1466Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Cochlear Center for Hearing & Public Health, 1466Johns Hopkins University School of Public Health, Baltimore, MD, USA.
J Aging Health. 2022 Oct;34(6-8):1117-1124. doi: 10.1177/08982643221095716. Epub 2022 Apr 28.
We examined individual-level factors associated with hearing aid use by race and ethnicity in a nationally representative sample of Medicare beneficiaries.
We used the Medicare Current Beneficiary Survey (cycles 2016-2018) for 10,301 older adults with hearing loss and hearing aid use as the primary outcome. Covariates included education, income, urban residence, chronic conditions, functional limitations, and Medicaid eligibility. Multivariable logistic regression stratified by race and ethnicity was used to identify factors associated with hearing aid use.
Factors associated with hearing aid use included higher education among White (OR = 1.35, 95%CI:1.16, 1.58), Black (OR = 1.76, 95%CI:1.02, 3.05), and Hispanic (OR = 1.77, 95%CI:1.17, 2.68) beneficiaries. Urban residence was associated with hearing aid use for Black participants (OR = 3.06, 95%CI:1.17, 8.03) and Medicaid eligibility for Hispanic participants (OR = 1.58, 95%CI:0.97, 2.59), although the confidence interval included the null hypothesis.
ndividual-level factors associated with hearing aid use differed by race and ethnicity among Medicare beneficiaries.
我们在一项具有全国代表性的 Medicare 受益人群体中，研究了与种族和民族有关的个人因素与助听器使用之间的关系。
我们使用了 Medicare 当前受益人大调查（2016-2018 年周期），其中有 10301 名听力损失且使用助听器的老年人作为主要结果。协变量包括教育程度、收入、城市居住、慢性疾病、功能限制和医疗补助资格。按种族和民族分层的多变量逻辑回归用于确定与助听器使用相关的因素。
与助听器使用相关的因素包括白人（OR=1.35，95%CI：1.16，1.58）、黑人（OR=1.76，95%CI：1.02，3.05）和西班牙裔（OR=1.77，95%CI：1.17，2.68）受益人的受教育程度较高。城市居住与黑人参与者的助听器使用相关（OR=3.06，95%CI：1.17，8.03），而医疗补助资格与西班牙裔参与者的助听器使用相关（OR=1.58，95%CI：0.97，2.59），尽管置信区间包含了零假设。
在 Medicare 受益人群体中，与助听器使用相关的个体因素因种族和民族而异。
