Contrera Kevin J, Betz Josh, Deal Jennifer A, Choi Janet S, Ayonayon Hilsa N, Harris Tamara, Helzner Elizabeth, Martin Kathryn R, Mehta Kala, Pratt Sheila, Rubin Susan M, Satterfield Suzanne, Yaffe Kristine, Garcia Melissa, Simonsick Eleanor M, Lin Frank R
School of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Center on Aging and Health, Johns Hopkins Medical Institutions, Baltimore, Maryland.
J Gerontol B Psychol Sci Soc Sci. 2016 May;71(3):400-4. doi: 10.1093/geronb/gbw005. Epub 2016 Feb 16.
To better understand the potential impact of hearing impairment (HI) and hearing aid use on emotional vitality and mental health in older adults.
We investigated the cross-sectional association of HI with emotional vitality in 1,903 adults aged 76-85 years in the Health ABC study adjusted for demographic and cardiovascular risk factors. Hearing was defined by the speech frequency pure tone average (no impairment < 25 dB, mild impairment 25-40 dB, and moderate or greater impairment > 40 dB). Emotional vitality was defined as having a high sense of personal mastery, happiness, low depressive symptomatology, and low anxiety.
Compared with individuals with no HI, participants with moderate or greater HI had a 23% lower odds of emotional vitality (odds ratio [OR] = 0.77; 95% confidence interval [CI]: 0.59-0.99). Hearing aid use was not associated with better emotional vitality (OR = 0.98; 95% CI: 0.81-1.20).
HI is associated with lower odds of emotional vitality in older adults. Further studies are needed to examine the longitudinal impact of HI on mental health and well-being.
为了更好地理解听力障碍(HI)及使用助听器对老年人情绪活力和心理健康的潜在影响。
在“健康ABC”研究中,我们调查了1903名年龄在76 - 85岁的成年人中HI与情绪活力的横断面关联,并对人口统计学和心血管危险因素进行了校正。听力由言语频率纯音平均听阈定义(无听力障碍<25dB,轻度听力障碍25 - 40dB,中度或更严重听力障碍>40dB)。情绪活力定义为具有较高的个人掌控感、幸福感、低抑郁症状和低焦虑感。
与无HI的个体相比,中度或更严重HI的参与者情绪活力的几率低23%(优势比[OR]=0.77;95%置信区间[CI]:0.59 - 0.99)。使用助听器与更好的情绪活力无关(OR = 0.98;95% CI:0.81 - 1.20)。
HI与老年人情绪活力几率较低有关。需要进一步研究来检验HI对心理健康和幸福感的纵向影响。