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Association between depression and hearing loss symptoms among middle-aged and older population: panel data analysis
Jialing Zhu1, Xin Hua2, Li He2
1Department of Pediatric Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan Province, 610000, China.
Objective:
This study investigates the association between self-reported hearing loss and depression among middle-aged and older adults across three countries' longitudinal cohorts.
Design And Measurements:
Using data from CHARLS, HRS, and ELSA, we analyzed hearing status (excellent to poor) and depressive symptoms (assessed via CES-D scales). Generalized estimating equations (GEE) models adjusted for sociodemographic, lifestyle, and health factors were applied.
Results:
Analysis across three cohorts (CHARLS, HRS, ELSA) consistently demonstrated a significant positive association between self-reported hearing status and depression risk. In the multivariable-adjusted model (Model 3), individuals with fair hearing exhibited a significantly elevated risk of depressive symptoms compared to those with good hearing (CHARLS: OR 1.09, 95% CI 1.02,1.17; HRS: OR 1.17, 95% CI 1.13,1.22; ELSA: OR 1.11, 95% CI 1.04,1.17). The risk further increased among those with poor hearing, with OR values of 1.52 (95% CI 1.44,1.62), 1.64 (95% CI 1.57,1.72), and 1.55 (95% CI 1.44,1.67), respectively.
Conclusion:
Hearing loss is consistently associated with increased depression risk in varied cultural contexts, underscoring the need for early screening and intervention in aging populations.
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