Self-reported Hearing Difficulty and Risk of Accidental Injury in US Adults, 2007 to 2015

Lin, Harrison W.; Mahboubi, Hossein; Bhattacharyya, Neil

doi:10.1001/jamaoto.2018.0039

Cited by 15 publications

(9 citation statements)

References 20 publications

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“…[6][7][8][9][10][11][12][13][14][15][16] However, the self-reported hearing-loss measure we used herein has been associated with injuries in previous studies, and more strongly associated with self-reported injury than pure-tone audiometry in at least one study. 29,35 Thus, we believe that self-reported hearing loss is capturing a relevant condition-hearing loss that impacts participant function-and that associations seen with self-reported hearing loss would be meaningful.…”

Section: Discussionmentioning

confidence: 99%

“…Hearing loss was assessed using self‐reported hearing status, which may be a strength and a limitation. Self‐reported hearing status may be a more sensitive measurement of respondents' functional hearing status and its impact on their daily life than more objective measures . However, the majority of NHIS respondents who report less than “good” hearing likely do not meet an objective definition of bilateral hearing loss.…”

Section: Discussionmentioning

confidence: 99%

“…Selfreported hearing status may be a more sensitive measurement of respondents' functional hearing status and its impact on their daily life than more objective measures. [29][30][31][32][33] However, the majority of NHIS respondents who report less than "good" hearing likely do not meet an objective definition of bilateral hearing loss. Compared to pure-tone audiometry, the gold standard for hearing loss assessment, self-reported hearing loss has a sensitivity of 65%, a specificity of 85%, and a positive predictive value of 28% for bilateral hearing loss in a US-representative sample.…”

Section: Discussionmentioning

confidence: 99%

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Self‐Reported Hearing Loss and Nonfatal Fall‐Related Injury in a Nationally Representative Sample

Heitz

Gianattasio

Prather

et al. 2019

J American Geriatrics Society

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BACKGROUND/OBJECTIVE To evaluate the relationship between self‐reported hearing loss and nonfatal fall‐related injury in a nationally representative sample of community‐dwelling adults living in the United States. DESIGN Cross‐sectional analysis of national survey data. SETTING National Health Interview Survey (2016). PARTICIPANTS A total of 30 994 community‐dwelling adults in the United States, aged 18 years and older. MEASUREMENTS We evaluated the association between self‐reported hearing loss and nonfatal injury resulting from a fall in the previous 3 months. We used multivariate logistic regression to calculate adjusted odds ratios (ORs) and evaluated effect measure modification by age. RESULTS The odds of nonfatal fall‐related injury were 1.60 times higher among respondents with hearing loss compared to respondents without hearing loss (95% confidence interval [CI] = 1.20‐2.12; P = .0012). Results were unchanged when adjusting for demographics (OR = 1.59; 95% CI = 1.18‐2.15; P = .002). After adjustment for cardiovascular risk factors, cardiovascular disease, visual impairment, and limitation caused by nervous system/sensory organ conditions and depression, anxiety, or another emotional problem, the OR fell to 1.27 (95% CI = 0.92‐1.74; P = .14). In the fully adjusted model, including adjustment for vestibular vertigo, there was little support to link hearing loss and fall‐related injury (OR = 1.16; 95% CI = 0.84‐1.60; P = .36). Effect modification by age was not observed. CONCLUSIONS Self‐reported hearing loss may be a clinically useful indicator of increased fall risk, but treatment for hearing loss is unlikely to mitigate this risk, given that there is no independent association between self‐reported hearing loss and nonfatal falls after accounting for vestibular function and other potential confounders.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Self‐Reported Hearing Loss and Nonfatal Fall‐Related Injury in a Nationally Representative Sample

Heitz

Gianattasio

Prather

et al. 2019

J American Geriatrics Society

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“…2 As a chronic sensory deficit, hearing loss has been linked to difficulty in physical functioning, 3 social isolation, 4 poor quality of life, 5 cognitive decline, 6 and increased risk of accidental injuries. 7 The burden of hearing loss and its associated sequela are well documented in the literature. Although many of these disabilities can result in an increased risk of death, the data on the potential association between hearing loss and risk of mortality remains inconsistent.…”

