个体生命历程社会经济地位与社区动脉粥样硬化风险研究中的助听器使用。
Individual Life-Course Socioeconomic Position and Hearing Aid Use in the Atherosclerosis Risk in Communities Study.
机构信息
Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Cochlear Center for Hearing & Public Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
出版信息
J Gerontol A Biol Sci Med Sci. 2022 Mar 3;77(3):645-653. doi: 10.1093/gerona/glab273.
BACKGROUND
To measure the association between individual life-course socioeconomic position (SEP) and hearing aid use, we examined childhood and adulthood socioeconomic variables collected at the Atherosclerosis Risk in Communities (ARIC) study baseline visit (1987-1989)/Life Course Socioeconomic Status study (2001-2002) and hearing aid use data collected at visit 6 (2016-2017).
METHODS
ARIC is a prospective cohort study of older adults (45-64 years) recruited from 4 U.S. communities. This analysis included a subset of 2 470 participants with hearing loss at visit 6 (≥25 decibels hearing level [dB HL] better-ear) with complete hearing aid use data. Childhood SEP variables included parental education, parental occupation, and parental home ownership. Young and older adulthood SEP variables included income, education, occupation, and home ownership. Each life epoch was assigned a score ranging from 0 to 5 and then summed to calculate the individual cumulative SEP score. Multivariable-adjusted logistic regression was used to estimate the association between individual cumulative SEP and hearing aid use. Missing SEP scores were imputed for participants with incomplete socioeconomic data.
RESULTS
Of the 2 470 participants in the analytic cohort (median [interquartile interval] age 79.9 [76.7-84.0], 1 330 [53.8%] women, 450 [18.2%] Black), 685 (27.7%) participants reported hearing aid use. Higher cumulative SEP was positively associated with hearing aid use (odds ratio [OR] = 1.09, 95% confidence interval [CI]: 1.04-1.14), and slightly stronger for childhood (OR = 1.09, 95% CI: 1.00-1.20) than older adulthood SEP score (OR = 1.06, 95% CI: 0.95-1.18).
CONCLUSIONS
In this community-based cohort of older adults with hearing loss, higher individual life-course SEP was positively associated with hearing aid use.
背景
为了衡量个体生命历程社会经济地位（SEP）与助听器使用之间的关联，我们研究了在 Atherosclerosis Risk in Communities（ARIC）研究基线访视（1987-1989 年）/生命历程社会经济地位研究（2001-2002 年）中收集的儿童期和成年期社会经济变量，以及在第 6 次访视（2016-2017 年）中收集的助听器使用数据。
方法
ARIC 是一项针对美国 4 个社区的老年成年人（45-64 岁）的前瞻性队列研究。本分析包括在第 6 次访视时有听力损失（≥25 分贝听力级[dB HL]更好耳）且助听器使用数据完整的 2470 名参与者的一个亚组。儿童时期的 SEP 变量包括父母的教育程度、父母的职业和父母的住房所有权。青年和成年时期的 SEP 变量包括收入、教育、职业和住房所有权。每个生命时期都被赋予一个 0 到 5 的分数，然后将这些分数相加，计算出个体累积 SEP 分数。多变量调整的逻辑回归用于估计个体累积 SEP 与助听器使用之间的关联。对于社会经济数据不完整的参与者，缺失的 SEP 分数进行了估算。
结果
在分析队列的 2470 名参与者中（中位数[四分位间距]年龄 79.9[76.7-84.0]，1330[53.8%]为女性，450[18.2%]为黑人），685（27.7%）名参与者报告使用了助听器。较高的累积 SEP 与助听器使用呈正相关（优势比[OR] = 1.09，95%置信区间[CI]：1.04-1.14），且与儿童时期 SEP 评分（OR = 1.09，95% CI：1.00-1.20）的相关性略强于成年时期 SEP 评分（OR = 1.06，95% CI：0.95-1.18）。
结论
在这项基于社区的有听力损失的老年成年人队列研究中，较高的个体生命历程 SEP 与助听器使用呈正相关。
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