The Health and Well-Being of Older Adults with Dual Sensory Impairment (DSI) in Four Countries

Guthrie, Dawn M.; Declercq, Anja; Finne-Soveri, Harriet; Fries, Brant E.; Hirdes, John P.

doi:10.1371/journal.pone.0155073

Cited by 74 publications

(88 citation statements)

References 36 publications

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“…Despite the importance of vision and hearing in the maintenance of functional ability and quality of life among older adults, vision and hearing impairments often remain undetected or underreported or untreated . Further, the impact of these impairments, especially hearing impairment, is poorly recognized.…”

Section: Discussionmentioning

confidence: 99%

“…One approach to gauge the holistic health impact, at the population level, is through the estimation of health expectancy, defined as “the analysis of both healthy and unhealthy years of life where health can be defined along various dimensions.” Health expectancy estimation is useful in monitoring population health because it captures both quantity and quality of life‐years by adding a quality‐of‐life aspect to life expectancy (LE) . Given the increasing importance placed on the need for assistance for daily activities and quality of life by older adults and their families, and the strong link of vision and/or hearing impairment with limitation in physical function and in ADLs, estimation of the years of life with and without limitation in physical function and in ADLs by vision and hearing impairment status is both pertinent and timely.…”

mentioning

confidence: 99%

“…3 And, when coexisting, that is, impairment in both vision and hearing, they have an even greater impact, vs either or none of the two impairments, on health outcomes. They are associated with limitation in ADLs, [2][3][4][5][6][7] communication difficulties, 4,6,7 social isolation, 6 depression, 4,6 cognitive decline, 2,4,6 and poor SRH. 3 Further, these impairments are associated with mortality.…”

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confidence: 99%

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The Impact of Self‐Reported Vision and Hearing Impairment on Health Expectancy

Tareque

Chan

Saito

et al. 2019

J American Geriatrics Society

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OBJECTIVES Vision and hearing impairment may impact both life expectancy (LE) and health expectancy, that is, duration of life with and without health problems, among older adults. We examined the impact of self‐reported vision and hearing impairment on years of life with and without limitation in physical function and in activities of daily living (ADLs). DESIGN Life table analysis, using a nationally representative longitudinal survey of community‐dwelling older adults aged 60 years or older, Panel on Health and Ageing of Singaporean Elderly. SETTING Singapore. PARTICIPANTS Survey participants (n = 3452) who were interviewed in 2009 and followed up in 2011‐2012 and 2015. MEASUREMENTS Participants reporting difficulty with any of nine tasks involving upper or lower extremities were considered to have a limitation in physical function. Those reporting health‐related difficulty with any of six basic ADLs or seven instrumental ADLs were considered to have a limitation in ADLs. We used the multistate life table method with a microsimulation approach to estimate health expectancy, considering self‐reported sensory impairment status as time varying. RESULTS Either or both impairments, vs neither, were associated with less years without limitation in physical function and in ADLs and more years with limitation in physical function and in ADLs, with the greatest impact on health expectancy among those with both impairments, who also had the lowest LE. For example, at age 60, those with both impairments, vs neither, could expect not only shorter LE (4.2 [95% confidence interval [CI] = 1.9‐5.7] less years; 20.7 [95% CI = 18.9‐22.5] vs 24.9 [95% CI = 23.8‐26.0]) but also more years of life with limitations in physical function (3.3 [95% CI = .9‐5.8] more years; 12.8 [95% CI = 10.7‐14.8] [about 61.7% of LE] vs 9.5 [95% CI = 8.4‐10.5] [about 38.0% of LE]). CONCLUSION Timely and appropriate management of vision and hearing impairment, especially when coexisting, among older adults has the potential to reduce the years of life they live with limitation in physical function and in ADLs. J Am Geriatr Soc 67:2528–2536, 2019

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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The Impact of Self‐Reported Vision and Hearing Impairment on Health Expectancy

Tareque

Chan

Saito

et al. 2019

J American Geriatrics Society

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“…Age-related decline in sensory function affects the quality of life in the elderly (Carabellese et al, 1993; Dalton et al, 2003; Guthrie et al, 2016). In the auditory realm, this is exemplified by the relationship between age-related hearing loss (presbycusis), speech recognition problems, social isolation, depression and cognitive decline (Weinstein and Ventry, 1982; Gordon-Salant et al, 2006; Panza et al, 2015; Wayne and Johnsrude, 2015; Deal et al, 2016; Peelle and Wingfield, 2016).…”

Section: Introductionmentioning

confidence: 99%

Age-Related Deterioration of Perineuronal Nets in the Primary Auditory Cortex of Mice

Brewton

Kokash

Jimenez

et al. 2016

Front. Aging Neurosci.

