OBJECTIVE: The aim was to investigate whether associations of hearing impairment (HI) with functional outcomes in older adults differ when using self-report versus pure-tone audiometry. METHOD: We examined 1,669 participants ≥70 years in National Health and Examination Survey from 2005-2006 and 2009-2010 whose hearing was assessed by self-report and pure-tone audiometry. We explored functional outcomes associated with audiometric HI (low physical activity, poor physical functioning, and hospitalization). RESULTS: In adjusted models, we found significant associations of audiometric HI with both subjective and objective outcomes (e.g., dichotomous HI with self-reported difficulty in activities of daily living [ADLs], odds ratio [OR] = 1.47, 95% confidence interval [CI] [1.05, 2.06], and low accelerometer-measured physical activity, OR = 2.19, 95% CI [1.11, 4.34]). In contrast, self-reported HI was only associated with subjective outcomes and not with objective outcomes (e.g., dichotomous HI with difficulty in ADLs, OR = 1.63, 95% CI [1.12, 2.38], and low accelerometer-measured physical activity, OR = 0.95, 95% CI [0.66, 1.35]). DISCUSSION: Results using self-reported hearing should not be considered representative of results using audiometry and may provide distinct aspects of HI in older adults.
OBJECTIVE: The aim was to investigate whether associations of hearing impairment (HI) with functional outcomes in older adults differ when using self-report versus pure-tone audiometry. METHOD: We examined 1,669 participants ≥70 years in National Health and Examination Survey from 2005-2006 and 2009-2010 whose hearing was assessed by self-report and pure-tone audiometry. We explored functional outcomes associated with audiometric HI (low physical activity, poor physical functioning, and hospitalization). RESULTS: In adjusted models, we found significant associations of audiometric HI with both subjective and objective outcomes (e.g., dichotomous HI with self-reported difficulty in activities of daily living [ADLs], odds ratio [OR] = 1.47, 95% confidence interval [CI] [1.05, 2.06], and low accelerometer-measured physical activity, OR = 2.19, 95% CI [1.11, 4.34]). In contrast, self-reported HI was only associated with subjective outcomes and not with objective outcomes (e.g., dichotomous HI with difficulty in ADLs, OR = 1.63, 95% CI [1.12, 2.38], and low accelerometer-measured physical activity, OR = 0.95, 95% CI [0.66, 1.35]). DISCUSSION: Results using self-reported hearing should not be considered representative of results using audiometry and may provide distinct aspects of HI in older adults.
Authors: Enrique Soto-Perez-de-Celis; Can-Lan Sun; William P Tew; Supriya Gupta Mohile; Ajeet Gajra; Heidi D Klepin; Cynthia Owusu; Cary Philip Gross; Hyman B Muss; Stuart M Lichtman; Andrew E Chapman; Harvey Jay Cohen; William Dale; Heeyoung Kim; Simone Fernandes; Vani Katheria; Arti Hurria Journal: Cancer Date: 2018-05-24 Impact factor: 6.860
Authors: Justin S Golub; Adam M Brickman; Adam J Ciarleglio; Nicole Schupf; José A Luchsinger Journal: J Gerontol A Biol Sci Med Sci Date: 2020-02-14 Impact factor: 6.053
Authors: Justin S Golub; Katharine K Brewster; Adam M Brickman; Adam J Ciarleglio; Ana H Kim; José A Luchsinger; Bret R Rutherford Journal: JAMA Otolaryngol Head Neck Surg Date: 2019-02-01 Impact factor: 6.223
Authors: Mengyao Hu; Vicki A Freedman; Joshua R Ehrlich; Nicholas S Reed; Catherine Billington; Judith D Kasper Journal: J Surv Stat Methodol Date: 2021-02-14