A5085133921- Hearing Loss and Rehabilitation
- Noise Effects and Management
- Dementia and Cognitive Impairment Research
- Hearing, Cochlea, Tinnitus, Genetics
- Health disparities and outcomes
- Ophthalmology and Visual Impairment Studies
- Health and Well-being Studies
- Aging and Gerontology Research
- Birth, Development, and Health
- Early Childhood Education and Development
- Hearing Impairment and Communication
- Urban Green Space and Health
- Geriatric Care and Nursing Homes
- Vestibular and auditory disorders
- Infant Development and Preterm Care
- Optimism, Hope, and Well-being
- Racial and Ethnic Identity Research
- Cognitive Abilities and Testing
- Ophthalmology and Visual Health Research
- Mental Health Research Topics
- Bariatric Surgery and Outcomes
- Advanced Causal Inference Techniques
- Personality Traits and Psychology
- Survey Methodology and Nonresponse
- Patient Satisfaction in Healthcare
Johns Hopkins University
2019-2025
Google (United States)
2024
American Institutes for Research
2018-2021
Northwestern University
2021
National Bureau of Economic Research
2021
This study assesses the association of audiometric hearing loss and aid use with dementia among community-dwelling older US Medicare beneficiaries.
Importance National prevalence estimates are needed to guide and benchmark initiatives address hearing loss. However, current not based on samples that include representation of the oldest old US individuals (ie, aged ≥80 years), who most at-risk having Objective To estimate loss aid use by age demographic covariates in a large, nationally representative sample adults 71 years older. Design, Setting, Participants In this cohort study, age, gender, race ethnicity, education, income were...
Abstract Background Social isolation can influence whether older adults develop dementia. We examine the association between social and incident dementia among in a nationally representative sample of community dwelling United States (U.S.). also investigate this varies by race ethnicity. Methods Data ( N = 5022) come from National Health Aging Trends Study, longitudinal cohort U.S. A composite measure was used to classify as socially isolated or not at baseline. Demographic health factors...
<h3>Importance</h3> Impairments in vision or hearing are common and have been independently linked to higher risk of dementia older adults. There is a limited understanding the prevalence concurrent functional impairment (dual sensory impairment) its contribution risk. <h3>Objective</h3> To examine age-specific dual among adults, investigate cross-sectional 7-year longitudinal associations between dementia. <h3>Design, Setting, Participants</h3> This cohort study 7562 adults used data from...
Psychological distress affects health and care utilization. Hearing loss (HL) is highly prevalent undertreated, it may be a potentially modifiable risk factor for psychological distress.To investigate the association between HL, distress, mental utilization among adults in United States.This cross-sectional study included 25 665 individuals aged 18 years older who participated 2017 National Health Interview Survey, home-based nationally representative survey of noninstitutionalized US...
Abstract Background Little is known about the long-term impact of hearing and vision impairment on social isolation. This study quantifies association between hearing, vision, concurrent (dual sensory impairment) isolation over 8 years among older adults. Methods Data were from National Health Aging Trends Study (NHATS), a cohort (2011 – 2019) U.S. Medicare beneficiaries aged 65 older. Social was measured by binary indicator incorporating four domains: living arrangement, core discussion...
It is unclear if adolescent personality predicts mortality into late life, independent of socioeconomic status (SES).Over 26 000 members Project Talent, a US population cohort high school students, completed survey including 10 scales and SES in 1960. Multi-source follow-up obtained vital data through an average 48-year period ending 2009. Cox proportional hazard models examined the relative risk associated with traits, as well confounding by both measure race/ethnicity.Adjusted for sex...
Abstract Background Hearing loss is linked to loneliness and social isolation, but evidence typically based on self-reported hearing. This study quantifies the associations of objective subjective hearing with network characteristics among older adults untreated loss. Methods uses baseline data (N = 933) from Aging Cognitive Health Evaluation in Elders (ACHIEVE) study. was quantified by better ear, speech-frequency pure tone average (PTA), Quick Speech-in-Noise test, hearing-related quality...
Abstract Background Age-related hearing loss is common among older adults and may influence physical activity sedentary behaviors, such as TV viewing. This study examined whether a intervention could affect these behaviors over three years. Methods 977 participants (mean age of 76.8, 53.5% female, 11.5% Black), recruited from the ARIC (n=238) de novo (n=739) with (pure-tone average=39.4 dB), were randomized to or health education control group. Physical activity, leisurely walking, viewing...
The objective of this study was to determine if racial differences exist between older Non-Hispanic Black (NHB) and White (NHW) men in incident dementia over 11 years (2011–2022) the National Health Aging Trends Study (NHATS). analytic sample included 2395 community-dwelling NHB NHW free at baseline who self-identified as (NHW). Dementia assessed each visit using a validated algorithm developed by NHATS. After adjusting for demographics, place, health-related characteristics Cox proportional...
