Effects of Language, Age, and Hearing Loss on Health-Related Quality of Life

被引:4
作者
Ma, Harrison J. [1 ]
Orozco, Francis Reyes [1 ]
Raj, Christine K. [1 ]
Herrera, Kevin [1 ]
Parsons, John C. [1 ]
Kim, Ian [2 ]
Hur, Kevin [1 ]
机构
[1] Univ Southern Calif, Keck Sch Med, Caruso Dept Otolaryngol Head & Neck Surg, 1537 Norfolk St,Suite 5800, Los Angeles, CA 90033 USA
[2] Univ Southern Calif, Keck Sch Med, Dept Populat & Publ Hlth Sci, Los Angeles, CA 90033 USA
关键词
aging; health outcomes; health-related quality of life; hearing loss; language; otology; CARE; IMPACT; POPULATION; PREVALENCE; DISCHARGE; BARRIERS; OUTCOMES; TESTS;
D O I
10.1002/oto2.55
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
ObjectiveTo understand the effect of age on health-related quality of life (HRQoL) in patients with hearing loss and determine how primary language mediates this relationship. Study DesignCross-sectional study. SettingGeneral otolaryngology clinic in Los Angeles. MethodsDemographics, medical records, and HRQoL data of adult patients presenting with otology symptoms were reviewed. HRQoL was measured using the Short-Form 6-Dimension utility index. All patients underwent audiological testing. A path analysis was performed to generate a moderated path analysis with HRQoL as the primary outcome. ResultsThis study included 255 patients (mean age = 54 years; 55% female; 27.8% did not speak English as a primary language). Age had a positive direct association with HRQoL (p < .001). However, the direction of this association was reversed by hearing loss. Older patients exhibited significantly worse hearing (p < .001), which was negatively associated with HRQoL (p < .05). Primary language moderated the relationship between age and hearing loss. Specifically, patients who did not speak English as a primary language had significantly worse hearing (p < .001) and therefore worse HRQoL (p < .01) than patients who spoke English as a primary language with hearing loss. Increasing age was associated with bilateral hearing loss compared to unilateral hearing loss (p < .001) and subsequently lower HRQoL (p < .001). Polypharmacy (p < .01) and female gender (p < .01) were significantly associated with lower HRQoL. ConclusionAmong otolaryngology patients with otology symptoms, older age and not speaking English as a primary language were associated with worse hearing and subsequently lower HRQoL.
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页数:8
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