Association between self-reported hearing loss and low socioeconomic status in Japan: findings from the Toyama dementia survey

Abstract Background Age-related hearing loss reduces the quality of life in older adults. Low socioeconomic status (SES) has been reported as a risk factor for hearing loss, although this has not been verified in Japan. This study aimed to assess the association between low SES and hearing loss, exc...

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Main Authors: Nobue Nakahori, Michikazu Sekine, Masaaki Yamada, Takashi Tatsuse, Hideki Kido, Michio Suzuki
Format: Article
Language:English
Published: BMC 2020-08-01
Series:BMC Geriatrics
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12877-020-01680-y
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author Nobue Nakahori
Michikazu Sekine
Masaaki Yamada
Takashi Tatsuse
Hideki Kido
Michio Suzuki
author_facet Nobue Nakahori
Michikazu Sekine
Masaaki Yamada
Takashi Tatsuse
Hideki Kido
Michio Suzuki
author_sort Nobue Nakahori
collection DOAJ
description Abstract Background Age-related hearing loss reduces the quality of life in older adults. Low socioeconomic status (SES) has been reported as a risk factor for hearing loss, although this has not been verified in Japan. This study aimed to assess the association between low SES and hearing loss, excluding people with dementia, in Japan. Methods Data from the Toyama Dementia Survey, Japan, were used. Overall, 126 patients with hearing loss and 913 unimpaired controls were identified. Participants’ presentation of dementia, self-reported hearing loss, history of medically diagnosed disease (hypertension, hyperlipidemia, diabetes, stroke, or angina pectoris/cardiovascular disease), lifestyle factors (alcohol consumption and smoking), and SES (educational attainment and occupation) were assessed. Any association between low SES and hearing loss was investigated using logistic regression analysis. Results The odds ratio (OR) for hearing loss was higher for participants with low educational attainment than for those with high educational attainment (age- and sex-adjusted OR 3.08; 95% confidence intervals [CI], 1.51–6.28). After adjusting the models for SES, lifestyle factors, and medical history, the OR increased from 2.90 (95% CI, 1.40–6.01) to 3.43 (95% CI, 1.62–7.27). The OR for hearing loss for participants with blue-collar jobs compared with that of participants with white-collar jobs was not significant (age- and sex-adjusted OR, 1.45; 95% CI, 0.93–2.25). Older age and a history of angina pectoris or cardiovascular disease were found to increase the risk of hearing loss. Conclusions Low educational attainment was independently associated with hearing loss in older adults without dementia in Japan.
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spelling doaj.art-b1d219ae06b1499da423b05e674b5b612022-12-22T01:47:11ZengBMCBMC Geriatrics1471-23182020-08-012011710.1186/s12877-020-01680-yAssociation between self-reported hearing loss and low socioeconomic status in Japan: findings from the Toyama dementia surveyNobue Nakahori0Michikazu Sekine1Masaaki Yamada2Takashi Tatsuse3Hideki Kido4Michio Suzuki5Faculty of Nursing Science, Tsuruga Nursing UniversityDepartment of Epidemiology and Health Policy, School of Medicine, University of ToyamaDepartment of Epidemiology and Health Policy, School of Medicine, University of ToyamaDepartment of Epidemiology and Health Policy, School of Medicine, University of ToyamaKiseikai, Kido ClinicDepartment of Neuropsychiatry, School of Medicine, University of ToyamaAbstract Background Age-related hearing loss reduces the quality of life in older adults. Low socioeconomic status (SES) has been reported as a risk factor for hearing loss, although this has not been verified in Japan. This study aimed to assess the association between low SES and hearing loss, excluding people with dementia, in Japan. Methods Data from the Toyama Dementia Survey, Japan, were used. Overall, 126 patients with hearing loss and 913 unimpaired controls were identified. Participants’ presentation of dementia, self-reported hearing loss, history of medically diagnosed disease (hypertension, hyperlipidemia, diabetes, stroke, or angina pectoris/cardiovascular disease), lifestyle factors (alcohol consumption and smoking), and SES (educational attainment and occupation) were assessed. Any association between low SES and hearing loss was investigated using logistic regression analysis. Results The odds ratio (OR) for hearing loss was higher for participants with low educational attainment than for those with high educational attainment (age- and sex-adjusted OR 3.08; 95% confidence intervals [CI], 1.51–6.28). After adjusting the models for SES, lifestyle factors, and medical history, the OR increased from 2.90 (95% CI, 1.40–6.01) to 3.43 (95% CI, 1.62–7.27). The OR for hearing loss for participants with blue-collar jobs compared with that of participants with white-collar jobs was not significant (age- and sex-adjusted OR, 1.45; 95% CI, 0.93–2.25). Older age and a history of angina pectoris or cardiovascular disease were found to increase the risk of hearing loss. Conclusions Low educational attainment was independently associated with hearing loss in older adults without dementia in Japan.http://link.springer.com/article/10.1186/s12877-020-01680-yOlder adultsHearing lossSocioeconomic statusEducational attainment
spellingShingle Nobue Nakahori
Michikazu Sekine
Masaaki Yamada
Takashi Tatsuse
Hideki Kido
Michio Suzuki
Association between self-reported hearing loss and low socioeconomic status in Japan: findings from the Toyama dementia survey
BMC Geriatrics
Older adults
Hearing loss
Socioeconomic status
Educational attainment
title Association between self-reported hearing loss and low socioeconomic status in Japan: findings from the Toyama dementia survey
title_full Association between self-reported hearing loss and low socioeconomic status in Japan: findings from the Toyama dementia survey
title_fullStr Association between self-reported hearing loss and low socioeconomic status in Japan: findings from the Toyama dementia survey
title_full_unstemmed Association between self-reported hearing loss and low socioeconomic status in Japan: findings from the Toyama dementia survey
title_short Association between self-reported hearing loss and low socioeconomic status in Japan: findings from the Toyama dementia survey
title_sort association between self reported hearing loss and low socioeconomic status in japan findings from the toyama dementia survey
topic Older adults
Hearing loss
Socioeconomic status
Educational attainment
url http://link.springer.com/article/10.1186/s12877-020-01680-y
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