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

Hämäläinen, Anni; Pichora‐Fuller, M. Kathleen; Wittich, Walter; Phillips, Natalie A.; Mick, Paul

doi:10.1097/aud.0000000000000992

Cited by 23 publications

(29 citation statements)

References 114 publications

(235 reference statements)

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“…We also found that older adults were less likely than middle-aged adults to report hearing difficulties. This finding is in line with studies suggesting that as people get older, they report fewer hearing issues (e.g., Hämäläinen et al 2021; Kamil et al 2015; Tsimpida et al 2020). Many hypotheses have been postulated to explain this phenomenon.…”

Section: Discussionsupporting

confidence: 91%

“…In the same way, Kamil et al (2015) have observed that the association between self-reported measures of hearing and hearing thresholds differs across biological sex, age, race/ethnicity, and education. More recently, Hämäläinen et al (2021) analyzed the baseline data of the cohort of the Canadian Longitudinal Study on Aging and found that young adult males, and individuals with more comorbid health conditions were significantly more likely to self-report sensory difficulty (vision and hearing impairment). Overall, the evidence suggested that age, sex, mental and physical health, and education may be important moderator variables when considering the relationship between hearing loss and cognition.…”

Section: Hypothesis For the Mixed Findings In The Relationship Betwee...mentioning

confidence: 99%

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Objective and Subjective Hearing Difficulties Are Associated With Lower Inhibitory Control

2022

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Objective: Evidence suggests that hearing loss increases the risk of cognitive impairment. However, the relationship between hearing loss and cognition can vary considerably across studies, which may be partially explained by demographic and health factors that are not systematically accounted for in statistical models.Design: Middle-aged to older adult participants (N = 149) completed a web-based assessment that included speech-in-noise (SiN) and self-report measures of hearing, as well as auditory and visual cognitive interference (Stroop) tasks. Correlations between hearing and cognitive interference measures were performed with and without controlling for age, sex, education, depression, anxiety, and selfrated health. Results:The risk of having objective SiN difficulties differed between males and females. All demographic and health variables, except education, influenced the likelihood of reporting hearing difficulties. Small but significant relationships between objective and reported hearing difficulties and the measures of cognitive interference were observed when analyses were controlled for demographic and health factors. Furthermore, when stratifying analyses for males and females, different relationships between hearing and cognitive interference measures were found. Self-reported difficulty with spatial hearing and objective SiN performance were better predictors of inhibitory control in females, whereas self-reported difficulty with speech was a better predictor of inhibitory control in males. This suggests that inhibitory control is associated with different listening abilities in males and females. Conclusions:The results highlight the importance of controlling for participant characteristics when assessing the relationship between hearing and cognitive interference, which may also be the case for other cognitive functions, but this requires further investigations. Furthermore, this study is the first to show that the relationship between hearing and cognitive interference can be captured using web-based tasks that are simple to implement and administer at home without any assistance, paving the way for future online screening tests assessing the effects of hearing loss on cognition.

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Section: Discussionsupporting

confidence: 91%

Section: Hypothesis For the Mixed Findings In The Relationship Betwee...mentioning

confidence: 99%

Objective and Subjective Hearing Difficulties Are Associated With Lower Inhibitory Control

2022

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“…A number of studies have shown age effects potentially related to how one’s perspective on the degree of reported HD changes over the lifetime compared with changes in auditory thresholds, but the results of such studies are not always in agreement. Some studies have shown that younger adults underestimate their hearing abilities while older adults are better estimators of their audiometric thresholds, but can also overestimate their abilities (Kamil et al 2015; Oosterloo et al 2020; Hämäläinen et al 2021), yet others have shown that older adults with normal hearing thresholds report more disability hearing in difficult situations than younger adults (Banh et al 2012; Gatehouse & Noble 2004).…”

