Incidence and Predictors of Hearing Aid Use and Ownership Among Older Adults With Hearing Loss
Incidence and Predictors of Hearing Aid Use and Ownership Among Older Adults With Hearing Loss
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DOI：
10.1016/j.annepidem.2011.03.005
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发表时间：
2011-07-01
影响因子：
5.6
通讯作者：
Mitchell, Paul
中科院分区：
文献类型：
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作者：
Gopinath, Bamini;Schneider, Julie;Mitchell, Paul
目的：需要助听器并拥有助听器的人不使用助听器的原因尚不清楚。我们的目的是描述老年人拥有和使用助听器的发生率和预测因素。方法：我们纳入了 2,015 名 55 岁的蓝山听力研究参与者，他们在 1997 年至 1999 年以及 2002 年和 2004 年期间进行了检查。通过纯音测听法测量听力水平。结果：使用和拥有助听器的 5 年发生率分别为 8.1% 和 8.5%。年龄与助听器拥有和使用事件相关，多变量调整后的比值比 (OR) 每增加 10 年，年龄分别为 1.79（95% 置信区间 [CI]，1.21-2.64）和 1.66（95% CI，1.15-2.40）。任何基线听力损失 (HL) 水平都预示着随访时使用助听器的可能性会增加 2.8 倍。听力障碍与使用事故援助的可能性增加 7% 相关。未获得/使用助听器的主要原因是：不推荐助听器（8.0%）、成本高（1.7%）以及认为不需要助听器（9.0%）。结论：听力受损成人中助听器拥有和使用的事件相对较低。年龄、问题定义的听力障碍和测量的 HL 是助听器使用/拥有事件的重要预测因素。安流行病学 2011；21：497-506。 (C) 2011 Elsevier Inc. 保留所有权利。
PURPOSE: The reasons are not clear as to why people who need hearing aids and possess them do not use them. We aimed to describe the incidence and predictors of hearing aid ownership and use among older adults.METHODS: We included 2,015 Blue Mountains Hearing Study participants aged 55 years who were examined between 1997 and 1999 and 2002 and 2004. Hearing levels were measured with pure-tone audiometry.RESULTS: The 5-year incidence of hearing aid use and ownership was 8.1% and 8.5%, respectively. Age was associated with incident hearing aid ownership and use, multivariable-adjusted odds ratio (OR) per decade increase in age of 1.79 (95% confidence interval [CI], 1.21-2.64) and of 1.66 (95% CI, 1.15-2.40), respectively. Any level of hearing loss (HL) at baseline predicted a 2.8-fold increased likelihood of using a hearing aid at follow-up. Hearing handicap was associated with 7% increased likelihood of incident aid use. Key reasons provided for not obtaining/using a hearing aid were: not recommended one (8.0%), its high cost (1.7%), and believing that they did not need one (9.0%).CONCLUSIONS: Incident hearing aid ownership and usage was relatively low among hearing impaired adults. Age, question-defined hearing handicap, and measured HL were significant predictors of incident hearing aid use/ownership. Ann Epidemiol 2011;21:497-506. (C) 2011 Elsevier Inc. All rights reserved.