Associations Between Age-Related Hearing Loss, Cognitive Impairment, and Multiple Chronic Conditions in a Group Care Setting.
Purpose: The purpose of this study was to explore the relationships between hearing loss, cognitive status, and a range of health outcomes over a period of 2 years in a sample of older adults who are enrolled in Program of All-Inclusive Care for the Elderly, which is a Medicare/Medicaid beneficiary...
| Publicado en: | Journal of Speech, Language & Hearing Research Vol. 66; no. 12; pp. 5087 - 5109 |
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| Autores principales: | , , |
| Formato: | Artículo |
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American Speech-Language-Hearing Association
Dec2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=174209938&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 174209938 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 10924388 1SM jtl: Journal of Speech, Language & Hearing Research issn: 10924388 maglogo: N pubinfo: dt: Dec2023 vid: 66 iid: 12 pid: 42 pub: American Speech-Language-Hearing Association artinfo: ui: 174209938 10.1044/2023_JSLHR-23-00067 ppf: 5087 ppct: 22 formats: fmt: @attributes: type: P size: 1.3MB tig: atl: Associations Between Age-Related Hearing Loss, Cognitive Impairment, and Multiple Chronic Conditions in a Group Care Setting. aug: au: Mamo, Sara K. Pearlman, Jessica Wheeler, Kara A. affil: Department of Speech, Language, and Hearing Sciences, University of Massachusetts Amherst Institute for Social Science Research, University of Massachusetts Amherst su: Chronic diseases Health status indicators Cognition disorders Structural equation modeling Auditory perception testing Presbycusis Acquisition of data Independent living Medical records Descriptive statistics Research funding Logistic regression analysis sug: subj: Chronic diseases Health status indicators Cognition disorders Structural equation modeling Auditory perception testing Presbycusis Acquisition of data Independent living Medical records Descriptive statistics Research funding Logistic regression analysis ab: Purpose: The purpose of this study was to explore the relationships between hearing loss, cognitive status, and a range of health outcomes over a period of 2 years in a sample of older adults who are enrolled in Program of All-Inclusive Care for the Elderly, which is a Medicare/Medicaid beneficiary program for individuals who are nursing home eligible but living in the community at time of enrollment. Method: The sample (N = 144) includes a diverse (47% White/non-Hispanic, 35% Black/African American, and 16% Latin/Hispanic) group of adults ranging from 55 to 93 years old. We used medical chart data to measure respondents' cognitive and health status, including chronic conditions and hospital use. Hearing status was measured once at the beginning of the 2-year review period. We used logistic regression and negative binomial hurdle models for analyses. We used latent class analysis (LCA) to explore the extent to which respondents cluster into a set of "health profiles" characterized by their hearing, cognitive status, and health conditions. Results: We found that hearing loss is weakly associated with heart disease and diabetes and associated with cerebrovascular disease and falls; cognitive impairment is also associated with cerebrovascular disease and the number of falls. LCA indicates that respondents cluster into a variety of health profiles with a consistent pairing of hearing loss and depression. Conclusions: The results are largely consistent with associations reported in epidemiological studies that include age-related hearing loss. Of particular interest in this study is the LCA that suggested that all of the profiles associated with a high likelihood of hearing loss included a high risk of depression. The co-occurrence of these two factors highlights the need to identify and treat hearing loss in older adults, especially as part of the treatment plan for individuals with depressive symptoms. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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