We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Dementia and Hearing Aid Use and Cessation: A National Study.
- Authors
Powell, Danielle S.; Garcia Morales, Emmanuel E.; Oh, Esther; Deal, Jennifer A.; Samus, Quincy M.; Wolff, Jennifer L.; Reed, Nicholas S.
- Abstract
Purpose: The current standard for management of hearing loss in the United States involves the use of a hearing aid. Anecdotal evidence suggests that the use of a hearing aid may be less effective in the context of dementia, though national data on use and cessation are not described. Method: This longitudinal analysis of the National Health and Aging Trends Study followed participants who self-reported hearing aid use to estimate risk of hearing aid cessation over 9 years. We examine whether hearing aid cessation differs by dementia status using generalized estimating equations logistic regression accounting for loss to follow-up. Supplemental analyses were undertaken to examine the contribution of caregiving and environmental factors on hearing aid cessation. Results: Of 1,310 older adults who reported hearing loss (25% 80-84 years, 51% women, 74% White), 22% with dementia and 57% baseline hearing aid use. Dementia increased likelihood of ceasing hearing aid use during the first year after adoption (OR = 2.07, 95% CI [1.33, 3.23], p interaction = .11). In later years, older adults with either a previous or recent diagnosis of dementia had a 95% higher odds of hearing aid cessation (OR = 1.95, 95% CI [1.31, 2.90]), a decrease in odds with respect to the first year after adoption, when compared to participants without dementia, after adjusting for demographic, health, and economic factors. Economic and social factors that may influence care demands (more caregivers, income-to-poverty ratio, and additional insurance) increased likelihood for cessation for those with dementia. Conclusions: Older adults with (vs. without) dementia are more likely to cease hearing aid use over time, most notably during the first year after adoption. Strategies to support hearing ability, such as self-management or care partner education, may improve communication for those living with co-occurring hearing loss and dementia.
- Subjects
UNITED States; CONFIDENCE intervals; HEARING aids; RACE; COMPARATIVE studies; DEMENTIA; HEARING disorders; COMMUNICATION; DESCRIPTIVE statistics; RESEARCH funding; LOGISTIC regression analysis; ODDS ratio; PATIENT care; DISEASE management; LONGITUDINAL method
- Publication
American Journal of Audiology, 2023, Vol 32, Issue 4, p898
- ISSN
1059-0889
- Publication type
Article
- DOI
10.1044/2023_AJA-23-00038