Kevin J Contrera1, Josh Betz2, Jennifer A Deal3, Janet S Choi1, Hilsa N Ayonayon4, Tamara Harris5, Elizabeth Helzner6, Kathryn R Martin7, Kala Mehta8, Sheila Pratt9, Susan M Rubin4, Suzanne Satterfield10, Kristine Yaffe11, Melissa Garcia12, Eleanor M Simonsick12, Frank R Lin13. 1. School of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland. 2. Center on Aging and Health, Johns Hopkins Medical Institutions, Baltimore, Maryland. 3. Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland. 4. Department of Epidemiology and Biostatistics, University of California, San Francisco. 5. Laboratory of Epidemiology and Population Sciences, National Institute on Aging, Baltimore, Maryland. 6. Department of Epidemiology and Biostatistics, State University of New York Downstate Medical Center, Brooklyn. 7. Institute of Applied Health Sciences School of Medicine and Dentistry, University of Aberdeen, Scotland. 8. Division of Geriatrics, Department of Medicine University of California, San Francisco. 9. School of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland. Geriatric Research Education and Clinical Center, VA Pittsburgh Healthcare System, Pennsylvania. 10. Department of Preventive Medicine, University of Tennessee Health Science Center, Memphis. 11. Department of Psychiatry and Department of Neurology, University of California, San Francisco. 12. Intramural Research Program, National Institute on Aging, Baltimore, Maryland. 13. Center on Aging and Health, Johns Hopkins Medical Institutions, Baltimore, Maryland. Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland. flin1@jhmi.edu.
Abstract
OBJECTIVES: To better understand the potential impact of hearing impairment (HI) and hearing aid use on emotional vitality and mental health in older adults. METHOD: We investigated the cross-sectional association of HI with emotional vitality in 1,903 adults aged 76-85 years in the Health ABC study adjusted for demographic and cardiovascular risk factors. Hearing was defined by the speech frequency pure tone average (no impairment < 25 dB, mild impairment 25-40 dB, and moderate or greater impairment > 40 dB). Emotional vitality was defined as having a high sense of personal mastery, happiness, low depressive symptomatology, and low anxiety. RESULTS: Compared with individuals with no HI, participants with moderate or greater HI had a 23% lower odds of emotional vitality (odds ratio [OR] = 0.77; 95% confidence interval [CI]: 0.59-0.99). Hearing aid use was not associated with better emotional vitality (OR = 0.98; 95% CI: 0.81-1.20). DISCUSSION: HI is associated with lower odds of emotional vitality in older adults. Further studies are needed to examine the longitudinal impact of HI on mental health and well-being.
OBJECTIVES: To better understand the potential impact of hearing impairment (HI) and hearing aid use on emotional vitality and mental health in older adults. METHOD: We investigated the cross-sectional association of HI with emotional vitality in 1,903 adults aged 76-85 years in the Health ABC study adjusted for demographic and cardiovascular risk factors. Hearing was defined by the speech frequency pure tone average (no impairment < 25 dB, mild impairment 25-40 dB, and moderate or greater impairment > 40 dB). Emotional vitality was defined as having a high sense of personal mastery, happiness, low depressive symptomatology, and low anxiety. RESULTS: Compared with individuals with no HI, participants with moderate or greater HI had a 23% lower odds of emotional vitality (odds ratio [OR] = 0.77; 95% confidence interval [CI]: 0.59-0.99). Hearing aid use was not associated with better emotional vitality (OR = 0.98; 95% CI: 0.81-1.20). DISCUSSION: HI is associated with lower odds of emotional vitality in older adults. Further studies are needed to examine the longitudinal impact of HI on mental health and well-being.
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