55岁及以上成年人抑郁症状和听力损失风险:基于人口的研究
1Department of Otolaryngology-Head and Neck Surgery, West China Hospital, Sichuan University, Sichuan, China.
Balkan medical journal
|October 6, 2025
概括
抑郁症与老年人患听力损失 (HL) 的风险更高有关. 抑郁症状恶化或波动的特定模式独立预测HL发病率的增加.
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:
- 抑郁症和听力损失 (HL) 是老年人口中普遍存在的疾病.
- 共同的潜在机制可能会导致抑郁症和HL的同时出现.
研究的目的:
- 在55岁及以上的成年人中调查抑郁症和听力损失 (HL) 之间的观察相关性.
- 检查抑郁症严重程度和症状轨迹与听力损失发生率的关系.
主要方法:
- 利用了来自三个大型,全国代表性的队列的数据:国家健康和营养检查调查,健康和退休研究以及英国老龄化纵向研究.
- 采用多重线性回归来对抑郁症严重程度和听力学值进行横截面分析.
- 应用了考克斯回归模型来对抑郁症状和HL风险进行纵向评估.
主要成果:
- 横截面分析显示,抑郁症与更高的纯色平均值之间存在显著的关联.
- 对6,956名参与者的纵向分析显示,在基线抑郁症患者中,HL的发病率较高.
- 增加和波动的抑郁症状轨迹被确定为HL的独立预测因素 (HR分别为1.48和1.25).
结论:
- 抑郁症和特定的纵向抑郁症状轨迹与老年人听力损失的风险增加有关.
- 对于老年人群,建议采用综合护理模式,解决抑郁症和听力损失问题.
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