Prevalence of Individuals with Deafblindness and Age-Related Dual-Sensory Loss

2022 ◽  
pp. 0145482X2110725
Author(s):  
Renu Minhas ◽  
Atul Jaiswal ◽  
Serena Chan ◽  
Jessica Trevisan ◽  
Abinethaa Paramasivam ◽  
...  

Introduction The authors of this paper have compiled a report on the prevalence of deafblindness and dual-sensory loss based on the review of existing estimates. The purpose is to inform readers of the importance of using consistent, well-researched definitions and survey questions in future prevalence studies. Methods Articles were extracted through ProQuest and EBSCOhost, online library databases of Cambrian College and Laurentian University. Keywords search included “deafblindness,” “dual-sensory impairment,” “dual-sensory loss,” “age-related,” “congenital,” “acquired,” and “prevalence.” Additionally, the authors conducted a search with Google for research reports and Google Scholar for other relevant peer-reviewed articles. Results This review provides a current overview of prevalence estimates of deafblindness and age-related dual-sensory loss around the world, examining 19 articles or reports published over the last 20 years (2000–2020) in 18 countries, including the European Union (consisting of 8 countries). In line with the prevalence estimates by the World Federation for the Deafblind global report 2018, the review indicates an estimated 0.2–2% prevalence of dual-sensory impairment and underscores varying ranges of prevalence among populations, studies or countries, age groups, and types of deafblindness. The review highlights that the prevalence of deafblindness or dual-sensory loss was often not comparable across studies, but it is clear that the prevalence of dual-sensory impairment increases with age. The studies varied in methods (e.g., population surveys, cross-sectional, and longitudinal studies). Implication for practitioners The review provides evidence of varying ranges of prevalence rates. Future prevalence studies may benefit from consistent definitions, standard data-collection tools to do better comparisons across countries, and identify factors that predict higher or lower prevalence rates among populations and age groups.

2014 ◽  
Vol 19 (1) ◽  
pp. 4-16
Author(s):  
Katharina V. Echt ◽  
Gabrielle H. Saunders

Dual sensory impairment is increasingly prevalent in people over age 65. The combination of vision loss and hearing loss impacts not only day-to-day function from the perspective of the patient, but must also be considered by the speech-language pathologist working with older people in health care settings. This article will discuss the implications of dual sensory impairment for both patients and professionals, and will provide strategies to support communication.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 797-797
Author(s):  
Emmanuel Garcia Morales ◽  
Nicholas Reed

Abstract Sensory impairment is prevalent among older adults and may increase risk for delirium via mechanisms including sensory deprivation and poor communication which may result in confusion and agitation. In the Medicare Current Beneficiary Study (MCBS), delirium was measured using a validated algorithm of claims data. Sensory impairment was defined as any self-reported trouble hearing or seeing, with the use of aids, and was categorized as no impairment, hearing impairment only (HI), vision impairment only (VI), and dual sensory impairment (DSI). Among, 3,240 hospitalized participants in 2016-2017, 346 (10.7%) experienced delirium. In a model adjusted for socio-demographic and health characteristics, those with HI only, VI only, and DSI had 0.84 (95% CI: 0.6-1.3), 1.1 (95% CI 0.7-1.7), and 1.5 (95% CI 1.0-2.1) times the odds of experiencing delirium compared to those without sensory impairment. Future research should focus on mechanisms underlying association and determine the impact of treatment of sensory loss.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 797-797
Author(s):  
Nicholas Reed ◽  
Charlotte Yeh

Abstract Communication is fundamental to patient-centered care. However, sensory impairment limits communication among older adults. Specifically, hearing impairment strains communication via degraded auditory encoding while vision impairment distresses ability to read and interpret visual cues. The presence of dual sensory impairment, defined as concurrent hearing and vision impairment, may exacerbate these effects. The potential consequence s of age-related sensory loss on health care interactions and outcomes are beginning to surface in epidemiologic studies demonstrating poorer patient-provider communication, higher medical expenditures, increased risk of 30-day readmission, and longer length of stay when compared to individuals without sensory loss. Importantly, these associations may be amenable to intervention via sensory aids; however, uptake to sensory care is low. Notably, less than 20% of persons with hearing impairment have hearing aids and over 55% of Medicare Beneficiaries with reported vision problems have not had an eye examination in the prior year. Affordability and access may contribute to lack of sensory care uptake as Medicare explicitly excludes coverage of vision and hearing services. In this symposium, we will review current and new evidence for whether sensory loss affects health care outcomes, including satisfaction with care, incident delirium during hospitalization, navigation of Medicare, and present data on how persons with sensory loss are more likely to delay their care independent of cost and insurance factors suggesting fundamental changes in health care system interaction. We will place these results within the context of current national quality care and policy initiatives and review methods to address sensory loss.


