Combined effect of self-reported hearing problems and level of social activities on the risk of disability in Japanese older adults: A population-based longitudinal study
Combined effect of self-reported hearing problems and level of social activities on the risk of disability in Japanese older adults: A population-based longitudinal study
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DOI：
10.1016/j.maturitas.2018.06.008
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发表时间：
2018-09-01
期刊：
影响因子：
4.9
通讯作者：
Shimada, Hiroyuki
中科院分区：
文献类型：
--
作者：
Bae, Seongryu;Lee, Sangyoon;Shimada, Hiroyuki
背景：我们使用纵向队列数据来调查听力问题和社交活动水平低是否会导致社区老年人残疾发生率较高。方法：参与者为 4576 名符合研究纳入标准的老年人（47.8% 为男性，平均年龄 75.9 岁）。每月监测残疾发生率的纵向数据。残疾被定义为日本长期护理保险认证，用于在基线评估后 2 年内提供个人支持或护理。使用老年人和成人听力障碍清单筛查版本来测量听力问题。参与者完成了一份包含五个有关日常社交活动问题的问卷。结果：在包含潜在协变量的调整模型中，同时存在听力问题和社交活动参与率低的参与者比没有听力问题和社交活动参与率低的参与者患残疾的风险更高（风险比 [HR] = 2.13，95% 置信区间 [CI]：1.31-3.45）。仅社交活动水平较低的人患残疾的风险位居第二（HR = 1.98，95% CI：1.26-3.11），仅患有听力问题的人患残疾的风险位居第三（HR = 1.38，95% CI：1.07-1.77）。 结论：听力问题和缺乏社交活动是发生残疾的独立危险因素。同时发生的听力问题和社会活动参与度低是导致残疾的最大风险因素。
Background: We used longitudinal cohort data to investigate whether hearing problems and low levels of social activity lead to a higher incidence of disability among community-dwelling older adults.Methods: Participants were 4576 older adults (47.8% male, mean age 75.9 years) who met the study inclusion criteria. Longitudinal data on the incidence of disability were monitored monthly. Disability was defined as Japanese long-term care insurance certification for personal support or care for 2 years following the baseline assessment. Hearing problems were measured using the Hearing Handicap Inventory for the Elderly and for Adults- Screening version. Participants completed a questionnaire that included five questions on daily social activities.Results: In the adjusted model that included potential covariates, participants with co-occurring hearing problems and low participation rates in social activities were at higher risk of developing a disability than participants without hearing problems and low levels of social activity (hazard ratio [HR] = 2.13, 95% confidence interval [CI]: 1.31-3.45). The second highest risk of developing a disability was found for those with low levels of social activity alone (HR = 1.98, 95% CI: 1.26-3.11), and the third highest for those with hearing problems alone (HR = 1.38, 95% CI: 1.07-1.77).Conclusions: Hearing problems and a lack of social activity were independent risk factors for developing a disability. Co-occurring hearing problems and low levels of participation in social activities represented the largest risk factor for disability.