Qi Shige, Huang Yuzhang, Yang Liyuan, Guo Haoyan, An Ran, Cui Lu, Zhang Han, Wu Jing
National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Department of Health Policy Management, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD, USA.
China CDC Wkly. 2024 Aug 9;6(32):816-820. doi: 10.46234/ccdcw2024.177.
WHAT IS ALREADY KNOWN ABOUT THIS TOPIC?: Many studies have shown that hearing loss (HL) is a risk factor for cognitive decline and dementia, but there are still limited studies on this association among Chinese older adults.
WHAT IS ADDED BY THIS REPORT?: Based on the results of pure-tone audiometry tests, HL is associated with cognitive impairment in community-dwelling older adults. The odds ratios (s) were 1.23 (1.08-1.40) for mild HL, 1.55 (1.32-1.82) for moderate HL, and 1.87 (1.47-2.39) for severe or profound HL.
WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE?: Enhanced public awareness of hearing protection is important for preventing cognitive impairment. It is advocated to promote the screening of HL and cognitive function assessment in elderly health examinations or management in primary care services.
关于该主题已知的信息有哪些？：许多研究表明，听力损失（HL）是认知能力下降和痴呆的一个风险因素，但在中国老年人中，关于这种关联的研究仍然有限。
本报告新增了哪些内容？：基于纯音听力测试结果，HL与社区居住的老年人的认知障碍有关。轻度HL的优势比为1.23（1.08 - 1.40），中度HL为1.55（1.32 - 1.82），重度或极重度HL为1.87（1.47 - 2.39）。
对公共卫生实践有哪些启示？：提高公众对听力保护的认识对于预防认知障碍很重要。提倡在老年健康检查或基层医疗服务管理中推广HL筛查和认知功能评估。
