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听力损失与抑郁症之间的关系:来自2015 - 2018年美国国家健康与营养检查调查的横断面分析。

Relationship between hearing loss and depression: A cross-sectional analysis from the National Health and Nutrition Examination Survey 2015-2018.

作者信息

Tan Yunfei, Fang Lili, Zhu Yichen, Hashimoto Kenji

机构信息

Center for Rehabilitation Medicine, Department of Psychiatry, Zhejiang Provincial People's Hospital (Affiliated People's Hospital), Hangzhou Medical College, Hangzhou, Zhejiang, 310014, China; The Second School of Clinical Medicine, Hangzhou Normal University, Hangzhou, Zhejiang, 310014, China.

The Second School of Clinical Medicine, Hangzhou Normal University, Hangzhou, Zhejiang, 310014, China.

出版信息

J Psychiatr Res. 2024 Oct;178:1-7. doi: 10.1016/j.jpsychires.2024.07.038. Epub 2024 Jul 30.

Abstract

BACKGROUND

Hearing loss is a prevalent issue resulting from loud noise exposure, aging, diseases, and genetic differences. As individuals age, the likelihood of experiencing hearing loss and depression escalates; yet, the link between hearing loss and the risk of depression remains ambiguous. This study explores the relationship between hearing and depression risk, taking into account sociodemographic and health-related factors.

METHODS

Using data from the National Health and Nutrition Examination Survey (NHANES) 2015-2018, a cross-sectional analysis was conducted, focusing on adult participants. It evaluated their hearing status and depression levels using the Patient Health Questionnaire-9 (PHQ-9). The study examined a range of variables, such as age, gender, socioeconomic status, lifestyle choices, and comorbidities, to understand their influence on the link between hearing loss and depression.

RESULTS

Analysis indicated a significant association between moderate to severe hearing loss and an increased risk of depression, notably in older adults. This relationship remained significant even after adjusting for a variety of sociodemographic and health factors.

LIMITATIONS

This is a study using the NHANES database using self-reported surveys.

CONCLUSION

The findings of this study emphasize the need to integrate hearing health in the holistic assessment and treatment of depression, particularly advocating for combined care strategies for the elderly.

摘要

背景

听力损失是一个普遍存在的问题,由噪音暴露、衰老、疾病和基因差异导致。随着个体年龄增长,出现听力损失和抑郁的可能性会增加;然而,听力损失与抑郁风险之间的联系仍不明确。本研究探讨听力与抑郁风险之间的关系,同时考虑社会人口统计学和健康相关因素。

方法

利用2015 - 2018年美国国家健康和营养检查调查(NHANES)的数据,进行了一项横断面分析,重点关注成年参与者。使用患者健康问卷-9(PHQ-9)评估他们的听力状况和抑郁水平。该研究考察了一系列变量,如年龄、性别、社会经济地位、生活方式选择和合并症,以了解它们对听力损失与抑郁之间联系的影响。

结果

分析表明,中度至重度听力损失与抑郁风险增加之间存在显著关联,尤其是在老年人中。即使在调整了各种社会人口统计学和健康因素后,这种关系仍然显著。

局限性

这是一项使用NHANES数据库的自我报告调查研究。

结论

本研究结果强调在抑郁症的整体评估和治疗中纳入听力健康的必要性,特别是倡导针对老年人的联合护理策略。

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