A Deterioration in Hearing Is Associated With Functional and Cognitive Impairments, Difficulty With Communication, and Greater Health Instability

TitleA Deterioration in Hearing Is Associated With Functional and Cognitive Impairments, Difficulty With Communication, and Greater Health Instability
Publication TypeJournal Article
Year of Publication2020
AuthorsWilliams N, Guthrie DM, Davidson JGS, Fisher K, Griffith LE
JournalJournal of applied gerontology : the official journal of the Southern Gerontological Society
Volume39
Issue2
Pagination159-171
ISBN Number1552-4523
Accession Number29402165
KeywordsHearing, home care, InterRAI, Older adults
Abstract

Objectives: To examine the relationship between hearing deterioration and several health-related outcomes among home care clients in Ontario. Design: Longitudinal analysis was completed for clients with at least two comprehensive assessments. Hearing status, based on a single item, ranged from zero (no impairment) to three (highly impaired). Hearing deterioration was defined as at least a 1-point decline between subsequent assessments. Results: Seven percent experienced a 1-point deterioration in hearing and roughly 1% had a 2/3-point decline. After adjusting for other covariates, increasing age (odds ratio = 1.94; 95% confidence intervals [CIs] = [1.45, 2.61]) and a diagnosis of Alzheimer's disease (1.37; CI = [1.04, 1.80]) and other dementias (1.32; CI = [1.07, 1.63]) increased the risk of a 2/3-point deterioration. Conclusion: These findings can assist home care professionals and policy makers in creating and refining interventions to meet the needs of older adults with hearing difficulties.

URLhttps://pubmed.ncbi.nlm.nih.gov/29402165
DOI10.1177/0733464818755312
Short TitleJournal of applied gerontology : the official journal of the Southern Gerontological SocietyJournal of applied gerontology : the official journal of the Southern Gerontological Society
Alternate JournalJ Appl Gerontol