Cano Carlos Alberto, Borda Miguel Germán, Arciniegas Antonio J, Parra Juan Sebastián
Intellectus, Hospital Universitario San Ignacio, Bogotá, D.C, Colombia.
Instituto de Envejecimiento, Pontificia Universidad Javeriana, Bogotá, D.C, Colombia.
Biomedica. 2014 Oct-Dec;34(4):574-9. doi: 10.1590/S0120-41572014000400010.
The aging of the population is a universal epidemiological phenomenon which is not unfamiliar to us and is accompanied by a marked increase of life expectancy. Age-dependent comorbidities, such as hearing disorders, are more prevalent and affect the quality of life in a noticeable manner.
To estimate the prevalence of hearing disorders, of the associated factors and their impact on the quality of life of older adults in Bogota.
Data was taken from the Bogotá SABE Study, which included 2,000 individuals aged =60 years in a probabilistic cross-sectional study sampled by clusters (with 81.9% coverage). We used the "hearing disorders" variable relating it to socio-demographic variables, as well as to the use of hearing aids, the self-perceived health, the comorbidities, the functionality, the cognition and the quality of life as measured with the Visual Analog Scale of the EuroQol Group (EQ-VAS).
We found a prevalence of hearing disorders in 267 individuals (13.5%), of whom 15% used hearing aids. The frequency was higher in individuals aged =75 years (46.1%), in the low socioeconomic level (20.2%) and among illiterate people (19.3%, p<0.05). Regarding comorbidities, we found a higher prevalence in individuals suffering from depression (20.2%, p<0.001), and high blood pressure (15%, p<0.01). The quality of life was worse in individuals with hearing disorders, as measured with the EuroQol EQ-VAS (60.93 ± 1.38 vs. 71.75 ± 0.45, p< 0.0001), but it improved among those who used hearing aids as compared to those who did not use them (59.59 ± 1.52, p<0.01).
Hearing disorders are relevant in elderly individuals and they affect their perceived quality of life in a noticeable manner. In addition, they are associated with other clinical, functional and cognitive problems. Nevertheless, the intervention with hearing aids reverses that perception.
人口老龄化是一种普遍的流行病学现象,我们对此并不陌生,且它伴随着预期寿命的显著增加。与年龄相关的合并症,如听力障碍,更为普遍,并以显著方式影响生活质量。
评估波哥大老年人听力障碍的患病率、相关因素及其对生活质量的影响。
数据取自波哥大SABE研究,该研究在一项按整群抽样的概率横断面研究中纳入了2000名年龄≥60岁的个体(覆盖率为81.9%)。我们使用了“听力障碍”变量,并将其与社会人口学变量、助听器使用情况、自我感知健康状况、合并症、功能、认知以及用欧洲生活质量小组视觉模拟量表(EQ-VAS)测量的生活质量相关联。
我们发现267名个体(13.5%)存在听力障碍,其中15%使用助听器。年龄≥75岁的个体(46.1%)、社会经济水平较低者(20.2%)以及文盲人群(19.3%,p<0.05)中听力障碍的发生率更高。关于合并症,我们发现抑郁症患者(20.2%,p<0.001)和高血压患者(15%,p<0.01)的患病率更高。用欧洲生活质量EQ-VAS测量,听力障碍个体的生活质量更差(60.93±1.38 vs. 71.75±0.45,p<0.0001),但与未使用助听器的个体相比,使用助听器的个体生活质量有所改善(59.59±1.52,p<0.01)。
听力障碍在老年人中较为常见,并以显著方式影响他们的生活质量感知。此外,听力障碍还与其他临床、功能和认知问题相关。然而,使用助听器进行干预可扭转这种感知。