The Association of Hearing Impairment and Its Severity with Physical and Mental Health among Chinese Middle-aged and Older Adults

2020 ◽  
Author(s):  
Xin Ye ◽  
Dawei Zhu ◽  
Siyuan Chen ◽  
Ping He
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Health Outcomes ◽  
Activities Of Daily Living ◽  
Hearing Impairment ◽  
Daily Living ◽  
Hearing Impaired ◽  
Physical And Mental Health ◽  
Middle Aged

Abstract Background: Hearing loss is a common chronic condition which can be closely related with people’s health. However, current studies on this topic are quite limited in developing countries, and few with standardized audiometric measurement and multiple health outcomes. Therefore, we aimed to explore the association between hearing impairment and its severity with physical and mental health among Chinese middle-aged and older adults. Methods: We obtained data from two sources: (1) China Health and Retirement Longitudinal Study (CHARLS) 2011, 2013, and 2015, in which hearing impairment was measured by asking whether participants aged 45 years old had hearing problems; and (2) Hearing Survey 2019, the baseline survey of a randomized controlled trial conducted in Shandong Province of China, including 376 middle-aged and older participants. The severity of hearing impairment was identified by pure tone average of hearing thresholds at 0.5, 1, 2, and 4 kHz. Results: In CHARLS, 1248 (8.36%) participants suffered from hearing impairment at baseline, and hearing-impaired individuals were more likely to have chronic diseases, impaired activities of daily living (ADLs), impaired instrumental activities of daily living (IADLs) and depressive symptoms. For the 376 hearing-impaired participants in Hearing Survey 2019, 30.32%, 38.30% and 31.38% of them had moderate, severe and profound hearing impairment, respectively. As the severity of hearing impairment increased, individuals were likely to have impaired ADLs, impaired IADLs and depressive symptoms. Conclusions: Hearing impairment and its severity were closely related to multiple physical and mental health outcomes among Chinese middle-aged and older adults. Actions should be taken to prevent and treat hearing impairment, so as to improve people’s health and well-being.

scholarly journals The Association of Hearing Impairment and Its Severity with Physical and Mental Health among Chinese Adults

2020 ◽  
Author(s):  
Xin Ye ◽  
Dawei Zhu ◽  
Siyuan Chen ◽  
Ping He
Keyword(s):  
Mental Health ◽  
Health Outcomes ◽  
Hearing Impairment ◽  
Well Being ◽  
Developed Countries ◽  
Hearing Impaired ◽  
Physical And Mental Health ◽  
Chinese Adults ◽  
Hearing Thresholds ◽  
Nationally Representative

Abstract Background: Hearing is one of the basic means of perception and communication, which is closely related with quality of life. However, current studies on hearing impairment and multiple health outcomes are quite limited and most of them are conducted in developed countries. Therefore, we aimed to explore the association between hearing impairment and its severity with physical and mental health among Chinese adults, and to gain further insight into hearing and health researches. Methods: We obtained data from two sources: (1) China Health and Retirement Longitudinal Study (CHARLS) 2011, 2013, and 2015, including nationally representative 24,689 adults. Hearing impairment was measured by asking whether they had hearing problems; and (2) Hearing Survey 2019, collected by a survey conducted in Shandong Province of China, including 430 participants. The severity of hearing impairment was identified by pure tone average of hearing thresholds at 0.5, 1, 2, and 4 kHz.Results: In CHARLS Baseline 2011, 1569 (8.93%) participants suffer from hearing impairment. Hearing-impaired individuals are more likely to have chronic diseases, impaired ADLs, impaired IADLs and depressive symptoms. For 430 hearing-impaired participants in Hearing Survey 2019, 28.60%, 36.52% and 34.88% of them have moderate, severe and profound hearing impairment, respectively. As the severity of hearing impairment increases, individuals are more likely to have impaired ADLs, impaired IADLs and depressive symptoms.Conclusions: Hearing impairment and its severity are closely related to multiple physical and mental health outcomes among Chinese adults. Actions should be taken to prevent and treat hearing impairment, so as to improve people’s health and well-being.

Aging in Place With a Spouse in Need: Neighborhood Cohesion and Older Adult Spouses’ Physical and Mental Health

2020 ◽  
pp. 009141502097461
Author(s):  
Kyuho Lee ◽  
Patrik Marier
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Daily Living ◽  
Physical And Mental Health ◽  
Negative Effects ◽  
Neighborhood Cohesion ◽  
Spousal Caregiving ◽  
Negative Effect ◽  
Retirement Study

This study examines the association of perceived neighborhood cohesion (NC) with older adults’ health and the buffering effects of NC against the negative effects of spousal caregiving on health. Data of 3329 community-living older adults living with a spouse in need of care from the Health and Retirement Study were collected at two time-points. Multiple regression analyses were computed for each of the four health outcomes. For men, NC predicted fewer depressive symptoms and better cognition. NC buffered the negative effect of providing activities of daily living (ADL) help to the wife on cognition. For women, NC predicted fewer depressive symptoms and better cognition. NC buffered the negative effect of providing ADL help to the husband on ADL difficulties. The results accentuate the importance of residency location for older adults’ physical and mental health. The health benefits of NC may have more implications for older adults providing spousal care.

