+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Adverse effect of self-reported hearing disability in elderly Italians: Results from the InveCe.Ab study



Adverse effect of self-reported hearing disability in elderly Italians: Results from the InveCe.Ab study



Maturitas 121: 35-40



Hearing loss is a common chronic condition in elderly people. The prevalence of disabling hearing loss among the elderly worldwide is 33% and in Italy ranges from 0.6% (profound hearing loss) to 39% (mild hearing loss). We investigated the relationship between self-reported hearing disability and clinician-evaluated hearing status, and its longitudinal consequences in relation to cognitive impairment and functional decline. We hypothesised that subjects who report that they have a hearing disability have a worse functional and cognitive profile than people who do not report having a hearing disability. We analysed 1171 participants in the InveCe.Ab study, a longitudinal population-based study. We evaluated whether self-reported hearing disability was consistent with clinician-evaluated hearing status (using the Whispered Voice Test; WVT), categorizing this variable as: unaware of hearing loss (UHL), aware of hearing loss (AHL), only subjective hearing loss (OSHL), without hearing loss (noHL). We also examined its relationship with various population characteristics, and its long-term effects on functional and cognitive performance and depressive symptoms. At baseline, hearing loss was found in 13.6% (95% CI: 11.7-15.7) of the participants [17.6% (95% CI: 12.0-24.4) AHL; 82.4% (95% CI: 75.6-88) UHL], while 2.3% (95% CI: 1.4-3.4) of the subjects with normal WVT hearing status had OSHL. Male gender, age, functional and cognitive performance, and depressive symptoms were associated with consistency between self-reported hearing disability and WVT hearing status. Longitudinal analysis revealed worsening functional performance and selective attention, global cognitive deterioration, and depressive symptoms in the AHL group. Our results showed that awareness of hearing disability in the elderly has adverse cognitive and functional consequences over time. When clinicians inform those who are unaware of their hearing problems, they should arrange for prompt referral not only for audiometric evaluation but also for counselling in order to prevent a negative impact of awareness of hearing loss.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 066446656

Download citation: RISBibTeXText

PMID: 30704563

DOI: 10.1016/j.maturitas.2018.12.009


Related references

Role of self-reported hearing disability and measured hearing sensitivity in understanding participation restrictions and health-related quality of life: a study with hundred and three older adults with hearing loss. Clinical Otolaryngology 42(4): 924-926, 2017

Serotonin transporter polymorphism modifies the association between depressive symptoms and sleep onset latency complaint in elderly people: results from the 'InveCe.Ab' study. Journal of Sleep Research 24(2): 215-222, 2015

Effect of hearing aids on hearing disability and quality of life in the elderly. International Journal of Audiology 45(7): 400-405, 2006

Self-Reported Hearing Loss, Hearing Aids, and Cognitive Decline in Elderly Adults: A 25-Year Study. Journal of the American Geriatrics Society 63(10): 2099-2104, 2015

Combined effect of self-reported hearing problems and level of social activities on the risk of disability in Japanese older adults: A population-based longitudinal study. Maturitas 115: 51-55, 2018

Effect of Physical Activity on Self-Reported Disability in Older Adults: Results from the LIFE Study. Journal of the American Geriatrics Society 65(5): 980-988, 2017

Validation of the use of self-reported hearing loss and the Hearing Handicap Inventory for elderly among rural Indian elderly population. Archives of Gerontology and Geriatrics 55(3): 762-767, 2013

Self-reported disability and handicap after hearing-aid fitting and benefit of hearing aids: comparison of fitting procedures, degree of hearing loss, experience with hearing aids and uni- and bilateral fittings. European Archives of Oto-Rhino-Laryngology 266(6): 907-917, 2009

Death, Depression, Disability, and Dementia Associated With Self-reported Hearing Problems: A 25-Year Study. Journals of Gerontology. Series A Biological Sciences and Medical Sciences 73(10): 1383-1389, 2018

Cognitive stimulation and APOE genotype in non-demented elderly subjects from the InveCe.Ab population study. Alzheimer's & Dementia 8(4): P499-P500, 2012

The relationships between self-reported hearing disability and measures of auditory disability. Audiology 35(5): 277-287, 1996

The prevalence of hearing impairment and reported hearing disability among adults in great britain uk. International Journal of Epidemiology 18(4): 911-917, 1989

Hearing disability measured by the speech, spatial, and qualities of hearing scale in clinically normal-hearing and hearing-impaired middle-aged persons, and disability screening by means of a reduced SSQ (the SSQ5). Ear and Hearing 33(5): 615-616, 2013

The factors associated with a self-perceived hearing handicap in elderly people with hearing impairment--results from a community-based study. Ear and Hearing 30(5): 576-583, 2009

Content comparison of self-reported disability measures for the elderly according to the international classification of functioning, disability and health. Disability and Rehabilitation 36(11): 884-893, 2014