{"title":"听力损失和负面社会经历在我们所有人的研究项目。","authors":"Angela Renne, Jenny X Chen","doi":"10.1002/ohn.1176","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>This study aims to assess the impact of demographic characteristics on negative social experiences for individuals with bilateral hearing loss.</p><p><strong>Study design: </strong>A 1:1 matched case-control study.</p><p><strong>Setting: </strong>Participants with and without bilateral hearing loss in the All of Us Research Program database.</p><p><strong>Methods: </strong>Multivariable logistic ordinal regression, controlling for various demographic and health factors, examined the association between hearing loss and self-reports of isolation, discrimination, stress, and poor health care experiences.</p><p><strong>Results: </strong>A total of 9050 participants had bilateral hearing loss. Compared to matched controls, those with hearing loss had greater odds of reporting isolation (odds ratio [OR] 1.15, 95% confidence interval [CI] 1.09-1.21, P < .001), discrimination (OR 1.13, 95% CI 1.07-1.19, P < .001), and stress (OR 1.32, 95% CI 1.25-1.40, P < .001) but not health care experiences. Younger (18-39) and middle-aged adults (40-64) reported higher isolation (OR 2.77, 95% CI 2.41-3.24, P < .001 [18-39]; OR 1.97, 95% CI 1.82-2.15, P < .001 [40-64]), discrimination (OR 4.49, 95% CI 3.51-5.73, P < .001 [18-39]; OR 2.71, 95% CI 2.45-3.00, P < .001 [40-64]), and stress (OR 6.67, 95% CI 5.22-8.53, P < .001 [18-39]; OR 2.38, 95% CI 2.14-2.64, P < .001 [40-64]) compared to those older than 65. Females with hearing loss reported more isolation (OR 1.14, 95% CI 1.05-1.23, P < .01), discrimination (OR 1.50, 95% CI 1.38-1.63, P < .001), and stress (OR 1.86, 95% CI 1.73-1.99, P < .001). Severe hearing loss was associated with worse outcomes. Hearing aids were not protective against negative social experiences.</p><p><strong>Conclusion: </strong>Certain demographic factors were associated with negative social experiences in individuals with bilateral hearing loss. Future interventions should account for these differences.</p><p><strong>Level of evidence: 3: </strong></p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":"1640-1648"},"PeriodicalIF":2.6000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Hearing Loss and Negative Social Experiences in the All of Us Research Program.\",\"authors\":\"Angela Renne, Jenny X Chen\",\"doi\":\"10.1002/ohn.1176\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>This study aims to assess the impact of demographic characteristics on negative social experiences for individuals with bilateral hearing loss.</p><p><strong>Study design: </strong>A 1:1 matched case-control study.</p><p><strong>Setting: </strong>Participants with and without bilateral hearing loss in the All of Us Research Program database.</p><p><strong>Methods: </strong>Multivariable logistic ordinal regression, controlling for various demographic and health factors, examined the association between hearing loss and self-reports of isolation, discrimination, stress, and poor health care experiences.</p><p><strong>Results: </strong>A total of 9050 participants had bilateral hearing loss. Compared to matched controls, those with hearing loss had greater odds of reporting isolation (odds ratio [OR] 1.15, 95% confidence interval [CI] 1.09-1.21, P < .001), discrimination (OR 1.13, 95% CI 1.07-1.19, P < .001), and stress (OR 1.32, 95% CI 1.25-1.40, P < .001) but not health care experiences. Younger (18-39) and middle-aged adults (40-64) reported higher isolation (OR 2.77, 95% CI 2.41-3.24, P < .001 [18-39]; OR 1.97, 95% CI 1.82-2.15, P < .001 [40-64]), discrimination (OR 4.49, 95% CI 3.51-5.73, P < .001 [18-39]; OR 2.71, 95% CI 2.45-3.00, P < .001 [40-64]), and stress (OR 6.67, 95% CI 5.22-8.53, P < .001 [18-39]; OR 2.38, 95% CI 2.14-2.64, P < .001 [40-64]) compared to those older than 65. Females with hearing loss reported more isolation (OR 1.14, 95% CI 1.05-1.23, P < .01), discrimination (OR 1.50, 95% CI 1.38-1.63, P < .001), and stress (OR 1.86, 95% CI 1.73-1.99, P < .001). Severe hearing loss was associated with worse outcomes. Hearing aids were not protective against negative social experiences.</p><p><strong>Conclusion: </strong>Certain demographic factors were associated with negative social experiences in individuals with bilateral hearing loss. Future interventions should account for these differences.</p><p><strong>Level of evidence: 3: </strong></p>\",\"PeriodicalId\":19707,\"journal\":{\"name\":\"Otolaryngology- Head and Neck Surgery\",\"volume\":\" \",\"pages\":\"1640-1648\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Otolaryngology- Head and Neck Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/ohn.1176\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/2/25 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"OTORHINOLARYNGOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Otolaryngology- Head and Neck Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/ohn.1176","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/2/25 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"OTORHINOLARYNGOLOGY","Score":null,"Total":0}
Hearing Loss and Negative Social Experiences in the All of Us Research Program.
Objective: This study aims to assess the impact of demographic characteristics on negative social experiences for individuals with bilateral hearing loss.
Study design: A 1:1 matched case-control study.
Setting: Participants with and without bilateral hearing loss in the All of Us Research Program database.
Methods: Multivariable logistic ordinal regression, controlling for various demographic and health factors, examined the association between hearing loss and self-reports of isolation, discrimination, stress, and poor health care experiences.
Results: A total of 9050 participants had bilateral hearing loss. Compared to matched controls, those with hearing loss had greater odds of reporting isolation (odds ratio [OR] 1.15, 95% confidence interval [CI] 1.09-1.21, P < .001), discrimination (OR 1.13, 95% CI 1.07-1.19, P < .001), and stress (OR 1.32, 95% CI 1.25-1.40, P < .001) but not health care experiences. Younger (18-39) and middle-aged adults (40-64) reported higher isolation (OR 2.77, 95% CI 2.41-3.24, P < .001 [18-39]; OR 1.97, 95% CI 1.82-2.15, P < .001 [40-64]), discrimination (OR 4.49, 95% CI 3.51-5.73, P < .001 [18-39]; OR 2.71, 95% CI 2.45-3.00, P < .001 [40-64]), and stress (OR 6.67, 95% CI 5.22-8.53, P < .001 [18-39]; OR 2.38, 95% CI 2.14-2.64, P < .001 [40-64]) compared to those older than 65. Females with hearing loss reported more isolation (OR 1.14, 95% CI 1.05-1.23, P < .01), discrimination (OR 1.50, 95% CI 1.38-1.63, P < .001), and stress (OR 1.86, 95% CI 1.73-1.99, P < .001). Severe hearing loss was associated with worse outcomes. Hearing aids were not protective against negative social experiences.
Conclusion: Certain demographic factors were associated with negative social experiences in individuals with bilateral hearing loss. Future interventions should account for these differences.
期刊介绍：
Otolaryngology–Head and Neck Surgery (OTO-HNS) is the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery Foundation. The mission of Otolaryngology–Head and Neck Surgery is to publish contemporary, ethical, clinically relevant information in otolaryngology, head and neck surgery (ear, nose, throat, head, and neck disorders) that can be used by otolaryngologists, clinicians, scientists, and specialists to improve patient care and public health.
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