Department of Family Medicine, Kyung Hee University Medical Center, kyungheedaero 23, dongdaemun-gu, 02447, Seoul, Republic of Korea.
Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Arch Gerontol Geriatr. 2019 Jul-Aug;83:126-130. doi: 10.1016/j.archger.2019.04.004. Epub 2019 Apr 12.
To determine whether hearing loss is associated with social frailty in older adults.
Cross-sectional analysis of cohort study data. Hearing was measured using of Pure-tone audiometry. Hearing loss was determined based on the average of hearing thresholds at 0.5, 1, and 2 kHz in the ear that had better hearing. Social frailty was defined based on the summation of the following 5 social components (1. Neighborhood meeting attendance 2. Talking to friend(s) sometimes 3.Someone gives you love and affection 4. Living alone 5. Meeting someone every day). Participants who had no correspondence to the components were considered non-social frailty; those with 1-2 components were considered social prefrailty; and those having 3 or more components were considered social frailty.
The prevalence of non-social frailty, social prefrailty, social frailty was 27.6%, 60.7% and 11.7% respectively. Of the five questions, two components (Neighborhood meeting attendance and Presence of someone who shows love and affection to the participants) were associated with hearing loss (p < 0.001). Compared to non-social frailty, the odds ratio of social frailty for hearing loss was 2.24 (95% CI 1.48-3.38) after adjusting for age, residential area, economic status, smoking, depressive disorder and MMSE, and 2.17 (95% CI 1.43-3.30) after further adjustments with physical frailty.
Hearing loss was associated with social frailty even after controlling confounding factors even including physical frailty.
确定听力损失是否与老年人的社会脆弱性有关。
队列研究数据的横断面分析。使用纯音测听法测量听力。根据听力较好耳在 0.5、1 和 2 kHz 处的听力阈值平均值确定听力损失。根据以下 5 个社会组成部分的总和来定义社会脆弱性（1. 邻里聚会出席情况 2. 偶尔与朋友交谈 3. 有人给予你爱和感情 4. 独居 5. 每天见到某人）。与这些组成部分没有对应关系的参与者被认为是非社会脆弱性；有 1-2 个组成部分的被认为是社会虚弱前期；有 3 个或更多组成部分的被认为是社会脆弱性。
非社会脆弱性、社会虚弱前期和社会脆弱性的患病率分别为 27.6%、60.7%和 11.7%。在这五个问题中，两个组成部分（邻里聚会出席情况和有人向参与者表示爱和感情）与听力损失有关（p<0.001）。与非社会脆弱性相比，在调整年龄、居住区域、经济状况、吸烟、抑郁障碍和 MMSE 后，听力损失的社会脆弱性的优势比为 2.24（95%CI 1.48-3.38），进一步调整身体脆弱性后，优势比为 2.17（95%CI 1.43-3.30）。
即使在控制包括身体脆弱性在内的混杂因素后，听力损失仍与社会脆弱性相关。