Section: Discussionmentioning

confidence: 99%

Understanding Self-reported Hearing Disability in Adults With Normal Hearing

et al. 2021

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Objectives: Despite a diagnosis of normal hearing, many people experience hearing disability (HD) in their everyday lives. This study assessed the ability of a number of demographic and auditory variables to explain and predict self-reported HD in people regarded as audiologically healthy via audiometric thresholds.Design: One-hundred eleven adults (ages 19 to 74) with clinically normal hearing (i.e., audiometric thresholds ≤25 dB HL at all octave and interoctave frequencies between 0.25 and 8 kHz and bilaterally symmetric hearing) were asked to complete the 12-item version of the Speech, Spatial, and Qualities of Hearing Scale (SSQ12) as a measure of selfreported HD. Patient history and a number of standard and expanded measures of hearing were assessed in a multivariate regression analysis to predict SSQ12 score. Patient history included age, sex, history of noise exposure, and tinnitus. Hearing-related measures included audiometry at standard and extended high frequencies, word recognition, otoacoustic emissions, auditory brainstem response, the Montreal Cognitive Assessment, and FM detection threshold.Results: History of impulse noise exposure, speech-intelligibility index, and FM detection threshold accurately predicted SSQ12 and were able to account for 40% of the SSQ12 score. These three measures were also able to predict whether participants self-reported HD with a sensitivity of 89% and specificity of 86%. Conclusions:Although participant audiometric thresholds were within normal limits, higher thresholds, history of impulse noise exposure, and FM detection predicted self-reported HD.

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“…[37][38][39] There are also variables that were not included in these analyses that may influence subjective assessments of hearing status, such as the degree of asymmetry, vision, and other comorbidities, and is an area of needed research. 35,[40][41][42][43] The generalizability of the cohort to the older adult population of the United States is also limited, as the participants from the four US communities were lacking in racial and ethnic minority representation beyond African American participants. In addition, given that ARIC participants needed to survive and be healthy enough to attend visit 6, they likely do not represent many older adults in the general US population, particularly those with cognitive impairment, and so our results may also not be generalizable to those individuals.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of self‐ and proxy‐rated hearing among older adults with and without cognitive impairment

Kim

Betz

Albert

et al. 2021

J American Geriatrics Society

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Background: Hearing loss is highly prevalent among older adults with cognitive impairment and may exacerbate neuropsychiatric symptoms and affect interactions with others. Although audiometry is the gold standard for measuring hearing, it is not always used in research or clinical settings focused on the care of individuals with cognitive impairment. Subjective assessments of hearing, both self-and proxyrated, are widespread but may not adequately capture the presence of hearing loss as compared to audiometry. This study investigates the concordance between subjective and objective hearing assessments among older adults with and without cognitive impairment and evaluates factors associated with concordance.Methods: Participants were a subset of the Atherosclerosis Risk in Communities Neurocognitive Study (ARIC-NCS), a prospective cohort study representing four US communities with adjudicated cognitive diagnoses and audiometric data, totaling 3326 self-rated and 520 proxy-rated hearing assessments. Sensitivity and specificity were calculated, and multivariable logistic regression estimated the magnitude of the association between the concordance of hearing assessments and variables of interest.Results: Sensitivity and specificity for self-rated hearing status were 71.2% and 85.9% among cognitively normal older adults, 61.1% and 84.9% among persons with MCI, and 52.6% and 81.2% among persons with dementia, respectively. For proxyrated hearing, sensitivity and specificity were 65.7% and 83.3% for persons with MCI See related editorial by Chodosh & Blustein in this issue.

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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

Cited by 23 publications

References 114 publications

Objective and Subjective Hearing Difficulties Are Associated With Lower Inhibitory Control

Objective and Subjective Hearing Difficulties Are Associated With Lower Inhibitory Control

Understanding Self-reported Hearing Disability in Adults With Normal Hearing

Accuracy of self‐ and proxy‐rated hearing among older adults with and without cognitive impairment

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