2018 ◽  
Vol 28 (03) ◽  
pp. 343-355 ◽  
Author(s):  
J. H. Han ◽  
H. J. Lee ◽  
J. Jung ◽  
E.-C. Park

Aims.The aims of this study were to investigate the effects of either hearing, vision or dual sensory impairment on depressive symptoms and to identify subgroups that are vulnerable and significantly affected.Methods.Data from the 2006–2014 Korean Longitudinal Study of Aging (KLoSA) were used and a total of 5832 individuals were included in this study. Depressive symptoms were assessed using the Center for Epidemiologic Studies Depression (CES-D10) scale. Sensory impairment was assessed according to the levels of self-reported hearing or vision, which were categorised as either good (excellent, very good or good) or poor (fair or poor). The changes in hearing or vision from records of previous survey were investigated. Changes from good to poor, which indicates new onset, were defined as hearing impairment or vision impairment. Interactions of changes in hearing and vision were considered in the analysis. Dual sensory impairment was indicated when hearing impairment and vision impairment both developed at the same time. Demographic, socioeconomic and health-related factors were considered as potential confounders and were adjusted for in the generalised estimating equation model.Results.Individuals with hearing impairment demonstrated significantly more severe depressive symptoms [β = 0.434, standard errors (s.e.) = 0.097, p < 0.001] than those who had good hearing. Those with vision impairment also showed significantly elevated depressive symptoms (β = 0.253, s.e. = 0.058, p < 0.001) than those with good vision. When the interactions between hearing and vision were considered, participants with dual sensory impairment showed significantly more severe depressive symptoms (β = 0.768, s.e. = 0.197, p < 0.001) than those with good hearing and vision. The effect of a single and dual sensory impairment on depressive symptoms was significant in both sexes and across age groups, except for vision impairment in male participants.Conclusions.Hearing, vision and dual sensory impairment are significantly associated with depressive symptoms. Our results suggest that treatment or rehabilitation of either hearing or vision impairment would help prevent depression.


1997 ◽  
Vol 44 (4) ◽  
pp. 317-334 ◽  
Author(s):  
Clifton E. Barber

A frequently reported finding in age-related sensory impairment is that olfaction shows consistent and uniform decline with age. In most studies, discerning whether loss in olfaction is due to aging per se or to factors extrinsic to the aging process (e.g., smoking, chemical exposure, head injury) is difficult. Moreover, studies of olfaction have generally relied on data collected from samples drawn primarily from Western societies. As such, little is known regarding differences in olfaction involving non-Western cultures. Using international data from the 1986 National Geographic Smell Survey, responses of 19,219 American respondents and 3,204 respondents from Africa were analyzed. All respondents were screened for factors negatively affecting olfaction. Measures of olfactory acuity included odor detection, identification, intensity, and quality. The odor of interest was androstenone, a scent produced by bacteria on the human body and appearing in sweat. The results indicate that some measures of olfactory acuity tend to decline across age groups, but that this decline is less marked than reported in previous studies. The most important finding is that loss of olfaction is not consistent or uniform between geographic regions of America or Africa, between male vs. female respondents, or among the four measures of olfactory acuity. African respondents (both men and women) had significantly higher percentages of detection than did American respondents, women generally reported higher levels of olfactory functioning than did men, and some measures of olfaction were stable across age groups, or were higher among older respondents (e.g., odor identification).


2020 ◽  
Author(s):  
Evelyn Schapansky ◽  
Joke Depraetere ◽  
Ines Keygnaert ◽  
Christophe Vandeviver

Background: Sexual victimization is a major public health, judicial and societal concern worldwide. Prevalence studies on sexual victimization have mostly focused on female and student samples. Overall, nationally representative and comparable studies are still lacking.Methods:We applied a broad definition of sexual violence, including hands-off and hands-on victimization, and behaviorally specific questions to assess sexual victimization. Prevalence estimates were obtained after weighting the sample according to the population proportions of men and women in three age groups. The data provide nationally representative lifetime and 12-month prevalence estimates. We further conducted logistic regression to estimate adjusted odds ratios to examine the relationship between demographic, socioeconomic, and sexuality-related variables with the likelihood of being victimized.Results: These estimates indicate that 64.1% (95% CI: 61.9-66.1) of the general population in Belgium experienced some form of sexual victimization in their lives, and 44.1% (95% CI: 41.9-46.2) experienced some form of sexual victimization in the past 12 months. Logistic regression analysis shows that women are more than five times more likely to be victimized in their lifetimes than men (aOR = 4.96, 95% CI: 4.02-6.14), with an overall prevalence estimate of 80.8% (95% CI: 78.3-83.1). Young adults between 16 and 24 years are twice as likely to be victimized in their lifetimes (aOR = 2.13, 95% CI: 1.36-3.35) and more than three times more likely in the past 12 months (aOR = 3.52, 95% CI: 2.82-4.18) compared to adults aged 50 to 69 years. Prevalence estimates for all forms of sexual victimization are presented and compared to other national and international studies on sexual victimization.Conclusion: This comparison suggests that prevalence rates have been underestimated . The prevalence estimates obtained in this study demonstrate that all sexes and ages are affected by sexual victimization.


