Self-reported hearing loss, hearing aid use, and cognitive function among U.S. older adults
Open Access
- 16 June 2022
- journal article
- Published by AccScience Publishing in International Journal of Population Studies
- Vol. 8 (1), 17-26
- https://doi.org/10.18063/ijps.v8i1.1308
Abstract
There has been increasing attention to the role of hearing loss as a potentially modifiable risk factor for Alzheimer’s disease and related dementias. However, more nationally-representative studies are needed to understand the co-occurring changes in hearing loss and cognitive function in older adults over time, and how hearing aid use might influence this association. The purpose of this report is to examine how age-related changes in hearing loss and hearing aid use are associated with trajectories of cognitive function in a nationally-representative sample of U.S. older adults. We used 11 waves of longitudinal data from the Health and Retirement Study (HRS) from 1998 to 2018 to examine changes in self-reported hearing loss, hearing aid use, and cognitive function in adults 65 and older by race and ethnicity. Results from mixed models showed that greater levels of hearing loss were associated with lower levels of cognitive function at age 65 in non-Hispanic White, non-Hispanic Black, and Hispanic older adults. We also found that the associations diminished across age in White and Black individuals; but remained persistent in Hispanic individuals. The use of hearing aids was not associated with cognitive function in Black older adults but appeared protective for White and Hispanic older adults. Overall, the findings from this report suggest that the timely identification of hearing loss and subsequent acquisition of hearing aids may be important considerations for reducing declines in cognitive function that manifests differently in U.S. population subgroups.Keywords
This publication has 31 references indexed in Scilit:
- Cohort Profile: the Health and Retirement Study (HRS)International Journal of Epidemiology, 2014
- Hearing Loss and Cognitive Decline in Older AdultsJAMA Internal Medicine, 2013
- Hearing Disability Measured by the Speech, Spatial, and Qualities of Hearing Scale in Clinically Normal-Hearing and Hearing-Impaired Middle-Aged Persons, and Disability Screening by Means of a Reduced SSQ (the SSQ5)Ear & Hearing, 2012
- Race-Ethnicity and Health TrajectoriesJournal of Health and Social Behavior, 2012
- Hearing Loss and Cognition Among Older Adults in the United StatesThe Journals of Gerontology, Series A: Biological Sciences and Medical Sciences, 2011
- Hearing Loss and Incident DementiaArchives of Neurology, 2011
- Life course determinants of racial and ethnic disparities in functional health trajectoriesSocial Science & Medicine (1982), 2010
- Prevalence of Hearing Loss and Differences by Demographic Characteristics Among US AdultsData From the National Health and Nutrition Examination Survey, 1999-2004JAMA Internal Medicine, 2008
- The Relationship Between Hearing Impairment and Cognitive Function: A 5-Year Longitudinal StudyResearch in Gerontological Nursing, 2008
- The Relationships between Self-reported Hearing Disability and Measures of Auditory DisabilityInternational Journal of Audiology, 1996