Hearing Loss, Loneliness, and Social Isolation: A Systematic Review.
Hearing Loss, Loneliness, and Social Isolation: A Systematic Review.
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DOI：
10.1177/0194599820910377
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发表时间：
2020-05
期刊：
影响因子：
--
通讯作者：
Reed NS
中科院分区：
文献类型：
--
作者：
Shukla A;Harper M;Pedersen E;Goman A;Suen JJ;Price C;Applebaum J;Hoyer M;Lin FR;Reed NS
社交孤立和孤独与老年人死亡率增加和医疗保健支出增加有关。听力损失是老年人的一种常见疾病，会损害沟通和社会交往。这篇综述的目的是总结目前状态的文献探讨听力损失和社会隔离和/或孤独之间的关联。PubMed、Embase、CINAHL Plus、PsycINFO和科克伦图书馆。由2名独立评审员筛选纳入文献，由第三名评审员进行裁定。包括对听力损失的老年人进行的英语研究，这些研究使用了有效的社会孤立或孤独措施。使用改良的Newcastle-Ottawa量表评估纳入综述的研究质量。在2495项确定的研究中，14项被纳入综述。大多数研究（12/14）是横断面研究。尽管听力状态（自我报告或客观测听），孤独和社会隔离的评估方法存在异质性，但大多数多变量调整研究发现听力损失与孤独和社会隔离的风险较高相关。几项研究发现了性别的影响，例如在女性中，听力损失与孤独和社会孤立的关系比男性更密切。我们的研究结果表明，听力损失与孤独和社会孤立有关，这对老年人的认知和心理健康具有重要意义。未来的研究应该调查治疗听力损失是否可以减少老年人的孤独和社会孤立。
Social isolation and loneliness are associated with increased mortality and higher health care spending in older adults. Hearing loss is a common condition in older adults and impairs communication and social interactions. The objective of this review is to summarize the current state of the literature exploring the association between hearing loss and social isolation and/or loneliness. PubMed, Embase, CINAHL Plus, PsycINFO, and the Cochrane Library. Articles were screened for inclusion by 2 independent reviewers, with a third reviewer for adjudication. English-language studies of older adults with hearing loss that used a validated measure of social isolation or loneliness were included. A modified Newcastle-Ottawa Scale was used to assess the quality of the studies included in the review. Of the 2495 identified studies, 14 were included in the review. Most of the studies (12/14) were cross-sectional. Despite the heterogeneity of assessment methods for hearing status (self-report or objective audiometry), loneliness, and social isolation, most multivariable-adjusted studies found that hearing loss was associated with higher risk of loneliness and social isolation. Several studies found an effect modification of gender such that among women, hearing loss was more strongly associated with loneliness and social isolation than among men. Our findings that hearing loss is associated with loneliness and social isolation have important implications for the cognitive and psychosocial health of older adults. Future studies should investigate whether treating hearing loss can decrease loneliness and social isolation in older adults.
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DOI：
10.1016/s0140-6736(17)31363-6
发表时间：
2017-12-16
期刊：
Lancet (London, England)
影响因子：
--
作者：
Livingston, Gill;Sommerlad, Andrew;Mukadam, Naaheed
通讯作者：
Mukadam, Naaheed
影响因子：
2.8
作者：
Kramer, SE;Kapteyn, TS;Deeg, DJH
通讯作者：
Deeg, DJH
影响因子：
3.7
作者：
Mick, Paul;Pichora-Fuller, M. Kathleen
通讯作者：
Pichora-Fuller, M. Kathleen
影响因子：
12.7
作者：
Gerst-Emerson, Kerstin;Jayawardhana, Jayani
通讯作者：
Jayawardhana, Jayani
影响因子：
15.8
作者：
Holt-Lunstad J;Smith TB;Layton JB
通讯作者：
Layton JB