Vision impairment and hearing loss among community-dwelling older Americans: Implications for health and functioning

Vision impairment and hearing loss among community-dwelling older Americans: Implications for health and functioning
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DOI:
10.2105/ajph.94.5.823
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发表时间:
2004-05-01
影响因子:
12.7
通讯作者:
Campbell, VA
Campbell, VA
中科院分区:
医学2区
文献类型:
--
作者:
Crews, JE;Campbell, VA

文献摘要

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目标。我们调查了70岁或以上有视力障碍、听力损失或两者都有的人的健康、活动和社会参与情况。我们检查了1994年的第二份老龄化补充报告,以确定这三组人的健康状况和活动,并将其与没有感觉丧失的人进行比较。我们根据国际功能、残疾和健康分类框架计算优势比并对变量进行分类。只有听力损失的老年人报告在健康、活动和社会角色方面存在差异;只有视力障碍的人报告的差异更大;而那些两者都有的人报告的差异最大。当损伤预示着活动和社会参与的持续差异时,一种等级模式出现了。这一人口的健康和活动模式对公共卫生具有影响。
Objectives. We investigated the health, activity, and social participation of people aged 70 years or older with vision impairment, hearing loss, or both.Methods. We examined the 1994 Second Supplement on Aging to determine the health and activities of these 3 groups compared with those without sensory loss. We calculated odds ratios and classified variables according to the International Classification of Functioning, Disability and Health framework.Results. Older people with only hearing loss reported disparities in health, activities, and social roles; those with only vision impairment reported greater disparities; and those with both reported the greatest disparities.Conclusions. A hierarchical pattern emerged as impairments predicted consistent disparities in activities and social participation. This population's patterns of health and activities have public health implications.