Associations between objective hearing function and subjective views of aging.

IF 3.5 2区 社会学 Q1 GERONTOLOGY
Jana Koch, Brooke Brady, Lidan Zheng, Kaarin J Anstey
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Abstract

Hearing loss, a common age-related health condition, has been linked to adverse health outcomes, including changes in social participation and cognitive function. As subjective views of aging are influenced by changes in health and functional abilities, we hypothesized that people with poor hearing would exhibit less favorable generalized and personal Views of Aging. Additionally, we explored whether these associations varied by age. Data were analyzed from 148 participants (aged 40-84) who completed an app-based research study: Labs without Walls. Participants completed a validated, app-based hearing task, and a pure-tone average was calculated in the better-hearing ear. Generalized Views of Aging were measured using the Expectations Regarding Aging Scale (with subscales on physical health, mental health, and cognitive function). Personal Views of Aging were measured using the Self-perceptions of Aging Scale. Structural equation modeling was conducted to explore the relative contributions of hearing function to Views of Aging constructs while controlling for chronological age, sex-at-birth, sociodemographic status, loneliness, and cognition. Cross sectionally, poorer hearing was associated with negative age expectations regarding maintaining physical health and with negative self-perceptions of aging. Contrary to our hypothesis, hearing function did not predict age expectations about mental health or cognitive function. No significant age moderation effects were observed. Overall, these findings offer preliminary evidence for distinct associations between hearing and individual Views of Aging constructs and domains. The novel insight into the association between objectively measured hearing and Views of Aging highlights the importance of addressing hearing health early in the aging process to prevent negative outcomes linked to Views of Aging.

Abstract Image

Abstract Image

客观听力功能与主观衰老观之间的关系。
听力损失是一种常见的与年龄有关的健康状况,与不利的健康结果有关,包括社会参与和认知功能的变化。由于对衰老的主观看法受到健康和功能能力变化的影响,我们假设听力差的人对衰老的总体和个人看法不那么有利。此外,我们还探讨了这些关联是否因年龄而异。研究人员分析了148名参与者(40-84岁)的数据,他们完成了一项基于应用程序的研究:无墙实验室。参与者完成了一项经过验证的基于应用程序的听力任务,并在听力较好的耳朵中计算纯音平均值。使用衰老预期量表(包括身体健康、心理健康和认知功能的子量表)测量衰老的广义观点。个人对衰老的看法采用衰老自我认知量表进行测量。在控制实足年龄、出生性别、社会人口状况、孤独感和认知等因素的情况下,采用结构方程模型探讨听力功能对老年观构式的相对贡献。从横截面上看,听力较差与保持身体健康的负面年龄预期和对衰老的负面自我认知有关。与我们的假设相反,听力功能并不能预测年龄对心理健康或认知功能的预期。未观察到明显的年龄调节作用。总的来说,这些发现为听力和个人老化构念和结构域之间的明显关联提供了初步证据。客观测量听力和衰老观之间的关系的新见解强调了在衰老过程中早期解决听力健康的重要性,以防止与衰老观相关的负面结果。
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来源期刊
CiteScore
6.50
自引率
7.90%
发文量
72
期刊介绍: The European Journal of Ageing: Social, Behavioural and Health Perspectives is an interdisciplinary journal devoted to the understanding of ageing in European societies and the world over. EJA publishes original articles on the social, behavioral and population health aspects of ageing and encourages an integrated approach between these aspects. Emphasis is put on publishing empirical research (including meta-analyses), but conceptual papers (including narrative reviews) and methodological contributions will also be considered. EJA welcomes expert opinions on critical issues in ageing. By stimulating communication between researchers and those using research findings, it aims to contribute to the formulation of better policies and the development of better practice in serving older adults. To further specify, with the term ''social'' is meant the full scope of social science of ageing related research from the micro to the macro level of analysis. With the term ''behavioural'' the full scope of psychological ageing research including life span approaches based on a range of age groups from young to old is envisaged. The term ''population health-related'' denotes social-epidemiological and public health oriented research including research on functional health in the widest possible sense.
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