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Titre : | Dementia in a Hearing-impaired Population According to Hearing Aid Use: A Nationwide Population-based Study in Korea (2022) |
Auteurs : | Hayoung Byun ; Jae Ho Chung ; Seung Hwan Lee ; Eun Mi Kim ; Inah Kim |
Type de document : | Article |
Dans : | Ear and hearing (Vol. 43, n°6, Novembre-Décembre 2022) |
Article en page(s) : | p. 1661-1668 |
Note générale : | DOI: 10.1097/AUD.0000000000001249 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Aides auditives ; Cognition ; Démence ; Perte d'audition |
Résumé : |
Background: Hearing loss is considered a potentially modifiable risk factor for dementia. However, the effect of use of a hearing aid on the development of dementia has not been clearly established. We aimed to assess the incidence of dementia in hearing-impaired individuals according to hearing aid use in a nationwide population-based cohort study with matched controls.
Methods: This was a retrospective, longitudinal, cohort study of South Korean national claims data for individuals newly registered with hearing disabilities (better ear >=40 dBHL with worse ear >=80 dBHL, or better ear >=60 dBHL) between 2004 and 2008. The hearing aid cohort comprised individuals who received hearing aid subsidies from the National Health Insurance within a year from disability registration. The comparison cohort comprised individuals without a record of a hearing aid claim during the study period after 1:1 matching for audiologic and sociodemographic factors with the hearing aid cohort. The occurrence of dementia was followed up until 2018. Results: Each cohort comprised 8780 individuals. Overall incidence of dementia in the hearing aid and comparison cohorts were 156.0 and 184.5 per 10,000 person-years, respectively (incidence rate ratio = 0.85, 95% confidence interval 0.79-0.91). In a multivariable analysis of the whole study populations, hearing aid use (hazard ratio = 0.75, 95% confidence interval 0.70-0.81) attenuated the risk of dementia. Conclusions: Dementia incidence in individuals with hearing disabilities was lower in hearing aid users than that in nonusers. Hearing rehabilitation with hearing aids should be encouraged for individuals with hearing loss. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=yrovftz&AN=00003446-202211000-00006 |