多代家庭环境与听力损失,认知和抑郁症的相互作用
Lauren H Tucker1, Hannah N W Weinstein1, Michael W Denham2
1Department of Otolaryngology-Head and Neck Surgery, Columbia University Vagelos College of Physicians and Surgeons, NewYork-Presbyterian/Columbia University Irving Medical Center, New York, New York, USA.
The Laryngoscope
|June 11, 2025
概括
生活在一个多代家庭可能会改变听力损失的认知影响. 虽然听力损失与总体上较差的认知有关,但在多代环境中,它似乎与更好的认知表现有关.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 听力损失 (HL) 是一种影响老年人的普遍疾病.
- 多代家庭正在变得越来越普遍,可能会影响健康结果.
- 生活安排与像HL这样的感官障碍对认知功能的相互作用尚未得到充分理解.
研究的目的:
- 检查多代家庭和听力损失 (HL) 对认知和抑郁结果的相互作用之间的关联.
- 为了确定生活在多代家庭中是否会改变HL和认知表现之间的关系.
- 评估HL和多代生活对抑郁症的影响.
主要方法:
- 使用国家健康和营养检查调查 (NHANES) 数据 (2011-2012) 的横截面流行病学研究.
- 包括18-80岁的参与者,具有听力测试数据.
- 听力损失通过纯色调平均值测量;认知通过数字符号替换得分;抑郁症通过PHQ-9. 控制共变量的多变量回归.
主要成果:
- 在非多代家庭的个人中,每10dB的听力恶化与认知评分下降1.90点有关.
- 相反,在多代家庭中的个人中,每10dB的听力恶化与认知得分增加1.98个点有关.
- 没有发现HL和多代家庭之间对抑郁症结果的统计学意义上的相互作用.
结论:
- 听力损失与不生活在多代家庭中的人的认知功能恶化有关.
- 观察到一种反向关系,听力损失与居住在多代家庭中的人的更好的认知功能有关.
- 需要进一步的研究来阐明HL与不同生活环境中的认知相反的关联背后的机制.
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