与年龄相关的听力损失,认知障碍和多种慢性疾病之间的关联在小组护理环境中
Sara K Mamo1, Jessica Pearlman2, Kara A Wheeler1
1Department of Speech, Language, and Hearing Sciences, University of Massachusetts Amherst.
Journal of speech, language, and hearing research : JSLHR
|November 7, 2023
概括
老年人听力损失与脑血管疾病,跌倒和抑郁症有关. 早期识别和治疗听力损失至关重要,特别是对于那些有抑郁症状的人来说.
科学领域:
- 老年学是一门学科.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 老年人经常经历与年龄相关的听力损失.
- 认知状态和各种健康结果对于健康的衰老至关重要.
- 全包养老年护理计划 (PACE) 服务于一个独特的老年人群.
研究的目的:
- 为了研究两年来听力损失,认知状态和健康结果之间的关系.
- 在PACE注册的多元老年人样本中检查这些关联.
- 根据听力,认知和健康状况来确定不同的健康状况.
主要方法:
- 研究了一组来自PACE的144个不同年龄的老年人 (55-93岁).
- 医疗图表数据评估了认知和健康状况,包括慢性疾病和医院使用.
- 隐性类分析 (LCA) 确定了健康状况,用于分析后勤回归和负二项式障碍模型.
主要成果:
- 听力损失与心脏病和糖尿病的联系很弱,但与脑血管疾病和跌倒有关.
- 认知障碍也与脑血管疾病和跌倒数量的增加有关.
- 潜在类分析揭示了不同的健康状况,始终显示听力损失和抑郁症的配对.
结论:
- 这些发现与与年龄相关的听力损失相关的流行病学研究一致.
- 一个显著的发现是听力损失和高抑郁症风险之间的一致关联,跨越已识别的健康状况.
- 这些结果强调了识别和治疗老年人听力损失的重要性,特别是那些患有抑郁症的人.
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