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The dynamic relationship between hearing loss, quality of life, socioeconomic position and depression and the impact of hearing aids: answers from the English Longitudinal Study of Ageing (ELSA).
Tsimpida, Dialechti; Kontopantelis, Evangelos; Ashcroft, Darren M; Panagioti, Maria.
Afiliación
  • Tsimpida D; Faculty of Biology, Medicine and Health, School of Medical Sciences, Institute for Health Policy and Organisation (IHPO), The University of Manchester, Oxford Road, Manchester, M13 9PL, UK. dialechti.tsimpida@manchester.ac.uk.
  • Kontopantelis E; Faculty of Biology, Medicine and Health, School of Health Sciences, Institute for Health Policy and Organisation (IHPO), The University of Manchester, Manchester, UK.
  • Ashcroft DM; Faculty of Biology, Medicine and Health, School of Health Sciences, NIHR Greater Manchester Patient Safety Translational Research Centre, The University of Manchester, Manchester, UK.
  • Panagioti M; Faculty of Biology, Medicine and Health, School of Health Sciences, NIHR Greater Manchester Patient Safety Translational Research Centre, The University of Manchester, Manchester, UK.
Soc Psychiatry Psychiatr Epidemiol ; 57(2): 353-362, 2022 Feb.
Article en En | MEDLINE | ID: mdl-34383085
ABSTRACT

PURPOSE:

The adverse impact of hearing loss (HL) extends beyond auditory impairment and may affect the individuals' psychosocial wellbeing. We aimed to examine whether there exists a causal psychosocial pathway between HL and depression in later life, via socioeconomic factors and quality of life, and whether hearing aids usage alleviates depressive symptoms over time.

METHODS:

We examined the longitudinal relationship between HL and depressive symptoms (CES-D) applying dynamic cross-lagged mediation path models. We used the full dataset of participants aged 50-89 years (74,908 person-years), from all eight Waves of the English Longitudinal Study of Ageing (ELSA). Their quality of life (CASP-19) and their wealth were examined as the mediator and moderator of this relationship, respectively. Subgroup analyses investigated differences among those with hearing aids within different models of subjectively and objectively identified HL. All models were adjusted for age, sex, retirement status and social engagement.

RESULTS:

Socioeconomic position (SEP) influenced the strength of the relationship between HL and depression, which was stronger in the lowest versus the highest wealth quintiles. The use of hearing aids was beneficial for alleviating depressive symptoms. Those in the lowest wealth quintiles experienced a lower risk for depression after the use of hearing aids compared to those in the highest wealth quintiles.

CONCLUSION:

HL poses a substantial risk for depressive symptoms in older adults, especially those who experience socioeconomic inequalities. The early detection of HL and provision of hearing aids may not only promote better-hearing health but could also enhance the psychosocial wellbeing of older adults, particularly those in a lower SEP.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Audífonos / Pérdida Auditiva Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Aged / Humans Idioma: En Revista: Soc Psychiatry Psychiatr Epidemiol Asunto de la revista: CIENCIAS SOCIAIS / EPIDEMIOLOGIA / PSIQUIATRIA Año: 2022 Tipo del documento: Article País de afiliación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Audífonos / Pérdida Auditiva Tipo de estudio: Observational_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Aspecto: Determinantes_sociais_saude / Patient_preference Límite: Aged / Humans Idioma: En Revista: Soc Psychiatry Psychiatr Epidemiol Asunto de la revista: CIENCIAS SOCIAIS / EPIDEMIOLOGIA / PSIQUIATRIA Año: 2022 Tipo del documento: Article País de afiliación: Reino Unido
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