2013 ◽  
Vol 14 (3) ◽  
pp. 570-576 ◽  
Author(s):  
Hilde L Vreeken ◽  
Ger HMB van Rens ◽  
Dirk L Knol ◽  
Nadja A van Reijen ◽  
Sophia E Kramer ◽  
...  

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Nicholas S. Reed ◽  
Lama Assi ◽  
Emily Pedersen ◽  
Yasmeen Alshabasy ◽  
Ashley Deemer ◽  
...  

Abstract Background Millions of older adults in the United States experience hearing, vision, and dual sensory impairment (concurring hearing and vision impairment) yet little research exists on their needs in interactions with the healthcare system. This piece aims to determine the use of accompaniment in healthcare interactions by persons with sensory impairment. Methods These cross-sectional analyses included data from the 2015 Medicare Current Beneficiaries Survey and survey weighting provided by Centers for Medicare and Medicaid Services. Adjusted odds of reporting accompaniment to healthcare visits and given reasons for accompaniment among United States Medicare beneficiaries with self-reported sensory impairment (hearing, vision, and dual sensory impairment) were examined. Results After excluding observations with missing data, 10,748 Medicare beneficiaries remained representing a 46 million total weighted nationally representative sample, of which 88.9% reported no sensory impairment, 5.52% reported hearing impairment, 3.56% reported vision impairment, and 0.93% reported dual sensory impairment. Those with vision impairment and dual sensory impairment had 2.139 (95% confidence interval [CI] =1.605–2.850) and 2.703 (CI = 1.549–4.718) times the odds of reporting accompaniment to healthcare visits relative to those without sensory impairment. A secondary analysis suggests communication needs as the primary reason for accompaniment among persons with hearing loss, while those with vision impairment were more likely to indicate transportation needs. Conclusions Healthcare accompaniment is common for persons with sensory loss and healthcare systems should consider accommodations for and leveraging accompaniment to improve healthcare for persons with sensory impairments. In light of the current COVID-19 pandemic, as hospitals limit visitors to reduce the spread of infection, arrangements should be made to ensure that the communication and transportation needs of those with sensory impairment are not neglected.


2018 ◽  
Vol 13 (3) ◽  
pp. 394-397 ◽  
Author(s):  
Romuald Lepers ◽  
Paul J. Stapley ◽  
Thomas Cattagni

Background: Age-related declines in sport performance are characteristic of all endurance and sprinting disciplines. However, it is not known if the mode of locomotion (ie, swimming, cycling or running) influences the age-related decline in sport performance in sprinting and endurance events. Methods: To examine the age-related decline in 3 different modes of locomotion (ie, swimming, cycling, and running) for endurance and sprint events, the world-best performances achieved for men in the age groups 18–39, 40–44, 45–49, 50–54, 55–59, 60–64, 65–69, 70–74, 75–79, and 80–84 y were compared in swimming (1500 and 50 m), cycling (1 h and 200 m), and running (10 and 100 m). Each performance was considered as an average speed (throughout the distance), and the age-related decline in performance was expressed as a percentage of the world record (regardless of age group) for that discipline. Results: The age-related decline in 1-h track cycling is less pronounced than in 1500-m swimming and 10-km running after 60 y. In contrast, the age-related decline was similar among the 3 locomotion modes for the sprinting events. Conclusion: The data show that the maintenance of high performance in cycling persists longer into old age than in running and swimming.


2019 ◽  
Vol 2019 ◽  
pp. 1-14 ◽  
Author(s):  
Ashraf El-Metwally ◽  
Paivi Toivola ◽  
Mashael Al-Rashidi ◽  
Shanila Nooruddin ◽  
Munazza Jawed ◽  
...  

Background/Objectives. Contrary to popular belief, the condition of dementia is not an actual discrete disease, but rather a group of symptoms, most notable of which is the disturbance of memory and social ability, often severe enough to impair daily functioning. As a result, it has been a major cause of functional deterioration among varying populations in the world. This study is aimed at reviewing the epidemiology of dementia in Arab countries in terms of its prevalence, distribution, and risk factors. Methods. A systematic literature review was conducted using articles published in PubMed, Embase, Scopus, and other local journals between 1990 and 2018. After applying the inclusion and exclusion criteria, a total of 18 studies were concluded to be eligible for the review. Results. Prevalence studies demonstrated that dementia is indeed a prevalent condition in Arab countries, ranging between 1.1% and 2.3% among age groups of 50 years and older, as well as between 13.5% and 18.5% among age groups of 80 years and above. However, these results are not different from those of many other countries in the world. Moreover, prevalence was found to vary depending on sociodemographic characteristics. Major risk factors of dementia included hypertension, low income, and low education, while the risk of developing dementia is increased by obesity, diabetes mellitus, and cardiovascular risk factors. Despite the growing evidence regarding the epidemiological distribution and determinants of dementia worldwide, studies from the Arab region remain scarce. Conclusion. This systematic review highlights the need for population-based studies to provide necessary information for developing preventive and curative strategies specific to the Arab region.


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