“…Hearing impairment (HI) could plausibly contribute to anxiety and poor mental health outcomes through mediating pathways of cognitive impairment (Lin, Ferrucci, et al, 2011; Lin et al, 2013; Valentijn et al, 2005), social isolation (Mick, Kawachi, & Lin, 2014), or disability (Chen et al, 2014). Sensory deprivation has also been proposed as a possible cause for anxiety and mood disturbances (Gilmartin, Grota, & Sousa, 2013; Heine & Browning, 2002). Alternatively, shared common etiologic factors such as age, cardiovascular disease (Gates, Cobb, Dagostino, & Wolf, 1993), or other demographic factors (Agrawal, Platz, & Niparko, 2008) could underlie any observed association between HI and anxiety.…”