听力损失对已婚夫妇抑郁症状轨迹的影响。
The impact of hearing loss on trajectories of depressive symptoms in married couples.
机构信息
Center for the Study of Aging and Human Development, Duke University, Durham, NC, USA; Department of Population Health Sciences, Duke University, Durham, NC, USA.
Center for the Study of Aging and Human Development, Duke University, Durham, NC, USA; Department of Population Health Sciences, Duke University, Durham, NC, USA; Department of Head and Neck Surgery and Communication Sciences, Duke University, Durham, NC, USA.
出版信息
Soc Sci Med. 2023 Mar;321:115780. doi: 10.1016/j.socscimed.2023.115780. Epub 2023 Feb 14.
Hearing loss is a prevalent chronic stressor among older adults and is associated with numerous adverse health outcomes. The life course principle of linked lives highlights that an individual's stressors can impact the health and well-being of others; however, there are limited large-scale studies examining hearing loss within marital dyads. Using 11 waves (1998-2018) of the Health and Retirement Study (n = 4881 couples), we estimate age-based mixed models to examine how 1) one's own hearing, 2) one's spouse's hearing, or 3) both spouses' hearing influence changes in depressive symptoms. For men, their wives' hearing loss, their own hearing loss, and both spouses having hearing loss are associated with increased depressive symptoms. For women, their own hearing loss and both spouses having hearing loss are associated with increased depressive symptoms, but their husbands' hearing loss is not. The connections between hearing loss and depressive symptoms within couples are a dynamic process that unfolds differently by gender over time.
听力损失是老年人中普遍存在的慢性应激源，与许多不良健康后果有关。生活历程原则强调，个体的压力源会影响他人的健康和幸福；然而，目前还很少有大规模的研究在婚姻关系中探讨听力损失。利用健康与退休研究（Health and Retirement Study）的 11 个波次（1998-2018 年）的数据（n=4881 对夫妇），我们使用基于年龄的混合模型来检验 1）个体自身的听力，2）个体配偶的听力，或 3）双方配偶的听力如何影响抑郁症状的变化。对于男性，他们的妻子的听力损失、他们自身的听力损失和双方配偶都有听力损失都与抑郁症状的增加有关。对于女性，她们自身的听力损失和双方配偶都有听力损失与抑郁症状的增加有关，但她们丈夫的听力损失没有。夫妻之间听力损失和抑郁症状之间的联系是一个动态过程，随着时间的推移，其在性别之间的展开方式不同。
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