Social Determinants of Cardiovascular Health and Mortality among Older Adults with Hearing Loss

听力损失老年人心血管健康和死亡率的社会决定因素

• 批准号: 10676637
• 负责人: Nasya S Tan
• 金额: $ 4.77万
• 依托单位: UNIVERSITY OF MICHIGAN AT ANN ARBOR
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-01 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10676637
• 关键词: Address; Adult; Affect; Age; Aging; American; Area; Biological Markers; Black race; Cardiovascular Diseases; Cardiovascular system; Chronic; Communication; Cross-Sectional Studies; Data; Data Analyses; Decision Making; Diabetes Mellitus; Diagnosis; Disease; Disparity; Elderly; Ethnic Origin; Fellowship; Gender; Health; Health Insurance; Health Personnel; Health Promotion; Health and Retirement Study; Hearing; Hispanic; Hypertension; Individual; Inequity; Interview; Knowledge; Life; Literature; Measures; Mediating; Mental Health; Mentors; Myocardial Infarction; National Research Service Awards; Not Hispanic or Latino; Obesity; Outcome; Pathway interactions; Persons; Physical assessment; Population; Process; Race; Reporting; Research; Research Personnel; Risk; Sampling; Services; Social Identification; Subgroup; Surveys; Time; Training; United States National Institutes of Health; Woman; Work; aged; black women; cardiovascular disorder risk; cardiovascular health; cardiovascular risk factor; career; cohort; disability; ethnic disparity; ethnic minority; experience; health difference; health disparity; health literacy; hearing impairment; hearing loss risk; high risk; human old age (65+); improved; low health literacy; low socioeconomic status; male; mortality; peer; physical conditioning; poor health outcome; population based; pre-doctoral; prevent; programs; psychological distress; racial disparity; racial minority; sex; skills; social determinants; sociodemographic factors

PROJECT SUMMARY Hearing loss is one of the most common conditions among adults in the US. Currently, more than 30 million American adults experience some form of hearing loss and this number is expected to increase to 59.4 million people in the US by 2060. As this number increases, research focusing on health outcomes for individuals with hearing loss will become in- creasingly important. Existing research shows that those with hearing loss have poorer health outcomes compared to their hearing peers. The current literature shows that adults in the US with hearing loss were more likely to be in fair or poor health, have significantly more days of poor physical and mental health in the past month, and report serious psychologi- cal distress compared to those with little to no trouble hearing. American adults with hearing loss also had significantly lower health literacy than their hearing peers, which may affect health outcomes due to a lack of accessible health infor- mation and poor communication with health providers. Many adults first experience hearing loss in older ages as more health conditions begin to arise during this stage of life. In fact, approximately one in three people between the ages of 65 and 74 have hearing loss and nearly half of those older than 75 have difficulty hearing. Therefore, as hearing loss becomes a more common occurrence among aging adults, more research is needed to identify health disparities experienced by this population and understand factors that lead to such disparities, such as health literacy. Using nationally representative data from a US sample of older adults, the proposed F31 project will address this need with the following research aims: 1) Describe inequities in self-rated and physically assessed hearing loss by key sociodemographic factors; 2) Investigate risk differences in the relationship between hearing loss and cardiovascular outcomes by intersectional subgroups of sex/gen- der and race/ethnicity; and 3) Examine the mediating effect of health literacy in the relationship between hearing loss and cardiovascular outcomes. This research will consist of secondary data analysis using survey, physical measure, and bi- omarker data from the US Health and Retirement Study, a population-based longitudinal panel study that interviews and surveys adults aged 51 and older. The proposed training plan and mentoring team in this NIH Ruth L. Kirschstein Na- tional Research Service Award will support the successful completion of this project and will provide valuable knowledge and skills needed to establish a career as an independent researcher in the areas of aging and hearing loss. As hearing loss becomes a more common occurrence among aging individuals, research such as the proposed project will be foundational in establishing the causal pathways that lead to poorer cardiovascular outcomes and higher mortality among older adults with hearing loss, which will be key in helping to prevent, detect, diagnose, and treat diseases among adults with disabili- ties.

项目摘要 听力损失是美国成年人中最常见的条件之一。目前，超过3000万美国人 成人经历了某种形式的听力损失，预计在美国，这一数字将增加到5940万人 2060年。随着这一数字的增加，针对听力损失的人的健康成果的研究将成为 非常重要。现有的研究表明，与听力损失相比的人的健康结果较差 听到同龄人。目前的文献表明，美国的成年人更有可能处于公平或贫困状态 在过去的一个月中，健康的身体和心理健康状况差得多，并报告了严重的心理学 与几乎没有麻烦的人相比，遇到困扰。听力损失的美国成年人也有很大的 与听力同龄人相比，健康素养较低，这可能会影响健康状况，因为缺乏可访问的健康信息 与卫生提供者的沟通不良。许多成年人首先经历了年龄较大的听力损失 在生命的这一阶段，健康状况开始出现。实际上，大约三分之一的年龄在65岁之间 74人有听力损失，而75岁以上的人中有将近一半的听力很难听力。因此，随着听力损失变为 在衰老的成年人中，需要进行更常见的情况，需要进行更多的研究来确定这遇到的健康差异 人口和理解导致差异的因素，例如健康素养。使用全国代表性数据 从美国的老年人样本中，拟议的F31项目将通过以下研究目的解决这一需求：1） 描述由关键社会人口统计学因素的自我评估和物理评估的听力损失中的不平等； 2）调查风险 性别/gen-的相交亚组的听力丧失与心血管结局之间关系的差异 德国和种族/种族； 3）检查健康素养在听力损失与 心血管结局。这项研究将包括使用调查，物理措施和BI-的二级数据分析 来自美国健康和退休研究的Omarker数据，这是一项基于人群的纵向小组研究，访谈和 调查年龄在51岁及以上的成年人。 Nih Ruth L. Kirschstein Na-提议的培训计划和指导团队 国际研究服务奖将支持该项目的成功完成，并将提供宝贵的知识 以及需要在老龄化和听力损失领域担任独立研究人员的职业所需的技能。作为听力损失 在老龄化个人中成为更普遍的发生，诸如拟议项目之类的研究将是基础 在建立导致心血管结局较差和老年人死亡率较高的因果途径时 听力损失将是帮助预防，检测，诊断和治疗不稳定的成年人的疾病的关键 关系。