scholarly journals Vision and Hearing Impairments Affecting Activities of Daily Living among Malaysian Older Adults by Gender

2021 ◽  
Vol 18 (12) ◽  
pp. 6271
Author(s):  
Yee Mang Chan ◽  
Norhafizah Sahril ◽  
Ying Ying Chan ◽  
Nor’ Ain Ab Wahab ◽  
Norliza Shamsuddin ◽  
...  
Keyword(s):  
Older Adults ◽  
Gender Differences ◽  
Activities Of Daily Living ◽  
Hearing Impairment ◽  
Daily Living ◽  
Hearing Impairments ◽  
Cross Sectional ◽  
Middle Income ◽  
Middle Income Countries ◽  
Adl Disability

Vision and hearing impairments are common among older adults and can cause undesirable health effects. There are limited studies from low- and middle-income countries exploring gender differences between vision and hearing impairment with Activities of Daily Living (ADL) disability. Therefore, this study aimed to investigate gender differences between vision and hearing impairments with ADL disability among older adults in Malaysia. Cross-sectional data from 3977 respondents aged 60 and above from the Malaysian National Health and Morbidity Survey 2018 were used. We used logistic regression analysis to measure associations between vision and hearing impairments with ADL disability, adjusted for covariates. The prevalence of ADL disability was higher among females than males (p < 0.001). The adjusted associations between vision impairment and ADL disability were significant among males (aOR 3.79; 95%CI 2.26, 6.38) and females (aOR 2.66; 95%CI 1.36, 5.21). Similarly, significant adjusted associations were found between hearing impairment and ADL disability among males (aOR 5.76; 95%CI 3.52, 9.40) and females (aOR 3.30; 95%CI 1.17, 9.33). Vision and hearing impairments were significantly associated with ADL disability, with no gender differences identified. Early detection and effective management of vision and hearing impairments are important to prevent ADL disability and improve older adults’ level of independence.

scholarly journals Perceived Discrimination Trajectories and Depressive Symptoms Among Middle-Aged and Older Black Adults

2020 ◽  
Vol 4 (5) ◽  
Author(s):  
Kellee White ◽  
Bethany A Bell ◽  
Shuo J Huang ◽  
David R Williams
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Racial Discrimination ◽  
Repeated Measures ◽  
Negative Binomial ◽  
Perceived Discrimination ◽  
Sensitivity Analyses ◽  
Middle Aged ◽  
Time Point

Abstract Background and Objectives Perceived discrimination is a risk factor for poor mental health. However, most studies measure discrimination at one time point, which does not account for heterogeneity in the cumulative patterning of exposure to discrimination. To address this gap, we examine the association between discrimination trajectories and depressive symptoms among black middle-aged and older adults. Research Design and Methods Data were analyzed from a subsample of black Health and Retirement Study respondents (2006–2018, N = 2926, older than 50 years). General discrimination and racial discrimination trajectories were constructed based on the Everyday Discrimination Scale using repeated measures latent profile analyses. We examined the extent to which the association between discrimination trajectories are differentially associated with depressive symptoms (8-item Center for Epidemiological Studies-Depression scale) using negative binomial regression models adjusted for potential confounders. Effect modification by age and gender was tested. Results Individuals in the persistently high (incident rate ratio [IRR]: 1.70; 95% confidence interval [CI]: 1.49–1.95) and moderate general discrimination trajectories (IRR: 1.19; 95% CI: 1.06–1.33) were more likely to have elevated depressive symptoms in comparison to those in the persistently low trajectory. This relationship was strongest among older adults aged older than 65 years. Respondents in the persistently high racial discrimination trajectory (IRR: 1.50; 95% CI: 1.29–1.73) had a higher risk of elevated depressive symptoms in comparison to respondents in the persistently low trajectory. Sensitivity analyses indicated that there was an independent association between persistently high racial discrimination trajectory class and elevated depressive symptoms, after adjusting for racial discrimination measured at a single time point. Discussion and Implications Characterizing longitudinal patterns of perceived discrimination may facilitate the stratification of mental health risk and vulnerability among black middle-aged and older adults. Trajectories of racial discrimination may inform risk of worse depressive symptoms more accurately than a single assessment of discrimination.

scholarly journals Associations Between Fine Motor Performance in Activities of Daily Living and Cognitive Ability in a Nondemented Sample of Older Adults: Implications for Geriatric Physical Rehabilitation

2016 ◽  
Vol 29 (7) ◽  
pp. 1144-1159 ◽  
Author(s):  
Elizabeth B. Fauth ◽  
Sydney Y. Schaefer ◽  
Steven H. Zarit ◽  
Marie Ernsth-Bravell ◽  
Boo Johansson
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Activities Of Daily Living ◽  
Cognitive Ability ◽  
Grip Strength ◽  
Daily Living ◽  
Ordinary Least Squares ◽  
Physical Rehabilitation ◽  
Fine Motor ◽  
Physical Ability

