Nationwide Prevalence of Self-Reported Serious Sensory Impairments and Their Associations with Self-Reported Cognitive and Functional Difficulties

Fuller, Spencer; Mudie, Lucy I.; Siordia, Carlos; Swenor, Bonnielin K.; Friedman, David S.

doi:10.1016/j.ophtha.2017.11.003

Cited by 23 publications

(29 citation statements)

References 36 publications

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“…The self-reported prevalence rates of DSD (fair or poor hearing and vision) was 1.85% in CLSA, relative to 1.6% self-reporting severe DSD in a large US population aged 45 years and above (Fuller et al 2018).…”

Section: Visionmentioning

confidence: 81%

“…To our knowledge, three publications have reported associations between behavioral and self-report measures for both senses (Holland & Rabbitt 1992;Kempen et al 1996;Hickson et al 1999;) and only one small-scale study included self-report and behavioral measures for dual sensory loss (Hickson et al 1999). Considering both vision and hearing is important because the number of older adults with dual sensory loss is increasing due to population aging and the increasing prevalence of dual sensory loss with age and because dual sensory loss tends to have more severe consequences on functioning than losses in a single sense (Brennan et al 2005;Fuller et al 2018). Given the general paucity of studies examining both senses and dual sensory loss in the aging population, little is known about whether the same or different factors are associated with self-reported abilities across sensory modalities.…”

Section: Comparing Hearing Vision and Dual Sensory Lossmentioning

confidence: 99%

“…Self-report measures of vision or hearing are often used in large-scale population surveys of health and disability (e.g., Viljanen et al 2014;Fuller et al 2018;Han et al 2018).…”

Section: Introductionmentioning

confidence: 99%

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Self-report Measures of Hearing and Vision in Older Adults Participating in the Canadian Longitudinal Study of Aging are Explained by Behavioral Sensory Measures, Demographic, and Social Factors

et al. 2021

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The authors had full editorial control over the design and reporting of the present research using CLSA data. The opinions expressed in this manuscript are the authors' own and do not reflect the views of the CLSA. The authors thank Biljana J. Stojkova for help with the multiple imputation analyses, and Dawn Guthrie for contributions to the earlystage planning of the project. Author contributions: A.H. designed and performed the data analyses and wrote the paper. M.K.P.-F., W.W., N.P. and P.M. conceived of the study. P.M. obtained data from the CLSA. All authors discussed the study design, results and implications, contributed to writing the manuscript, and approved the final version of the manuscript.

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Section: Visionmentioning

confidence: 81%

Section: Comparing Hearing Vision and Dual Sensory Lossmentioning

confidence: 99%

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Self-report Measures of Hearing and Vision in Older Adults Participating in the Canadian Longitudinal Study of Aging are Explained by Behavioral Sensory Measures, Demographic, and Social Factors

et al. 2021

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“…In addition, the presence of dual sensory loss may contribute to the discrepant findings 21 . The prevalence of dual sensory loss (i.e., both hearing and vision) has been reported as high as 22.5% among adults over age 70 22,23 . Dual sensory loss may have additional deleterious effects on cognitive decline.…”

Section: Introductionmentioning

confidence: 99%

Longitudinal Association Between Hearing Loss, Vision Loss, Dual Sensory Loss, and Cognitive Decline

McConnell

et al. 2020

J American Geriatrics Society

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BACKGROUND/OBJECTIVES To better understand the role of sensory loss as a potentially modifiable risk factor for cognitive decline, this study examined cognitive decline in relation to single modality hearing or vision loss and dual sensory loss. DESIGN Longitudinal secondary data analysis. SETTING The Health and Retirement Study (HRS) and its supplement: The Aging, Demographics, and Memory Study (ADAMS). PARTICIPANTS Individuals aged 73 and older (N = 295). MEASUREMENTS Hearing loss was defined by an inability to hear sounds of 25 dB at frequencies between 0.5 and 4.0 kHz in either ear. Vision loss was defined as having corrected binocular vision worse than 20/40. Dual sensory loss was defined as having both hearing and vision loss. We used one time point of hearing and vision data objectively measured in ADAMS Wave C (June 2006–May 2008) and five waves of cognitive function data measured by the HRS version of the Telephone Interview for Cognitive Status in HRS (2006–2014). Multilevel mixed models were used. RESULTS Among the participants, 271 completed a hearing assessment and 120 had hearing loss; 292 completed a vision assessment and 115 had vision loss; 52 had dual sensory loss. Older adults with hearing loss had a significantly faster rate of cognitive decline as they aged compared to those with normal hearing (β = −0.16, P < .05). No significant association was found between vision loss and the rate of cognitive decline (β = −0.06, P = .41). Older adults who had dual sensory loss likewise had a significantly faster rate of cognitive decline as they age (β = −0.23, P < .05) compared to those with no sensory loss. CONCLUSION Older adults with hearing loss and dual sensory loss have faster rates of cognitive decline than those with normal sensory function.

