Gender-specific associations of vision and hearing impairments with adverse health outcomes in older Japanese: A population-based cohort study

Takehiro Michikawa, Yuji Nishiwaki, Yuriko Kikuchi, Makiko Nakano, Satoko Iwasawa, Keiko Asakura, Ai Milojevic, Kunio Mizutari, Hideyuki Saito, Susumu Ishida, Tomonori Okamura, Toru Takebayashi

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Abstract

Background. Several epidemiological studies have shown that self-reported vision and hearing impairments are associated with adverse health outcomes (AHOs) in older populations; however, few studies have used objective sensory measurements or investigated the role of gender in this association. Therefore, we examined the association of vision and hearing impairments (as measured by objective methods) with AHOs (dependence in activities of daily living or death), and whether this association differed by gender. Methods. From 2005 to 2006, a total of 801 residents (337 men and 464 women) aged 65 years or older of Kurabuchi Town, Gunma, Japan, participated in a baseline examination that included vision and hearing assessments; they were followed up through September 2008. Vision impairment was defined as a corrected visual acuity of worse than 0.5 (logMAR = 0.3) in the better eye, and hearing impairment was defined as a failure to hear a 30 dB hearing level signal at 1 kHz in the better ear. Information on outcomes was obtained from the town hall and through face-to-face home visit interviews. We calculated the risk ratios (RRs) of AHOs for vision and hearing impairments according to gender. Results. During a mean follow-up period of 3 years, 34 men (10.1%) and 52 women (11.3%) had AHOs. In both genders, vision impairment was related to an elevated risk of AHOs (multi-adjusted RR for men and women together = 1.60, 95% CI = 1.05-2.44), with no statistically significant interaction between the genders. In contrast, a significant association between hearing impairment and AHOs (multi-adjusted RR = 3.10, 95% CI = 1.43-6.72) was found only in the men. Conclusion. In this older Japanese population, sensory impairments were clearly associated with AHOs, and the association appeared to vary according to gender. Gender-specific associations between sensory impairments and AHOs warrant further investigation.

Original languageEnglish
Article number50
JournalBMC Geriatrics
Volume9
Issue number1
DOIs
Publication statusPublished - 2009

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Hearing Loss
Cohort Studies
Health
Population
Odds Ratio
Hearing
House Calls
Activities of Daily Living
Visual Acuity
Ear
Epidemiologic Studies
Japan
Interviews

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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Gender-specific associations of vision and hearing impairments with adverse health outcomes in older Japanese : A population-based cohort study. / Michikawa, Takehiro; Nishiwaki, Yuji; Kikuchi, Yuriko; Nakano, Makiko; Iwasawa, Satoko; Asakura, Keiko; Milojevic, Ai; Mizutari, Kunio; Saito, Hideyuki; Ishida, Susumu; Okamura, Tomonori; Takebayashi, Toru.

In: BMC Geriatrics, Vol. 9, No. 1, 50, 2009.

Research output: Contribution to journalArticle

Michikawa, Takehiro ; Nishiwaki, Yuji ; Kikuchi, Yuriko ; Nakano, Makiko ; Iwasawa, Satoko ; Asakura, Keiko ; Milojevic, Ai ; Mizutari, Kunio ; Saito, Hideyuki ; Ishida, Susumu ; Okamura, Tomonori ; Takebayashi, Toru. / Gender-specific associations of vision and hearing impairments with adverse health outcomes in older Japanese : A population-based cohort study. In: BMC Geriatrics. 2009 ; Vol. 9, No. 1.
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abstract = "Background. Several epidemiological studies have shown that self-reported vision and hearing impairments are associated with adverse health outcomes (AHOs) in older populations; however, few studies have used objective sensory measurements or investigated the role of gender in this association. Therefore, we examined the association of vision and hearing impairments (as measured by objective methods) with AHOs (dependence in activities of daily living or death), and whether this association differed by gender. Methods. From 2005 to 2006, a total of 801 residents (337 men and 464 women) aged 65 years or older of Kurabuchi Town, Gunma, Japan, participated in a baseline examination that included vision and hearing assessments; they were followed up through September 2008. Vision impairment was defined as a corrected visual acuity of worse than 0.5 (logMAR = 0.3) in the better eye, and hearing impairment was defined as a failure to hear a 30 dB hearing level signal at 1 kHz in the better ear. Information on outcomes was obtained from the town hall and through face-to-face home visit interviews. We calculated the risk ratios (RRs) of AHOs for vision and hearing impairments according to gender. Results. During a mean follow-up period of 3 years, 34 men (10.1{\%}) and 52 women (11.3{\%}) had AHOs. In both genders, vision impairment was related to an elevated risk of AHOs (multi-adjusted RR for men and women together = 1.60, 95{\%} CI = 1.05-2.44), with no statistically significant interaction between the genders. In contrast, a significant association between hearing impairment and AHOs (multi-adjusted RR = 3.10, 95{\%} CI = 1.43-6.72) was found only in the men. Conclusion. In this older Japanese population, sensory impairments were clearly associated with AHOs, and the association appeared to vary according to gender. Gender-specific associations between sensory impairments and AHOs warrant further investigation.",
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T1 - Gender-specific associations of vision and hearing impairments with adverse health outcomes in older Japanese

T2 - A population-based cohort study

AU - Michikawa, Takehiro

AU - Nishiwaki, Yuji

AU - Kikuchi, Yuriko

AU - Nakano, Makiko

AU - Iwasawa, Satoko

AU - Asakura, Keiko

AU - Milojevic, Ai

AU - Mizutari, Kunio

AU - Saito, Hideyuki

AU - Ishida, Susumu

AU - Okamura, Tomonori

AU - Takebayashi, Toru

PY - 2009

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N2 - Background. Several epidemiological studies have shown that self-reported vision and hearing impairments are associated with adverse health outcomes (AHOs) in older populations; however, few studies have used objective sensory measurements or investigated the role of gender in this association. Therefore, we examined the association of vision and hearing impairments (as measured by objective methods) with AHOs (dependence in activities of daily living or death), and whether this association differed by gender. Methods. From 2005 to 2006, a total of 801 residents (337 men and 464 women) aged 65 years or older of Kurabuchi Town, Gunma, Japan, participated in a baseline examination that included vision and hearing assessments; they were followed up through September 2008. Vision impairment was defined as a corrected visual acuity of worse than 0.5 (logMAR = 0.3) in the better eye, and hearing impairment was defined as a failure to hear a 30 dB hearing level signal at 1 kHz in the better ear. Information on outcomes was obtained from the town hall and through face-to-face home visit interviews. We calculated the risk ratios (RRs) of AHOs for vision and hearing impairments according to gender. Results. During a mean follow-up period of 3 years, 34 men (10.1%) and 52 women (11.3%) had AHOs. In both genders, vision impairment was related to an elevated risk of AHOs (multi-adjusted RR for men and women together = 1.60, 95% CI = 1.05-2.44), with no statistically significant interaction between the genders. In contrast, a significant association between hearing impairment and AHOs (multi-adjusted RR = 3.10, 95% CI = 1.43-6.72) was found only in the men. Conclusion. In this older Japanese population, sensory impairments were clearly associated with AHOs, and the association appeared to vary according to gender. Gender-specific associations between sensory impairments and AHOs warrant further investigation.

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