Association of vision and hearing status with depressive symptoms among middle-aged and older Chinese adults
ObjectiveLong-term untreated vision and hearing impairments can negatively impact physical and mental wellbeing. We investigated the association of vision and hearing status with depressive symptoms among middle-aged and older Chinese adults.Methods:This was a prospective cohort study of 9,492 parti...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-08-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.857307/full |
| _version_ | 1811221953971748864 |
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| author | Yun-Guang Liu Chao-Cai Wang Qian Huang Le Zhang Yan Liu |
| author_facet | Yun-Guang Liu Chao-Cai Wang Qian Huang Le Zhang Yan Liu |
| author_sort | Yun-Guang Liu |
| collection | DOAJ |
| description | ObjectiveLong-term untreated vision and hearing impairments can negatively impact physical and mental wellbeing. We investigated the association of vision and hearing status with depressive symptoms among middle-aged and older Chinese adults.Methods:This was a prospective cohort study of 9,492 participants from the China Health and Retirement Longitudinal Study (CHARLS) carried out in 2011, 2013, 2015, and 2018. This study used self-reported vision and hearing status to determine the degree of impairment. Depressive symptoms were examined using the 10-item Center for Epidemiologic Studies Depression Scale (CESD-10), with a total score of ≥ 12 indicating depressive symptoms. A Cox proportional hazards model adjusted for age, sex, residence, marital status, educational level, smoking history, alcohol consumption, hypertension, diabetes, heart disease, digestive disease, arthritis, wearing glasses, and hearing aids was used to estimate the association of vision and hearing status with depressive symptoms among middle-aged and older Chinese adults.Results:Of the 9,492 participants [mean (SD) age at CHARLS baseline, 58.12 (9.00) years], 3,238 (34.11%) participants reported incident depressive symptoms during the 7-year follow-up period. Participants who self-reported only vision impairment [hazard ratios (HR): 1.14, 95% confidence intervals (CI): 1.05–1.24], only hearing impairment (HR: 1.24, 95% CI: 1.06–1.46), and both vision and hearing impairments (HR: 1.25, 95% CI: 1.08–1.45) were independently associated with a greater increase in the hazard risk of incident depressive symptoms compared to those without vision and hearing impairments. An increase in participants' vision and hearing scores was associated with a significant increase in the hazard risk of incident depressive symptoms (HR: 1.04, 95% CI: 1.03–1.06).Conclusion:Vision and hearing status was associated with increased depressive symptoms among middle-aged and older Chinese adults during the 7-year follow-up period. Participants' use of glasses and hearing aids did not improve their depressive symptoms. Our findings may facilitate the development of effective treatments to prevent and treat vision and hearing impairments, thereby enhancing the physical and mental wellbeing of middle-aged and older adults. |
| first_indexed | 2024-04-12T08:08:52Z |
| format | Article |
| id | doaj.art-757d51316f7e494b9512e5fbef4a9eef |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-12T08:08:52Z |
| publishDate | 2022-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-757d51316f7e494b9512e5fbef4a9eef2022-12-22T03:41:03ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-08-011010.3389/fpubh.2022.857307857307Association of vision and hearing status with depressive symptoms among middle-aged and older Chinese adultsYun-Guang Liu0Chao-Cai Wang1Qian Huang2Le Zhang3Yan Liu4Department of Public Health, Qinghai University Medical College, Xining, ChinaDepartment of Infection Disease, Qinghai Center for Disease Prevention and Control, Xining, ChinaDepartment of Public Health, Qinghai University Medical College, Xining, ChinaDepartment of Public Health, Qinghai University Medical College, Xining, ChinaDepartment of Public Health, Qinghai University Medical College, Xining, ChinaObjectiveLong-term untreated vision and hearing impairments can negatively impact physical and mental wellbeing. We investigated the association of vision and hearing status with depressive symptoms among middle-aged and older Chinese adults.Methods:This was a prospective cohort study of 9,492 participants from the China Health and Retirement Longitudinal Study (CHARLS) carried out in 2011, 2013, 2015, and 2018. This study used self-reported vision and hearing status to determine the degree of impairment. Depressive symptoms were examined using the 10-item Center for Epidemiologic Studies Depression Scale (CESD-10), with a total score of ≥ 12 indicating depressive symptoms. A Cox proportional hazards model adjusted for age, sex, residence, marital status, educational level, smoking history, alcohol consumption, hypertension, diabetes, heart disease, digestive disease, arthritis, wearing glasses, and hearing aids was used to estimate the association of vision and hearing status with depressive symptoms among middle-aged and older Chinese adults.Results:Of the 9,492 participants [mean (SD) age at CHARLS baseline, 58.12 (9.00) years], 3,238 (34.11%) participants reported incident depressive symptoms during the 7-year follow-up period. Participants who self-reported only vision impairment [hazard ratios (HR): 1.14, 95% confidence intervals (CI): 1.05–1.24], only hearing impairment (HR: 1.24, 95% CI: 1.06–1.46), and both vision and hearing impairments (HR: 1.25, 95% CI: 1.08–1.45) were independently associated with a greater increase in the hazard risk of incident depressive symptoms compared to those without vision and hearing impairments. An increase in participants' vision and hearing scores was associated with a significant increase in the hazard risk of incident depressive symptoms (HR: 1.04, 95% CI: 1.03–1.06).Conclusion:Vision and hearing status was associated with increased depressive symptoms among middle-aged and older Chinese adults during the 7-year follow-up period. Participants' use of glasses and hearing aids did not improve their depressive symptoms. Our findings may facilitate the development of effective treatments to prevent and treat vision and hearing impairments, thereby enhancing the physical and mental wellbeing of middle-aged and older adults.https://www.frontiersin.org/articles/10.3389/fpubh.2022.857307/fullvision impairmenthearing impairmentdepressive symptomsolder adultsChina |
| spellingShingle | Yun-Guang Liu Chao-Cai Wang Qian Huang Le Zhang Yan Liu Association of vision and hearing status with depressive symptoms among middle-aged and older Chinese adults Frontiers in Public Health vision impairment hearing impairment depressive symptoms older adults China |
| title | Association of vision and hearing status with depressive symptoms among middle-aged and older Chinese adults |
| title_full | Association of vision and hearing status with depressive symptoms among middle-aged and older Chinese adults |
| title_fullStr | Association of vision and hearing status with depressive symptoms among middle-aged and older Chinese adults |
| title_full_unstemmed | Association of vision and hearing status with depressive symptoms among middle-aged and older Chinese adults |
| title_short | Association of vision and hearing status with depressive symptoms among middle-aged and older Chinese adults |
| title_sort | association of vision and hearing status with depressive symptoms among middle aged and older chinese adults |
| topic | vision impairment hearing impairment depressive symptoms older adults China |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.857307/full |
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