Wang Zengwen, Chen Deshan, Pan Tianyi, Chen Chen, Guan Liding
The Center for Social Security Studies, Wuhan University, Wuhan, China.
Geriatr Gerontol Int. 2022 Jul;22(7):529-535. doi: 10.1111/ggi.14413. Epub 2022 Jun 8.
Hearing loss and depression in older adults are associated with a lower social participation rate. However, few studies have thoroughly analyzed the relationship between them.
The data were obtained from the China Health and Retirement Longitudinal Study carried out in 2011, 2013 and 2015, and data from 24 306 participants ranging in age from 50 to 80 years were used in this study. Hearing loss, depression and social participation were assessed by self-reported hearing status, the 10-item Center for the Epidemiological Studies of Depression Short Form, and self-reported social participation activity types and frequency. The fixed effects logistic regression and random effects logistic regression were used to examine the relationship between hearing loss and social participation. The Sobel method was used to explore the relationship between hearing loss, depression and social participation.
Compared with older adults without hearing loss, persons with hearing loss engaged in significantly fewer types of activities (β = -0.070, 95% CI -0.109, -0.031, P < 0.001) and at a lower frequency (β = -0.176, 95% CI -0.260, -0.093, P < 0.001). Depression significantly existed in the relationship between hearing loss and social participation as a mediating variable, and the percentage of indirect effects in this relationship were 16.5% and 20.8%.
The findings of this study suggest that when facing an aging society, improving the hearing status of older adults should be considered by policymakers. More efforts should be made to help older adults cope with depression. Geriatr Gerontol Int 2022; 22: 529-535.
老年人听力损失和抑郁与较低的社会参与率相关。然而，很少有研究全面分析它们之间的关系。
数据来自于2011年、2013年和2015年开展的中国健康与养老追踪调查，本研究使用了年龄在50至80岁之间的24306名参与者的数据。听力损失、抑郁和社会参与通过自我报告的听力状况、10项流行病学研究中心抑郁量表简版以及自我报告的社会参与活动类型和频率进行评估。采用固定效应逻辑回归和随机效应逻辑回归来检验听力损失与社会参与之间的关系。使用索贝尔方法来探索听力损失、抑郁和社会参与之间的关系。
与无听力损失的老年人相比，有听力损失的人参与的活动类型显著更少（β = -0.070，95%可信区间 -0.109，-0.031，P < 0.001）且频率更低（β = -0.176，95%可信区间 -0.260，-0.093，P < 0.001）。抑郁作为中介变量显著存在于听力损失与社会参与之间的关系中，该关系中间接效应的百分比分别为16.5%和20.8%。
本研究结果表明，面对老龄化社会时，政策制定者应考虑改善老年人的听力状况。应做出更多努力来帮助老年人应对抑郁。《老年医学与老年病学国际杂志》2022年；22：529 - 535。
