Moderating Role of Neighborhood Environment in the Associations Between Hearing Loss and Cognitive Challenges Among Older Adults: Evidence From US National Study.

IF 1.8 3区 社会学 Q2 GERONTOLOGY Research on Aging Pub Date : 2024-08-01 Epub Date: 2024-02-16 DOI:10.1177/01640275241234372
Ethan Siu Leung Cheung, Zhe Zhang
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Abstract

This study examined the associations between hearing loss and cognitive challenges among community-dwelling older adults and whether neighborhood characteristics (physical disorder and low social cohesion) moderated the associations. Cross-sectional national data from Round 11 of the National Health and Aging Trends Study were adopted (N = 2,515). Multinomial logistic regressions were used to examine associations among variables and interactive analyses were conducted to examine moderating effects. Results indicated significant relationships between the experience of hearing loss and possible dementia and between severe or profound hearing loss and probable dementia. Interactive models suggested that residing in neighborhoods with physical disorder and low social cohesion were negatively associated with possible dementia among older adults with moderate and severe or profound hearing loss, respectively, compared to those without hearing loss. Findings underscore the necessity of environmental and social interventions to enhance cognitive health among older adults with varying degrees of hearing challenges.

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邻里环境对老年人听力损失与认知挑战之间关系的调节作用:来自美国国家研究的证据
本研究探讨了居住在社区的老年人听力损失与认知挑战之间的关联,以及邻里特征(身体失调和社会凝聚力低)是否会调节这种关联。研究采用了全国健康与老龄化趋势研究第 11 轮的全国横截面数据(N = 2,515)。采用多项式逻辑回归来检验变量之间的关联,并进行交互分析来检验调节效应。结果表明,听力损失经历与可能的痴呆症之间,以及严重或深度听力损失与可能的痴呆症之间存在着明显的关系。互动模型表明,与没有听力损失的老年人相比,居住在有物理障碍的社区和社会凝聚力低的社区分别与患有中度和重度或极重度听力损失的老年人可能患有痴呆症呈负相关。研究结果强调,有必要采取环境和社会干预措施,以提高有不同程度听力障碍的老年人的认知健康水平。
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来源期刊
Research on Aging
Research on Aging GERONTOLOGY-
CiteScore
4.50
自引率
0.00%
发文量
59
期刊介绍: Research on Aging is an interdisciplinary journal designed to reflect the expanding role of research in the field of social gerontology. Research on Aging exists to provide for publication of research in the broad range of disciplines concerned with aging. Scholars from the disciplines of sociology, geriatrics, history, psychology, anthropology, public health, economics, political science, criminal justice, and social work are encouraged to contribute articles to the journal. Emphasis will be on materials of broad scope and cross-disciplinary interest. Assessment of the current state of knowledge is as important as provision of an outlet for new knowledge, so critical and review articles are welcomed. Systematic attention to particular topics will also be featured.
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