ABSTRACT Background Hearing loss is prevalent in older adults and associated with reduced daily physical activity, but whether hearing intervention attenuates declines activity unknown. We investigated the 3‐year effect of a versus health education control on accelerometer‐measured loss. Methods This secondary analysis ACHIEVE randomized controlled trial included 977 aged 70–84 years Participants were to either group or group. Physical was measured using wrist‐worn accelerometers at...
Low early-life cognitive ability is a potential early marker of dementia risk in later life. Previous studies use only global measures general intelligence and/or study this relationship gender-specific samples. The contribution performance on specific abilities, such as language, reasoning, and visualization aptitudes, to indicating future unknown.To investigate the association between adolescent Medicare-recorded Alzheimer disease related disorders (ADRD) using both explore these...
Personality phenotype has been associated with subsequent dementia in studies of older adults. However, neuropathologic changes often precede cognitive symptoms by many years and may affect personality itself. Therefore, it is unclear whether supposed dementia-prone profiles (high neuroticism low conscientiousness) are true risk factors or merely reflections preexisting disease.To examine during adolescence-a time when preclinical pathology unlikely to be present-confers later life test...
Hearing impairment impacts fluidity of communication and social interactions thus may contribute to loneliness. We investigated the cross-sectional association between hearing loneliness in community-dwelling older U.S. adults using data from National Social Life, Health, Aging Project (N = 3,196). Individuals reporting fair/poor had 50% (95% confidence interval [CI] [1.09-2.05]) higher odds any compared with those excellent after adjusting for comorbidity index, functional cognitive...
Hearing loss is associated with cognitive/physical health; less known about mental health. We investigated associations between hearing severity, depression, and health-related quality of life among older adults unaided loss. Data ( N = 948) were from the Aging Cognitive Health Evaluation in Elders Study. was measured by pure-tone average (PTA), Quick Speech-in-Noise (QuickSIN) test, Handicap Inventory for Elderly (HHIE-S). Outcomes validated measures depression life. Associations assessed...
Hearing loss is highly prevalent among older adults and independently associated with cognitive decline. The Aging Cognitive Health Evaluation in Elders (ACHIEVE) study a multicenter randomized control trial (partially nested within the infrastructure of an observational cohort study, Atherosclerosis Risk Communities [ARIC] study) to determine efficacy best-practice hearing treatment reduce decline over 3 years. goal this paper describe recruitment process baseline results.
Abstract Background Vision and hearing impairments often co‐exist with dementia, all are independently associated limitations in daily activities. Our aim was to examine the association of dual sensory impairment functional limitations, further combined estimated dementia these limitations. Methods Cross‐sectional analysis National Health Aging Trends Study (NHATS), a population‐based cohort Medicare beneficiaries, performed. Participants were selected from 2015 round. Survey weighted...
The population attributable fraction (PAF) of dementia from hearing loss (HL) in the United States is ~2% when incorporating self-reported HL measures. However, self-report might underestimate clinically significant audiometric among older adults. Here, we quantified PAFs overall and by age, sex, race/ethnicity groups a nationally representative sample community-dwelling adults States.
Abstract BACKGROUND Cognitive training is delivered visually and aurally. It unknown whether self‐reported sensory difficulty modifies the effects of cognitive on cognition. METHODS Participants ( N = 2788) in Advanced Training for Independent Vital Elderly Study were randomized to memory, reasoning, speed processing, or control. Differences 10‐year effect cognition by vision hearing assessed using linear mixed models. RESULTS Benefit (intervention vs. control) reasoning was smaller among...
Hearing and vision impairments are risk factors for cognitive decline; less is known about dual sensory impairment. This study quantifies the association between impairment 8-year change in memory among older adults. Data (N = 5552) were from National Health Aging Trends Study. Memory (immediate/delayed word recall, subjective memory) was measured annually (2011 to 2019). by self-report. Association assessed using multivariate linear mixed effect models generalized logistic models. Rate of...
A major challenge with surveying physicians is low response. In this article, we present results of an experiment conducted to determine the optimal monetary incentive amount for gaining response from a short screener survey. Sampled were randomly assigned three prepaid cash conditions (US$2, US$5, US$10) compared control (US$0). This study found using any increased versus no incentive. The US$10 produced highest and was significantly greater than US$2 group. However, did not find...
Abstract INTRODUCTION Non‐Hispanic Black, compared to non‐Hispanic White, older adults are at increased risk for dementia. This may be due partly greater exposure psychosocial stressors, such as discrimination; however, few studies have examined this association. METHODS We the association of perceived discrimination (e.g., everyday, lifetime, and burden) with dementia in 1583 Black co‐enrolled Atherosclerosis Risk Communities (ARIC) Study Jackson Heart (JHS). Perceived (defined continuously...