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“…Vision impairment among middle-aged and older adults has major consequences with considerable implications for the individuals, caregivers, health care systems, and society [1]. Numerous studies among middle-aged and older adults in the USA have established associations between visual impairment and poor quality of life [2], cognitive and functional difficulties [3,4], increased risk of falls [5], anxiety and depression [6], greater health care resource use and hospitalization [7], reduced social participation [8], increased difficulty performing activities of daily living, mobility disability [9], overall health status (both objective and subjective), and mortality [1]. Vision impairment is associated with both physical and mental illnesses, including hypertension, diabetes, stroke, kidney disease, arthritis, depression, and sleep and mood disorders [10,11].…”

Section: Introductionmentioning

confidence: 99%

Eye Examination Recency among African American Older Adults with Chronic Medical Conditions

et al. 2020

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Background: Pervasive racial and economic inequalities have a disproportionate impact on health care utilization among African Americans. One area where we see such disparities is in the recency of eye examinations among the economically disadvantaged. However, our current understanding of the barriers and facilitators of eye examinations in underserved African-American older adults is limited. Aims: Building on Andersen’s model of health service use and using an exploratory approach; we tested various demographic, social, and health factors that were associated with eye examination among underserved middle-aged and older adults in South Los Angeles. We examined predisposing characteristics, enabling factors, and need-for-care characteristics. Methods: With a cross-sectional design, we conducted this survey on a convenience sample of (n = 740) non-institutionalized African-American older adults who were 55+ years old and residing in South Los Angeles, CA, USA. Data were collected on demographic factors, continuity of care, access to care, self-rated health, chronic medical conditions, and depressive symptoms. The outcome was recency of eye examination. Multivariate regression was used for data analysis. Results: 59% of the participants had received at least one eye examination during the last 12 months. A total of 17% had an eye examination within the last two years. Notably, 26% of diabetic participants did not have an eye examination within the last two years. One out of four participants indicated that, within the last two years, no provider ever recommended that they receive an eye examination. Age, education, continuity of medical care, accessibility of medical care, satisfaction with medical care, providers’ recommendation for eye examination, self-rated health, and a diagnosis of hypertension and diabetes mellitus were predictors of eye examination recency. Overall, our analysis indicates that these enabling factors accounted for most of the variance in the recency of eye examinations. Conclusion: A large proportion of underserved African-American middle-aged and older adults in South Los Angeles do not comply with the recommended annual eye examination. This is, in part, because about one-third of them have not received an eye exam recommendation from their health care providers. However, a wide range of factors such as age, education, continuity of care, satisfaction with access, self-rated health, and a diagnosis of hypertension and diabetes mellitus, also influence whether or not African-American middle-aged and older adults receive an eye examination. Programs should address a wide range of multi-level factors to tackle this health inequality.

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Nationwide Prevalence of Self-Reported Serious Sensory Impairments and Their Associations with Self-Reported Cognitive and Functional Difficulties

Cited by 23 publications

References 36 publications

Self-report Measures of Hearing and Vision in Older Adults Participating in the Canadian Longitudinal Study of Aging are Explained by Behavioral Sensory Measures, Demographic, and Social Factors

Self-report Measures of Hearing and Vision in Older Adults Participating in the Canadian Longitudinal Study of Aging are Explained by Behavioral Sensory Measures, Demographic, and Social Factors

Longitudinal Association Between Hearing Loss, Vision Loss, Dual Sensory Loss, and Cognitive Decline

Eye Examination Recency among African American Older Adults with Chronic Medical Conditions

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