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Age-related changes in inhibitory neurotransmission in sensory cortex may underlie deficits in sensory function. Perineuronal nets (PNNs) are extracellular matrix components that ensheath some inhibitory neurons, particularly parvalbumin positive (PV+) interneurons. PNNs may protect PV+ cells from oxidative stress and help establish their rapid spiking properties. Although PNN expression has been well characterized during development, possible changes in aging sensory cortex have not been investigated. Here we tested the hypothesis that PNN+, PV+ and PV/PNN co-localized cell densities decline with age in the primary auditory cortex (A1). This hypothesis was tested using immunohistochemistry in two strains of mice (C57BL/6 and CBA/CaJ) with different susceptibility to age-related hearing loss and at three different age ranges (1–3, 6–8 and 14–24 months old). We report that PNN+ and PV/PNN co-localized cell densities decline significantly with age in A1 in both mouse strains. In the PNN+ cells that remain in the old group, the intensity of PNN staining is reduced in the C57 strain, but not the CBA strain. PV+ cell density also declines only in the C57, but not the CBA, mouse suggesting a potential exacerbation of age-effects by hearing loss in the PV/PNN system. Taken together, these data suggest that PNN deterioration may be a key component of altered inhibition in the aging sensory cortex, that may lead to altered synaptic function, susceptibility to oxidative stress and processing deficits.

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“…For example, mental health problems are often overlooked or stigmatized in acute hospital settings (33), cancer screening tends to be inadequate (42), and effective therapeutic regimens are less likely to be received by patients with mental illness who have acute myocardial infarction (43). In mental health settings, treatment of physical health problems is often delayed or inadequate (44,45), and health promotion may be regarded as a low priority (46).…”

Section: Physical Health and Disabilitymentioning

confidence: 99%

The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

et al. 2020

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The lives of persons living with mental illness are affected by psychological, biological, social, economic, and environmental factors over the life course. It is therefore unlikely that simple preventive strategies, clinical treatments, therapeutic interventions, or policy options will succeed as singular solutions for the challenges of mental illness. Persons living with mental illness receive services and supports in multiple settings across the health care continuum that are often fragmented, uncoordinated, and inadequately responsive. Appropriate assessment is an important tool that health systems must deploy to respond to the strengths, preferences, and needs of persons with mental illness. However, standard approaches are often focused on measurement of psychiatric symptoms without taking a broader perspective to address issues like growth, development, and aging; physical health and disability; social relationships; economic resources; housing; substance use; involvement with criminal justice; stigma; and recovery. Using conglomerations of instruments to cover more domains is impractical, inconsistent, and incomplete while posing considerable assessment burden. interRAI mental health instruments were developed by a network of over 100 researchers, clinicians, and policy experts from over 35 nations. This includes assessment systems for adults in inpatient psychiatry, community mental health, emergency departments, mobile crisis teams, and long-term care settings, as well as a screening system for police officers. A similar set of instruments is available for child/youth mental health. The instruments form an integrated mental health information system because they share a common assessment language, conceptual basis, clinical emphasis, data collection

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The Health and Well-Being of Older Adults with Dual Sensory Impairment (DSI) in Four Countries

Cited by 74 publications

References 36 publications

The Impact of Self‐Reported Vision and Hearing Impairment on Health Expectancy

The Impact of Self‐Reported Vision and Hearing Impairment on Health Expectancy

Age-Related Deterioration of Perineuronal Nets in the Primary Auditory Cortex of Mice

The interRAI Suite of Mental Health Assessment Instruments: An Integrated System for the Continuum of Care

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