Objective: Fine motor ability (FMA) is essential in certain activities of daily living (ADL) and is considered mostly as a component of physical function. We hypothesize that cognitive ability explains significant variance in ADL-related FMA, above and beyond what is explained by physical ability (grip strength). Method: Origins of Variance in the Old Old Study (OCTO)-Twin participants ( n = 218), aged 80+ (dementia, stroke, Parkinson’s disease excluded) were assessed on depressive symptoms (Center for Epidemiologic Studies–Depression Scale [CES-D]), a cognitive battery, grip strength, and FMA. Results: In a series of ordinary least squares regression models, FMA was not associated with gender or depressive symptoms, but was associated with age (marginally; β = −.164, p = .051), grip strength (β = −.381, p < .01), and one cognitive measure, perceptual speed (β = −.249, p < .01). Discussion: In nondemented older adults, cognitive speed predicts ADL-related FMA after controlling for age and physical ability. Physical rehabilitation of FMA in ADL tasks should consider the importance of cognitive ability, even in nondemented older adults.

scholarly journals Depression and Life Satisfaction Among Middle-Aged and Older Adults: Mediation Effect of Functional Disability

2021 ◽  
Vol 12 ◽  
Author(s):  
An Li ◽  
Dewen Wang ◽  
Shengnan Lin ◽  
Meijie Chu ◽  
Shiling Huang ◽  
...  
Keyword(s):  
Life Satisfaction ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Older Persons ◽  
Functional Disability ◽  
Mental Health Problems ◽  
Mediation Effect ◽  
Physical And Mental Health ◽  
Middle Aged ◽  
Aged People

With increasing age, middle-aged and older persons face a series of physical and mental health problems. This study aimed to explore the latent relationships among age, functional disability, depression, and life satisfaction. The data were obtained from the Wave 2 (in 2013–2014) and Wave 3 (in 2015–2016) surveys of the China Health and Retirement Longitudinal Study. The analytic sample in the present study included 15,950 individuals aged 45 years and over. The participants answered the same questions concerning depression and life satisfaction in both study waves, and functional disability was measured based on the activities of daily living and instrumental activities of daily living. Age was directly associated with functional disability, life satisfaction, and depression. Functional disability was positively correlated with depression and negatively correlated with life satisfaction. Functional disability strongly mediated the relationships among age, depression, and life satisfaction. Depression and life satisfaction were found to have enduring effects and effects on each other. Additionally, the model revealed a gender difference. Depression in middle-aged people should receive closer attention. Avoiding or improving functional disability may be an effective way to improve life satisfaction and reduce the level of depression in middle-aged and older persons. If prevention work successfully decreases depression, the life dissatisfaction of middle-aged and older people could be improved. Additionally, for the prevention of functional disability and depression and improvement in life satisfaction, gender differences need to be considered.

scholarly journals PREVALENCE AND CORRELATES OF IMPAIRMENTS IN ACTIVITIES OF DAILY LIVING IN OLDER KOREANS: COMPARISON OF YOUNG-OLD AND OLD-OLD

2019 ◽  
Vol 15 (3) ◽  
pp. e1-e10 ◽  
Author(s):  
Seonho Kim ◽  
Dallong Han ◽  
Jongeun Lee
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Health Status ◽  
Cognitive Function ◽  
Activities Of Daily Living ◽  
Age Differences ◽  
Daily Living ◽  
Regular Exercise ◽  
Perceived Health Status ◽  
Young Old

Background and ObjectiveSocietal aging and increasing average life expectancy have led to a significant increase in the population of individuals aged 75 years or above. Hence, it is becoming more meaningful and appropriate for researchers to divide those above the age of 65 years into various subgroups, such as young-old and old-old. Based on this division, we investigated the prevalence and correlates of impairments in activities of daily living (ADLs) among community-dwelling older adults (young-old vs. old-old) in South Korea. Material and MethodsThis was a cross-sectional study. We used the data of 4,368 older adults (≥65 years old) from the 2012 Korean Longitudinal Study of Aging. ADL impairment was assessed using a modified version of the Katz Index of Independence in Activities of Daily Living. ResultsThe prevalence of ADL impairment was greater in old-old participants (12.7%) than in young-old ones (3.0%). ADL impairment was significantly associated with gender, perceived health status, regular exercise, cognitive function, and depressive symptoms in young-old individuals. By contrast, in old-old individuals, the significant predictors were residential area, socioeconomic status, perceived health status, regular exercise, cognitive function, and depressive symptoms. Among both age subgroups, cognitive function was the strongest predictive factor of ADL impairment. Conclusion We found clear age differences in the prevalence and correlates of ADL impairment in older Koreans. Such age differences should be considered when studying and developing interventions for ADL impairment in older adults.

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