Mediating Effects of Depression in Hearing Loss and Language Function in the Elderly
10.3969/j.issn.1006-7299.2024.04.004
- VernacularTitle:抑郁在老年人听力减退与语言功能中的中介效应
- Author:
Xi CHENG
1
;
Yan ZENG
;
Heng XU
;
Dan LIU
;
Guirong CHENG
Author Information
1. 武汉科技大学医学院脑科学先进技术研究院(武汉 430065)
- Keywords:
Hearing loss;
Language function impairment;
Depression;
Mediation effect;
Elderly
- From:
Journal of Audiology and Speech Pathology
2024;32(4):308-312
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the effect of hearing loss on language function and the mediating effect of de-pression on hearing loss and language function,to provide a reference for the intervention of language function im-pairment in the elderly.Methods Data of 6 002 older adults ≥65 years old from the Hubei Aging and Memory Co-hort Study(HAMCS)were collected from 2018 to 2022.A multivariate logistic regression model was used to ana-lyze the effect of hearing loss on language function,and a Bootstrap method was used to analyze the mediating effect of depression score on hearing loss on language function.Results Among 6 002 older adults ≥65 years old,1 137(18.94％)had mild hearing loss,264(4.40％)had moderate and severe hearing loss,and 2 611(43.50％)had language function impairment.After controlling for related factors such as age,years of education,marital status,place of residence,physical exercise,intellectual activity,hypertension,coronary heart disease and cerebrovascular disease,multivariate logistic regression analysis showed that the risk of speech function impairment in the elderly with mild hearing loss and moderate to severe hearing loss was 1.33 times(95％CI:1.13～1.56,P=0.001)and 1.77 times(95％CI:1.29～2.42,P＜0.001)respectively.The mediating effect showed that depression played a partial mediating role between hearing loss and language function,and the mediating effect was-0.021(95％CI:-0.027～-0.015,P＜0.001),accounting for 12.96％of the total effects.Conclusion Hearing loss increases the risk of language impairment,and depression playing a partial mediating role between hearing loss and language func-tion in the elderly.
