Cognitive impairment and hearing loss in Colombian aged population

Leonardo Elías Ordóñez Ordóñez , Daniela Cerón Perdomo , Gloria Corredor-Rojas , Jorge Medina-Parra , Esther Sofía Angulo Martínez
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引用次数: 0

Abstract

Background

Hearing loss and cognitive impairment are widely prevalent in individuals aged 60 years and above. Hearing loss is one of the main modifiable risk factors for dementia, emphasizing the importance for potentially mitigating cognitive decline.

Methods

This study performed a secondary analysis of the database of Survey on Health, Well-Being, and Aging in Colombia (SABE Colombia). Hearing loss and cognitive impairment were assessed by self-report and the abbreviated Folstein version of the Mini Mental State Examination validated in Latin American Spanish. Information was searched on hearing rehabilitation and access barriers. A logistic regression model was used to assess the impact factors of cognitive impairment.

Results

Among 23,694 participants, the estimated prevalence of hearing loss was 31.73 % and for cognitive impairment was 19.79 %, which is similar with global reports. A significant proportion of individuals with hearing loss (93.13 %) remain untreated. There was a statistically significant association between the presence of hearing loss and risk of cognitive impairment (p < 0.001). Older age, fewer years of education, gender (women) and affiliation to subsidized scheme/not being affiliated were also found having significant associations with cognitive impairment (p < 0.001).

Conclusions

This study offers valuable insights into cognitive impairment and hearing loss and their interrelation in Colombia, thereby assisting government authorities and health system stakeholders in making informed decisions regarding public health policies and resource allocation.
哥伦比亚老年人口的认知障碍和听力损失
听力损失和认知障碍在60岁及以上的人群中普遍存在。听力损失是痴呆症的主要可改变的危险因素之一,强调了潜在地减轻认知能力下降的重要性。方法本研究对哥伦比亚健康、福祉和老龄化调查数据库(SABE Colombia)进行了二次分析。听力损失和认知障碍的评估采用自我报告和拉丁美洲西班牙语验证的简化Folstein版迷你精神状态检查。检索了听力康复和访问障碍方面的信息。采用logistic回归模型评估认知功能障碍的影响因素。结果在23,694名参与者中,听力损失的估计患病率为31.73%,认知障碍的估计患病率为19.79%,与全球报告相似。相当大比例的听力损失患者(93.13%)仍未得到治疗。听力损失与认知障碍风险之间存在统计学上显著的关联(p <;0.001)。年龄较大、受教育年限较短、性别(女性)和是否参加补贴计划也被发现与认知障碍有显著关联(p <;0.001)。本研究为哥伦比亚的认知障碍和听力损失及其相互关系提供了有价值的见解,从而帮助政府当局和卫生系统利益相关者在公共卫生政策和资源分配方面做出明智的决策。
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来源期刊
Aging and health research
Aging and health research Clinical Neurology, Public Health and Health Policy, Geriatrics and Gerontology
CiteScore
0.60
自引率
0.00%
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0
审稿时长
12 weeks
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