Impact of Hearing Aid Use on Falls and Falls-Related Injury: Results From the Health and Retirement Study.
Impact of Hearing Aid Use on Falls and Falls-Related Injury: Results From the Health and Retirement Study.
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DOI：
10.1097/aud.0000000000001111
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
Smith, Sherri L.
中科院分区：
文献类型：
--
作者：
Riska, Kristal M.;Peskoe, Sarah B.;Kuchibhatla, Maragatha;Gordee, Alexander;Pavon, Juliessa M.;Kim, Se Eun;West, Jessica S.;Smith, Sherri L.
跌倒被认为是一个重大的公共卫生问题，跌倒的风险随着年龄的增加而增加。有许多与年龄相关的生理变化会增加姿势不稳定和跌倒的风险(即与年龄相关的视力、前庭、躯体感觉下降、与年龄相关的骨科变化和多药治疗)。听力损失已被证明是跌倒的独立危险因素。这项研究的主要目的是确定助听器的使用是否改变(减少)了自我报告的听力状态和跌倒或跌倒相关伤害之间的联系。我们假设助听器的使用将减少听力损失对跌倒和跌倒相关伤害的影响。如果助听器使用者与非助听器使用者相比跌倒的几率降低，那么这将对预防跌倒的医疗保健产生重要影响。使用健康和退休研究(HRS)的现有公开数据进行的纵向、基于调查的小组研究。根据自我报告的跌倒史，总共有17,923人被分组。当控制人口统计因素和重要的健康特征时，自我报告的听力状况与跌倒的几率和跌倒相关的伤害显著相关。助听器的使用作为交互作用被包括在完全调整的模型中，结果表明，助听器使用者和非助听器使用者之间无论是跌倒还是跌倒相关伤害的关联都没有差异。目前的研究结果表明，在纵向样本中检查自我报告的听力状况时，助听器的使用不会影响自我报告的听力状况与跌倒或与跌倒有关的伤害的几率之间的关联。
Falls are considered a significant public health issue and falls risk increases with age. There are many age-related physiologic changes that occur that increase postural instability and the risk for falls (i.e., age-related sensory declines in vision, vestibular, somatosensation, age-related orthopedic changes, and polypharmacy). Hearing loss has been shown to be an independent risk factor for falls. The primary objective of this study was to determine if hearing-aid use modified (reduced) the association between self-reported hearing status and falls or falls-related injury. We hypothesized that hearing aid use would reduce the impact of hearing loss on the odds of falling and falls-related injury. If hearing aid users have reduced odds of falling compared to non-hearing aid users, then that would have an important implications for falls prevention healthcare. Longitudinal, survey-based panel study using existing publically-available data from the Health and Retirement Study (HRS). A total of 17,923 individuals were grouped based on a self-reported history of falls. Self-reported hearing status was significantly associated with odds of falling and with falls-related injury when controlling for demographic factors and important health characteristics. Hearing aid use was included as an interaction in the fully-adjusted models and the results showed that there was no difference in the association between hearing aid users and non-users for either falls or falls related injury. The results of the current study show that when examining self-reported hearing status in a longitudinal sample, hearing aid use does not impact the association between self-reported hearing status and the odds of falls or falls-related injury.