持续使用助听器与老年人听力损失的跌倒发病率和风险较低有关
Laura Campos1, Allan Prochazka1,2, Melinda Anderson1
1School of Medicine, University of Colorado-Anschutz Medical Campus, Aurora, Colorado, USA.
Journal of the American Geriatrics Society
|June 14, 2023
概括
持续使用助听器显著降低了老年人听力损失的跌倒风险和跌倒相关伤害. 这表明助听器可能是预防跌倒策略的关键干预措施.
科学领域:
- 老年学是一门学科.
- 听力学 听力学是指听力学.
- 公共卫生 公共卫生
背景情况:
- 布对健康构成重大风险和经济负担,尤其对老年人来说.
- 与正常听力的人相比,有听力损失的老年人患跌倒的风险要高得多.
- 关于助听器在减轻跌倒风险方面的有效性,现有研究尚未得出结论,对一致的使用模式的数据有限.
研究的目的:
- 调查助听器使用与老年人听力损失下跌风险之间的关联.
- 为了确定是否一致的助听器使用提供了比不一致或没有使用更大的防摔保护效果.
主要方法:
- 一项涉及299名60岁及以上双边听力损失的个体的横截面研究.
- 参与者完成了评估跌倒史,跌倒风险问卷 (FRQ) 评分和助听器使用模式 (一致与不一致/非用户) 的调查.
- 统计分析,包括双变体和调整模型,比较了助听器用户和非用户之间的跌倒患病率和风险.
主要成果:
- 与不使用助听器的人相比,助听器使用者的跌倒概率降低了50% (OR=0.50).
- 在对共变量进行调整后,任何助听器的使用都与较低的跌倒几率 (OR=0.48) 和跌倒风险 (OR=0.36) 相关.
- 一贯的助听器使用者显示,降低跌倒几率 (OR=0.35) 和跌倒风险 (OR=0.32) 的相关性更强,表明潜在的剂量反应关系.
结论:
- 助听器的使用,特别是持续使用,显着与老年人听力损失的跌倒可能性降低和跌倒风险降低有关.
- 这些发现凸显了助听器作为在这个人口群体中预防跌倒策略的关键干预措施的潜力.
- 需要进一步研究用于预防跌倒的助听器的机制和最佳使用模式.
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