Section: Introductionmentioning

confidence: 99%

Hearing Difficulty and Risk of Mortality

Lin

Mahboubi

Bhattacharyya

2019

Ann Otol Rhinol Laryngol

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Objective: Investigate whether hearing difficulty has an influence on the risk of mortality. Methods: A nationally representative sample of individuals 18 years or older with data available for hearing and mortality status was selected from the National Health Interview Surveys (NHIS) 2005-2009. Self-perceived hearing status was regrouped as excellent/good, a little to moderate trouble, a lot of trouble, and deaf. Other independent variables investigated were demographics and comorbidities. Univariate analysis was performed to calculate the incidence of mortality, and 95% confidence intervals (CI) and multivariate analysis adjusted for demographics and comorbidities was performed to calculate odds ratios (OR) of mortality. Those with excellent/good hearing were considered as reference for ORs. Results: Of 215.6 million Americans (mean age = 45.9 years; 51.7% female), approximately 16.0% (95% CI, 15.6%-16.3%) considered their hearing less than excellent or good. The 5-year mortality rate was 4.2% (95% CI, 4.0%-4.3%). In the univariate analysis, the mortality rate increased with the degree of hearing difficulty from 3.0% in excellent/good hearing to 19.5% in a lot of trouble hearing and 17.8% in deaf. With multivariate analysis, adjusted ORs of mortality were 1.5 (95% CI, 1.3-1.7) in those who had a lot of trouble hearing and 1.6 (95% CI, 1.1-2.3) in those who were deaf. Conclusion: Hearing difficulty may be associated with an increased risk of mortality, and this risk may correlate with the degree of hearing difficulty.

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“…Hearing function is crucial in detecting and protecting oneself from dangerous situations. A study on accidental injuries in self-reported hearing difficulty patients was conducted in the United States, reporting an odds ratio of 1.9 in those with a lot of trouble hearing [ 11 ]. HL patients are also more likely to experience psychiatric disorders, including depression, which may lead to suicidal behavior.…”

Section: Discussionmentioning

confidence: 99%

Nationwide Analysis of Mortality Rates and Related Surgical Procedures in Hearing Disability Patients in South Korea

et al. 2020

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Background and Objectives: Hearing loss (HL) and its repercussions are major problems in today’s society. There are limited data on the relationship between degree of HL and otologic disorders. The aim of this study is to estimate mortality rates, rates of sudden idiopathic HL and related otologic surgical procedures in hearing disability patients in South Korea.Subjects and Methods: Retrospective medical data for 160,205 patients with hearing disability was extracted. Mortality rates, rates of sudden idiopathic HL and related otologic surgical procedures were compared with a normal control group consisting of 865,475 people; approximately 5 times the number of hearing disability patients.Results: According to the Korean National Disability Registry (NDR), 0.458% of the population in South Korea suffered from hearing disability in 2015. Higher rates of mortality and sudden idiopathic HL were reported in hearing disability patients, increasing up to a maximum of 1.594 times and 1,039.695 times, respectively, compared to the normal control group. Mastoidectomy surgery was 2.5 times more frequently performed and pressure equalizing (PE) tube insertion was about 15 times more frequently performed in hearing disability patients.Conclusions: Hearing disability is related to higher risks of mortality, sudden idiopathic HL and otologic surgical procedures, including mastoidectomy and PE tubing.

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Self-reported Hearing Difficulty and Risk of Accidental Injury in US Adults, 2007 to 2015

Abstract: Hearing difficulty is significantly associated with accidental injury, especially injury related to work or leisure. Increased awareness about hearing difficulty and its proper screening and management may assist in decreasing accidental injury.

Cited by 15 publications

References 20 publications

Self‐Reported Hearing Loss and Nonfatal Fall‐Related Injury in a Nationally Representative Sample

Self‐Reported Hearing Loss and Nonfatal Fall‐Related Injury in a Nationally Representative Sample

Hearing Difficulty and Risk of Mortality

Nationwide Analysis of Mortality Rates and Related Surgical Procedures in Hearing Disability Patients in South Korea

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