Hearing impairment associated with depression in US adults, National Health and Nutrition Examination Survey 2005-2010

Details

• Personal Author:
  Cotch MF ; Hoffman HJ ; Li C-M ; Themann, Christa L. ; Wilson MR ; Zhang X
• Description:
  IMPORTANCE: Depression among hearing impaired US adults has not been studied previously. OBJECTIVE: To estimate the prevalence of and risk factors for depression among adults with hearing loss. DESIGN, SETTING, AND PARTICIPANTS: Adults aged 18 years or older (N = 18 318) who participated in the National Health and Nutrition Examination Survey (NHANES), 2005-2010, a nationally representative sample. INTERVENTIONS: Multistage probability sampling of US population. MAIN OUTCOMES AND MEASURES: Depression, assessed by the 9-item Patient Health Questionnaire (PHQ-9) scale, and hearing impairment (HI), assessed by self-report and audiometric examination for adults aged 70 years or older. RESULTS The prevalence of moderate to severe depression (PHQ-9 score, >10) was 4.9%for individuals reporting excellent hearing, 7.1% for those with good hearing, and 11.4%for participants who reported a little trouble or greater HI. Using excellent hearing as the reference, after adjusting for all covariates, multivariate odds ratios (ORs) for depression were 1.4 (95%CI, 1.1-1.8) for good hearing, 1.7 (1.3-2.2) for a little trouble, 2.4 (1.7-3.2) for moderate trouble, 1.5 (0.9-2.6) for a lot of trouble, and 0.6 (0.1-2.6) for deaf. Moderate HI (defined by better ear pure-tone average of hearing thresholds at 0.5, 1, 2, and 4 kHz within the range 35- to 49-dB hearing level) was significantly associated with depression among older women (OR, 3.9; 95%CI, 1.3-11.3), after adjusting for age, sex, race/ethnicity, lifestyle characteristics, and selected health conditions. CONCLUSIONS AND RELEVANCE: After accounting for health conditions and other factors, including trouble seeing, self-reported HI and audiometrically determined HI were significantly associated with depression, particularly in women. Health care professionals should be aware of an increased risk for depression among adults with hearing loss. [Description provided by NIOSH]
• Subjects:
  Aging Hearing Hearing Loss Hearing Loss, Noise-Induced Mental Health Occupational Health Risk Assessment Risk Factors Safety Surveys And Questionnaires Women

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• Keywords:
  Age-groups Audiometers Auditory-system Hearing-disorders Hearing-loss Humans Psychological-effects Psychology Questionnaires Risk-factors Sampling Statistical-analysis

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• ISSN:
  2168-6181
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  Maryland ; Michigan ; Ohio ; OSHA Region 3 ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DART - Division of Applied Research and Technology
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  293-302
• Volume:
  140
• Issue:
  4
• NIOSHTIC Number:
  nn:20044180
• Citation:
  JAMA Otolaryngol Head Neck Surg 2014 Apr; 140(4):293-302
• Contact Point Address:
  Chuan-Ming, Li,MD, PhD, Epidemiology and Statistics Program, National Institute on Deafness and Other Communication Disorders, National Institutes of Health, 6001 Executive Blvd, Ste 8300, Bethesda, MD 20892
• Email:
  chuan-ming.li@nih.gov
• Federal Fiscal Year:
  2014
• Peer Reviewed:
  True
• Source Full Name:
  JAMA Otolaryngology. Head & Neck Surgery
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:a73f59797befce83e39a431c9229495c869ffb982673fd17ccd38008414d454c4065540c0ec67b0948d709c7335438914328b344bc8bd792046f03c1816a43cc
• Download URL:
  https://stacks.cdc.gov/view/cdc/199965/cdc_199965_DS1.pdf
• File Type:
  [PDF - 267.29 KB ]