Associations Between Predisposing, Enabling, and Need Factors and Hours of Daily Hearing Aid Use in the Atherosclerosis Risk in Communities Study.

IF 1.8 4区医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

American Journal of Audiology Pub Date : 2025-10-03 DOI:10.1044/2025_AJA-24-00251

Nicholas S Reed, Kening Jiang, Sarah Y Bessen, Grace Gahlon, Osama Tarabichi, Clarice Myers, Alison Huang, Danielle Powell, Frank R Lin, Jennifer A Deal

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引用次数: 0

Abstract

Purpose: Hearing aids are the primary treatment for age-related hearing loss but are vastly underutilized. We explored cross-sectional associations between predisposing, enabling, and need factors and hours of daily hearing aid use.

Method: In the Atherosclerosis Risk in Communities (ARIC) Study, 764 participants at Visit 6 (2016-2017) reported hearing aid use. Self-reported hours of daily hearing aid use were modeled continuously (hours) and categorically (< 6, 6-12, and > 12 hr). Covariates included predisposing (age, sex, race-center), enabling (education, marital status, years of prior hearing aid use, global cognitive factor score, depressive symptoms, access to health care, health literacy), and need factors (pure-tone average [PTA], Quick Speech-in-Noise Test [QuickSIN] score). Multivariable-adjusted linear and ordinal logistic models were used to examine associations between these factors and daily hearing aid use.

Results: Every 1-year increase in prior hearing aid use was associated with 0.08-hr increase in daily hearing aid use (95% confidence interval [CI] [0.04, 0.13]); every 10-dB increase in PTA was associated with 0.63-hr increase in daily hearing aid use (95% CI [0.18, 1.08]); every 5-point increase in QuickSIN score was associated with 0.53-hr decrease in daily hearing aid use (95% CI [-0.99, -0.06]). Longer duration of prior hearing aid use and poor PTA and QuickSIN performance were associated with higher odds of being in a higher hearing aid use category.

Conclusions: Hours of daily hearing aid use is driven primarily by audiometric hearing, SIN performance, and years of prior hearing aid use. Further research into determinants of hours of use can improve precision of hearing care.

Supplemental material: https://doi.org/10.23641/asha.30192826.

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社区动脉粥样硬化风险研究中易感因素、启用因素和需要因素与每日助听器使用时间的关系

目的：助听器是老年性听力损失的主要治疗手段，但尚未得到充分利用。我们探讨了易感因素、使能因素和需要因素与每日助听器使用时间之间的横断面关联。方法：在社区动脉粥样硬化风险（ARIC）研究中，764名参与者在访问6（2016-2017）时报告使用助听器。自我报告的每日助听器使用时间连续（小时）和分类（< 6小时、6-12小时和10 -12小时）建模。协变量包括易感因素（年龄、性别、种族中心）、使能因素（教育程度、婚姻状况、助听器使用年限、整体认知因素评分、抑郁症状、获得医疗保健的机会、健康素养）和需求因素（纯音平均[PTA]、快速噪音语音测试[QuickSIN]评分）。使用多变量调整线性和有序逻辑模型来检验这些因素与日常助听器使用之间的关系。结果：既往助听器使用每增加1年，每日助听器使用时间增加0.08小时（95%可信区间[CI] [0.04, 0.13]）；PTA每增加10 db，每天使用助听器的时间增加0.63小时（95% CI [0.18, 1.08]）；QuickSIN评分每增加5分，每天使用助听器的时间减少0.53小时（95% CI[-0.99, -0.06]）。较长的助听器使用时间和较差的PTA和QuickSIN性能与较高的助听器使用类别的可能性相关。结论：每天使用助听器的时间主要由听力测量、SIN性能和助听器使用年限决定。进一步研究使用时间的决定因素可以提高听力护理的准确性。补充资料：https://doi.org/10.23641/asha.30192826。

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来源期刊

American Journal of Audiology AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-OTORHINOLARYNGOLOGY

CiteScore

3.00

自引率

16.70%

发文量

163

审稿时长

>12 weeks

期刊介绍： Mission: AJA publishes peer-reviewed research and other scholarly articles pertaining to clinical audiology methods and issues, and serves as an outlet for discussion of related professional and educational issues and ideas. The journal is an international outlet for research on clinical research pertaining to screening, diagnosis, management and outcomes of hearing and balance disorders as well as the etiologies and characteristics of these disorders. The clinical orientation of the journal allows for the publication of reports on audiology as implemented nationally and internationally, including novel clinical procedures, approaches, and cases. AJA seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work. Scope: The broad field of clinical audiology, including audiologic/aural rehabilitation; balance and balance disorders; cultural and linguistic diversity; detection, diagnosis, prevention, habilitation, rehabilitation, and monitoring of hearing loss; hearing aids, cochlear implants, and hearing-assistive technology; hearing disorders; lifespan perspectives on auditory function; speech perception; and tinnitus.