Hearing impairment and health-related quality of life: The Blue Mountains Hearing Study
Hearing impairment and health-related quality of life: The Blue Mountains Hearing Study
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DOI：
10.1097/aud.0b013e31803126b6
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发表时间：
2007-04-01
期刊：
影响因子：
3.7
通讯作者：
Mitchell, Paul
中科院分区：
文献类型：
--
作者：
Chia, Ee-Munn;Wang, Jie Jin;Mitchell, Paul
目的：使用自评36项来评估老年人听力障碍与健康相关生活质量(HRQOL)之间的关系。设计：蓝山听力研究(BMHS，N=2956)的参与者参加了一次全面的访谈和听力检查，评估了自我报告和测量的听力障碍。结果：在2431名资料完整的受试者(平均年龄67.0岁)中，1347人(55.4%)没有测得听力损失，324人(13.3%)为单侧听力损失(285例轻度，22例中度，17例重度)，760例(31.3%)双侧听力损害(478例轻度，207例中度，75例重度)。在调整了人口统计学和医学混杂因素后，双侧听力障碍与SF-36在生理和心理领域的得分均较差(身体成分得分下降，PCS1.4分，p=0.025；心理成分得分下降，MCS1.0分，p=0.13)，得分越低，损害程度越严重(PCSP趋势=0.04，MCS(P趋势)=0.003)。习惯使用助听器的双侧听力障碍受试者的PCS(平均43.1%；标准差[SE]0.9%)略好于那些没有佩戴助听器或仅偶尔使用助听器的受试者(平均41.2%；SE0.5%)，尽管这一结果没有统计学意义(P=0.055)。自述听力损失者的HRQOL显著低于相应的无听力损失者，但单侧或高频听力损失者的HRQOL得分与相应的相应者无显著差异。结论：本研究量化了老年人群中年龄相关性听力障碍对健康相关生活质量的相关疾病负担。
Objectives: To assess the association between hearing impairment and health-related quality of life (HRQOL) in an older population, using the self-administered 36-item. Short-Form Health Survey (SF-36).Design: Participants of the Blue Mountains Hearing Study (BMHS, N = 2956) attended a comprehensive interview and hearing examination in which both self-reported and measured hearing impairments were assessed. Hearing impairment was defined as the pure-tone average of air-conduction hearing thresholds > 25 decibels hearing level (dB HL) for the four frequencies (0.5 to 4.0 kHz) in the better ear.Results: Of the 2431 participants with complete data (mean age, 67.0 yr), 1347 (55.4%) did not have measured hearing loss, whereas 324 (13.3%) had unilateral (285 mild, 22 moderate, 17 severe) and 760 (31.3%) had bilateral hearing impairment (478 mild, 207 moderate, 75 severe). After adjusting for demographic and medical confounders, bilateral hearing impairment was associated with poorer SF-36 scores in both physical and mental domains (fall in physical component score, PCS of 1.4 points, p = 0.025; fall in mental component score, MCS of 1.0 point, p = 0.13), with poorer scores associated with more severe levels of impairment (PCSPtrend = 0.04, MCS (Ptrend) = 0.003). Participants with bilateral hearing impairment who habitually used hearing aids had a slightly better PCS (mean, 43.1; standard error [SE], 0.9) than those with the same impairment who did not have hearing aids or who only used them occasionally (mean, 41.2; SE 0.5), although this finding was not statistically significant (P = 0.055). Persons with self-reported hearing loss had significantly poorer HRQOL than corresponding persons without, but persons with unilateral or high-frequency hearing loss did not have significantly different HRQOL scores than their corresponding counterparts.Conclusions: This study quantifies the associated disease burden of age-related hearing impairment on health-related quality of life in a population-based cohort of older persons.