Department of Global Health Entrepreneurship, Division of Public Health, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo 113-8519, Japan.
Faculty of Public Health, Hue University of Medicine and Pharmacy, Hue University, Hue 530000, Vietnam.
Int J Environ Res Public Health. 2021 Feb 8;18(4):1603. doi: 10.3390/ijerph18041603.
This study examined the prevalence of cognitive impairment among older adults in central Vietnam and the roles of communication (with or without communication devices) in the association between cognitive impairment and hearing loss. This cross-sectional study was performed on 725 randomly selected community-dwelling older adults aged ≥60 years from Thua Thien Hue province, Vietnam. Participants attended a face-to-face survey. Sociodemographic characteristics, social interaction with or without communication devices, health status and cognitive function using the Mini-Mental State Examination were reported. Ordinal logistic regression analysis was performed to quantify the association between hearing loss and cognitive function by frequency of communication with and without devices. Mild and severe cognitive impairment had prevalence rates of 23.6% and 19.3%, respectively. Cognitive impairment was more prevalent among older adults with hearing-loss, vision loss and difficulties with instrumental activities of daily living (IADL). The association between hearing loss and cognitive impairment was not significant when older adults had frequent communication with others using devices. This study presented the relatively high prevalence of cognitive impairment in community-dwelling older adults in Vietnam. Frequent communication using devices attenuated the association between hearing loss and cognitive impairment.
本研究调查了越南中部老年人认知障碍的流行情况，以及交流（有无交流设备）在认知障碍与听力损失之间的关联中的作用。这是一项在越南顺化省随机选择的 725 名≥60 岁的社区居住老年人中进行的横断面研究。参与者参加了面对面的调查。报告了社会人口统计学特征、有无交流设备的社会互动、健康状况和使用简易精神状态检查的认知功能。采用有序逻辑回归分析，量化了有无设备交流频率与听力损失和认知功能之间的关联。轻度和重度认知障碍的患病率分别为 23.6%和 19.3%。听力损失、视力损失和日常工具性活动能力困难的老年人认知障碍更为普遍。当老年人经常使用设备与他人交流时，听力损失与认知障碍之间的关联并不显著。本研究表明，越南社区居住的老年人认知障碍的患病率相对较高。频繁使用设备进行交流减轻了听力损失与认知障碍之间的关联。
