The association of hearing impairment and chronic diseases with psychosocial health status in older age
The association of hearing impairment and chronic diseases with psychosocial health status in older age
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DOI：
10.1177/089826430201400107
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发表时间：
2002-02-01
影响因子：
2.8
通讯作者：
Deeg, DJH
中科院分区：
文献类型：
--
作者：
Kramer, SE;Kapteyn, TS;Deeg, DJH
目的：本研究探讨了老年人听力障碍和慢性疾病（糖尿病、肺病、心脏病、中风、癌症、外周动脉疾病、骨关节炎、类风湿性关节炎）与心理社会状态（抑郁、自我效能、掌控力、孤独感、社交网络规模）之间的关系。方法：样本由参与阿姆斯特丹纵向老龄化研究的 3,107 人（55 至 85 岁）组成。使用协变量调整后的多元方差分析来测试听力障碍对综合结果的影响。使用多元回归分析研究听力障碍和慢性疾病与心理社会状态的关联。结果：与听力正常的同龄人相比，听力受损的老年人有明显更多的抑郁症状、较低的自我效能感和掌控力、更多的孤独感以及更小的社交网络。虽然慢性疾病与某些结果显着相关，但听力障碍与所有心理社会变量显着相关。讨论：研究结果强调了听力障碍对生活质量的负面影响。
Objectives: This study examines the association of hearing impairment and chronic diseases (diabetes mellitus, lung disease, cardiac disease, stroke, cancer, peripheral artery disease, osteoarthritis, rheumatoid arthritis) with psychosocial status (depression, self-efficacy, mastery, loneliness, social network size) in older persons. Methods: The sample consists of 3,107 persons (55 to 85 years) participating in the Longitudinal Aging Study Amsterdam. MANOVA, adjusted for covariates, was used to test the effect of hearing impairment on the combined outcomes. The association of hearing impairment and chronic diseases with psychosocial status was studied using multivariate regression analyses. Results: Hearing impaired elderly report significantly more depressive symptoms, lower self-efficacy and mastery, more feelings of loneliness, and a smaller social network than normally hearing peers. Whereas chronic diseases show significant associations with some outcomes, hearing impairment is significantly associated with all psychosocial variables. Discussion: The findings emphasize the negative effect of hearing impairment on quality of life.