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Hearing Loss and Subjective Well-Being Among Older Adults: Mediating Effect of Social Activity and Cognitive Function
Xia Cao1, Binfang Yang1, Jiansong Zhou2
1Health Management Center, the Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
Objectives:
To examine the relationship between hearing loss and subjective well-being (SWB) and to investigate the mediating roles of social activity and cognitive function in the link between hearing loss and SWB.
Methods:
An analysis of 11,949 older Chinese adults was conducted from the 2018 wave of the Chinese Longitudinal Health Longevity Survey. Multiple linear regression and mediation analysis were conducted.
Results:
Hearing loss had a significant negative association with SWB (B = -0.787; 95% CI: -0.961, -0.613). Hearing loss influenced older adults' SWB in the following three ways: first, via the partial mediating effect of social activity (B = -0.021, 95% CI: -0.036, -0.009); second, via the partial mediating effect of cognitive function (B = -0.275, 95% CI: -0.347, -0.252); and third, via the serial mediating effects of social activity and cognitive function (-0.016, 95% CI: -0.021, -0.011).
Conclusions:
Social activity and cognitive function play a serial intermediary role in the relationship between hearing loss and SWB among older Chinese adults.
Clinical Implications:
Multidimensional health and social interventions aimed at improving mental health and social inclusion among adults with hearing loss should be recommended.
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