TY - JOUR
T1 - Age and sex differences in hearing loss association with depressive symptoms
T2 - Analyses of NHANES 2011-2012
AU - Scinicariello, Franco
AU - Przybyla, Jennifer
AU - Carroll, Yulia
AU - Eichwald, John
AU - Decker, John
AU - Breysse, Patrick N.
N1 - Funding Information:
We thank our colleagues at the CDC National Center for Health Statistics who conducted the NHANES surveys and our colleagues at the National Institute for Occupational Safety and Health who analyzed the NHANES audiograms.
Publisher Copyright:
© 2018 Cambridge University Press.
PY - 2019/4/1
Y1 - 2019/4/1
N2 - Background Depression is a common and significant health problem. Hearing loss is the third most common chronic physical condition in the USA and might be a factor in depression. To determine whether hearing loss is associated with depressive symptoms in US adults ages 20-69 years.Methods National Health and Nutrition Examination Survey (NHANES) data (2011-2012) were used to assess the potential relationship between hearing loss and depression, in adults (20-69 years) who answered the Patient Health Questionnaire (PHQ-9) depression screening module, with pure tone audiometry measurements, and complete information on the co-variates data (n = 3316). The degree of speech-frequency hearing loss (SFHL) and high-frequency hearing loss (HFHL) were defined as slight/mild hearing loss ≥26-40 dB; moderate/worse hearing loss ≥41 dB by pure tone audiometry examination.Results Moderate/worse HFHL was statistically significantly associated with depressive symptoms (OR 1.54, 95% CL 1.04-2.27) when the analyses were conducted among all participants. Further stratification by gender and age groups found that moderate/worse HFHL (OR 3.85, 95% CL 1.39-10.65) and moderate/worse SFHL (OR 5.75, 95% CL 1.46-22.71) were associated with depressive symptoms in women ages 52-69 years.Conclusions Moderate/worse speech frequency and HFHL are associated with depression in women ages 52-69 years, independent of other risk factors. Hearing screenings are likely to reduce delays in diagnosis and provide early opportunities for noise prevention counseling and access to hearing aids. Health professionals should be aware of depressive signs and symptoms in patients with hearing loss.
AB - Background Depression is a common and significant health problem. Hearing loss is the third most common chronic physical condition in the USA and might be a factor in depression. To determine whether hearing loss is associated with depressive symptoms in US adults ages 20-69 years.Methods National Health and Nutrition Examination Survey (NHANES) data (2011-2012) were used to assess the potential relationship between hearing loss and depression, in adults (20-69 years) who answered the Patient Health Questionnaire (PHQ-9) depression screening module, with pure tone audiometry measurements, and complete information on the co-variates data (n = 3316). The degree of speech-frequency hearing loss (SFHL) and high-frequency hearing loss (HFHL) were defined as slight/mild hearing loss ≥26-40 dB; moderate/worse hearing loss ≥41 dB by pure tone audiometry examination.Results Moderate/worse HFHL was statistically significantly associated with depressive symptoms (OR 1.54, 95% CL 1.04-2.27) when the analyses were conducted among all participants. Further stratification by gender and age groups found that moderate/worse HFHL (OR 3.85, 95% CL 1.39-10.65) and moderate/worse SFHL (OR 5.75, 95% CL 1.46-22.71) were associated with depressive symptoms in women ages 52-69 years.Conclusions Moderate/worse speech frequency and HFHL are associated with depression in women ages 52-69 years, independent of other risk factors. Hearing screenings are likely to reduce delays in diagnosis and provide early opportunities for noise prevention counseling and access to hearing aids. Health professionals should be aware of depressive signs and symptoms in patients with hearing loss.
KW - Depression
KW - Hearing loss
KW - NHANES
KW - PHQ-9 Patient Health Questionnaire
KW - Sex
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U2 - 10.1017/S0033291718001617
DO - 10.1017/S0033291718001617
M3 - Article
C2 - 29909806
AN - SCOPUS:85048818000
SN - 0033-2917
VL - 49
SP - 962
EP - 968
JO - Psychological medicine
JF - Psychological medicine
IS - 6
ER -