Hearing loss and depressive symptoms in older Chinese: whether social isolation plays a role
Abstract Background Existing evidence links hearing loss to depressive symptoms, with the extent of association and underlying mechanisms remaining inconclusive. We conducted a cross-sectional study to examine the association of hearing loss with depressive symptoms and explored whether social isola...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-07-01
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| Series: | BMC Geriatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12877-022-03311-0 |
| _version_ | 1811222325906898944 |
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| author | Hao Huang Jiao Wang Chao Qiang Jiang Feng Zhu Ya Li Jin Tong Zhu Wei Sen Zhang Lin Xu |
| author_facet | Hao Huang Jiao Wang Chao Qiang Jiang Feng Zhu Ya Li Jin Tong Zhu Wei Sen Zhang Lin Xu |
| author_sort | Hao Huang |
| collection | DOAJ |
| description | Abstract Background Existing evidence links hearing loss to depressive symptoms, with the extent of association and underlying mechanisms remaining inconclusive. We conducted a cross-sectional study to examine the association of hearing loss with depressive symptoms and explored whether social isolation mediated the association. Methods Eight thousand nine hundred sixty-two participants from Guangzhou Biobank Cohort Study were included. Data on self-reported hearing status, the 15-item Geriatric Depression Scale (GDS-15), social isolation and potential confounders were collected by face-to-face interview. Results The mean (standard deviation) age of participants was 60.2 (7.8) years. The prevalence of poor and fair hearing was 6.8% and 60.8%, respectively. After adjusting for age, sex, household income, education, occupation, smoking, alcohol use, self-rated health, comorbidities, compared with participants who had normal hearing, those with poor hearing (β = 0.74, 95% confidence interval (CI) 0.54, 0.94) and fair hearing (β = 0.59, 95% CI 0.48, 0.69) had higher scores of GDS-15. After similar adjustment, those with poor hearing (odds ratio (OR) = 2.13, 95% CI 1.65, 2.74) or fair hearing (OR = 1.68, 95% CI 1.43, 1.99) also showed higher odds of depressive symptoms. The association of poor and fair hearing with depressive symptoms attenuated slightly but not substantially after additionally adjusting for social isolation. In the mediation analysis, the adjusted proportion of the association mediated through social isolation was 9% (95% CI: 6%, 22%). Conclusion Poor hearing was associated with a higher risk of depressive symptoms, which was only partly mediated by social isolation. Further investigation of the underlying mechanisms is warranted. |
| first_indexed | 2024-04-12T08:15:01Z |
| format | Article |
| id | doaj.art-e53c364b88e24a69bd1e6cd9e5a92902 |
| institution | Directory Open Access Journal |
| issn | 1471-2318 |
| language | English |
| last_indexed | 2024-04-12T08:15:01Z |
| publishDate | 2022-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Geriatrics |
| spelling | doaj.art-e53c364b88e24a69bd1e6cd9e5a929022022-12-22T03:40:51ZengBMCBMC Geriatrics1471-23182022-07-012211810.1186/s12877-022-03311-0Hearing loss and depressive symptoms in older Chinese: whether social isolation plays a roleHao Huang0Jiao Wang1Chao Qiang Jiang2Feng Zhu3Ya Li Jin4Tong Zhu5Wei Sen Zhang6Lin Xu7School of Public Health, Sun Yat-Sen UniversitySchool of Public Health, Sun Yat-Sen UniversityGuangzhou Twelfth People’s HospitalGuangzhou Twelfth People’s HospitalGuangzhou Twelfth People’s HospitalGuangzhou Twelfth People’s HospitalGuangzhou Twelfth People’s HospitalSchool of Public Health, Sun Yat-Sen UniversityAbstract Background Existing evidence links hearing loss to depressive symptoms, with the extent of association and underlying mechanisms remaining inconclusive. We conducted a cross-sectional study to examine the association of hearing loss with depressive symptoms and explored whether social isolation mediated the association. Methods Eight thousand nine hundred sixty-two participants from Guangzhou Biobank Cohort Study were included. Data on self-reported hearing status, the 15-item Geriatric Depression Scale (GDS-15), social isolation and potential confounders were collected by face-to-face interview. Results The mean (standard deviation) age of participants was 60.2 (7.8) years. The prevalence of poor and fair hearing was 6.8% and 60.8%, respectively. After adjusting for age, sex, household income, education, occupation, smoking, alcohol use, self-rated health, comorbidities, compared with participants who had normal hearing, those with poor hearing (β = 0.74, 95% confidence interval (CI) 0.54, 0.94) and fair hearing (β = 0.59, 95% CI 0.48, 0.69) had higher scores of GDS-15. After similar adjustment, those with poor hearing (odds ratio (OR) = 2.13, 95% CI 1.65, 2.74) or fair hearing (OR = 1.68, 95% CI 1.43, 1.99) also showed higher odds of depressive symptoms. The association of poor and fair hearing with depressive symptoms attenuated slightly but not substantially after additionally adjusting for social isolation. In the mediation analysis, the adjusted proportion of the association mediated through social isolation was 9% (95% CI: 6%, 22%). Conclusion Poor hearing was associated with a higher risk of depressive symptoms, which was only partly mediated by social isolation. Further investigation of the underlying mechanisms is warranted.https://doi.org/10.1186/s12877-022-03311-0Hearing lossDepressive symptomsSocial isolation |
| spellingShingle | Hao Huang Jiao Wang Chao Qiang Jiang Feng Zhu Ya Li Jin Tong Zhu Wei Sen Zhang Lin Xu Hearing loss and depressive symptoms in older Chinese: whether social isolation plays a role BMC Geriatrics Hearing loss Depressive symptoms Social isolation |
| title | Hearing loss and depressive symptoms in older Chinese: whether social isolation plays a role |
| title_full | Hearing loss and depressive symptoms in older Chinese: whether social isolation plays a role |
| title_fullStr | Hearing loss and depressive symptoms in older Chinese: whether social isolation plays a role |
| title_full_unstemmed | Hearing loss and depressive symptoms in older Chinese: whether social isolation plays a role |
| title_short | Hearing loss and depressive symptoms in older Chinese: whether social isolation plays a role |
| title_sort | hearing loss and depressive symptoms in older chinese whether social isolation plays a role |
| topic | Hearing loss Depressive symptoms Social isolation |
| url | https://doi.org/10.1186/s12877-022-03311-0 |
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