School of Primary Health Care, Monash University, Melbourne, Victoria, Australia; Human Communication Sciences, La Trobe University, Melbourne, Victoria, Australia.
Geriatr Gerontol Int. 2013 Oct;13(4):911-8. doi: 10.1111/ggi.12030. Epub 2013 Jan 14.
The aims of the present study were to describe the trajectories of self-reported hearing difficulties over time, and evaluate the impacts of age, sex, lifestyle factors and social activity, in explaining individual differences in patterns of change over time.
As part of the Melbourne Longitudinal Studies on Healthy Aging (MELSHA) Program, the hearing status of 947 adults aged 65 years and older, across five measurement periods (over 10 years), were analyzed using Latent Growth Curve Modeling analysis. A multidimensional survey was also administered, which included questions relating to sociodemographic variables, self-reported hearing difficulties, nutrition, smoking habits and level of social activity.
Although there was a general increase in hearing difficulties over time, older age, poor nutrition, a lifetime of smoking and increased social activity predicted more rapid increases in hearing difficulty over time.
Findings support the importance of lifestyle factors in reducing the rate of perceived hearing difficulties in older people, and provide further evidence of the links between lifestyle and sensory loss in older people. Poor nutrition and smoking are areas that both clinicians and public health professionals should address in their work with older people.
本研究旨在描述自我报告听力困难随时间的变化轨迹,并评估年龄、性别、生活方式因素和社会活动在解释随时间变化的个体差异模式方面的影响。
作为墨尔本老龄化健康纵向研究(MELSHA)计划的一部分,对 947 名年龄在 65 岁及以上的成年人进行了听力状况分析,共进行了五次测量(10 年以上),采用潜在增长曲线模型分析。还进行了多维调查,其中包括与社会人口统计学变量、自我报告听力困难、营养、吸烟习惯和社会活动水平相关的问题。
尽管随着时间的推移听力困难普遍增加,但年龄较大、营养状况较差、终生吸烟和社会活动增加,预示着听力困难随时间的增加更快。
研究结果支持生活方式因素在减少老年人感知听力困难方面的重要性,并进一步证明了生活方式与老年人感官丧失之间的联系。营养不良和吸烟是临床医生和公共卫生专业人员在与老年人合作时应关注的领域。