Health were followed for an average of 6.36 years. Dependent variables were self-reported vision and hearing impairment. Outcome variables were falls, injuries from falls, physical and mental components of HRQOL (SF-36 PCS and MCS) and all-cause mortality.Results: Vision impairment was more common in women and hearing impairment was more common in men. Vision impairment was associated with increased falls risk (odds ratio (OR) = 1.77, 95% CI = 1.35-2.32 in men; OR = 1.82, 95% CI = 1.44-2.30 in women), injuries from falls (OR 1.69,95% CI = 1.23-2.34 in men, OR = 1.79, 95% CI = 1.38-2.33 in women), and mortality (hazard ratio (HR)= 1.44; 95% CI = 1.17-1.77 in men; HR = 1.50, 95% CI = 1.24-1.82 in women) and declines in SF-36 PCS and MCS. Hearing impairment was associated with increased falls risk (OR = 1.38, 95% CI = 1.08-1.78 in men; OR = 1.45,95% CI = 1.08-1.93 in women) and declines in SF-36 PCS and MCS. Overall there were no gender differences in the association between vision and hearing impairment and the outcomes.Conclusion: In men and women aged 76-81 years, there were no gender differences in the association between self-reported vision and hearing impairment and the outcomes of falls, mortality and HRQOL. (C) 2011 Elsevier Ireland Ltd. All rights reserved.