scholarly journals Healthcare-Seeking Behaviors Among Medicare Beneficiaries by Functional Hearing Status

2021 ◽  
pp. 089826432110117
Author(s):  
Heng-Yu H. Lin ◽  
Amber Willink ◽  
Anna M. Jilla ◽  
Heather M. Weinreich ◽  
Esther S. Oh ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Health Status ◽  
Self Report ◽  
Personal Health ◽  
Medicare Beneficiaries ◽  
Cross Sectional ◽  
Healthcare Seeking ◽  
Hearing Status ◽  
Underlying Causes ◽  
Delay Of Care

Objective: Hearing loss is associated with higher health expenditures and poor healthcare utilization. This study aims to build on these findings by characterizing the association between hearing status and healthcare-seeking behaviors among Medicare beneficiaries. Methods: Cross-sectional log-binominal regression was used to assess the association between self-report hearing and healthcare-seeking behaviors (avoidance or delay of care, personal health concerns, and sharing health status) using the 2016 Medicare Current Beneficiary Survey ( N = 12,140). Results: Beneficiaries with trouble hearing had significantly higher risks of avoiding and delaying health care compared to those without trouble hearing. Conversely, trouble hearing was not associated with concern for health status or sharing health status. Discussion: These findings may help explain higher costs associated with hearing loss as avoidance of care can exacerbate health problems. Further work is needed to understand underlying causes and whether addressing hearing loss modifies the observed association.

scholarly journals Hearing Loss and Health Care Seeking

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 615-615
Author(s):  
Nicholas Reed
Keyword(s):  
Health Care ◽  
Hearing Loss ◽  
Health Status ◽  
Health Care Expenditures ◽  
Self Report ◽  
Health Determinants ◽  
Personal Health ◽  
Health Care Seeking ◽  
Care Seeking ◽  
Health Concerns

Abstract Hearing loss is common among older adults. Hearing loss is associated with increased health care expenditures, risk of 30-day readmission, and longer length of hospital stay. However, little is known about behaviors and attitudes in seeking care. In this cross-sectional analysis, we examined data from the 2016 Medicare Current Beneficiary Survey (MCBS) datasets. Participants are asked to describe their self-perceived trouble hearing. Health care seeking attitudes were assessed on all study participants in 2016 via self-report avoidance or delay of care, personal health concerns, and sharing health status. Multivariate regression models adjusted for demographic/socioeconomic characteristics and general health determinants were used to explore the association between trouble hearing and outcomes. In the 2016 MCBS, 12,140 Medicare beneficiaries, representing 51 million with survey weights, answered questions on help-seeking attitudes. In the sample, 55.6% reported no trouble hearing, while 38.8% and 5.5% reported a little trouble and a lot of trouble hearing, respectively. Those with a lot of trouble hearing were more likely to report avoiding doctors (Odds Ratio [OR] = 1.35; 95% Confidence Interval [CI] = 1.09 – 1.67) and delaying care (OR = 1.47; 95% CI = 1.19 – 1.82). However, no differences were found in personal health concerns or willingness to share health status with others. Poorer health care seeking behaviors may help explain higher costs associated with hearing loss as avoidance of care can exacerbate health problems. Further work is needed to understand underlying reasons and whether addressing hearing loss modifies the observed association.

scholarly journals The Uptake and Vaccination Willingness of COVID-19 Vaccine among Chinese Residents: Web-Based Online Cross-Sectional Study

Vaccines ◽  
2022 ◽  
Vol 10 (1) ◽  
pp. 90
Author(s):  
Yi Kong ◽  
Hao Jiang ◽  
Zhisheng Liu ◽  
Yi Guo ◽  
Dehua Hu
Keyword(s):  
Health Status ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Personal Health ◽  
Binary Logistic Regression Analysis ◽  
Snowball Sampling ◽  
Cross Sectional ◽  
Web Based ◽  
The Difference ◽  
High Level

Objective: To investigate the uptake and vaccination willingness of the COVID-19 vaccine among Chinese residents and analyze the difference and factors that impact vaccination. Methods: The snowball sampling method was used to distribute online questionnaires. Relevant sociodemographic data along with the circumstances of COVID-19 vaccination were collected from the respondents. The χ2 test, independent samples t test and binary logistic regression analysis were used to analyze the data. Results: Among 786 respondents, 84.22% had been vaccinated. Over 80% of the vaccinated population have completed all the injections because of supporting the national vaccination policies of China, while the unvaccinated population (23.91%) is mainly due to personal health status. Meanwhile, statistical analysis revealed that the main predictors of not being vaccinated were younger age (3 to 18 years old), personal health status, and lower vaccinated proportion of family members and close friends (p < 0.05). Conclusions: There was a high level of uptake of the COVID-19 vaccine in China, and people who have not been vaccinated generally had a low willingness to vaccinate in the future. Based on our results, it suggested the next work to expand the coverage of the COVID-19 vaccination should be concentrated on targeted publicity and education for people who have not been vaccinated.

scholarly journals The Relationship between Severity of Hearing Loss and Subjective Tinnitus Loudness among Patients Seen in a Specialist Tinnitus and Hyperacusis Therapy Clinic in UK

2019 ◽  
Vol 30 (08) ◽  
pp. 712-719 ◽  
Author(s):  
Hashir Aazh ◽  
Richard Salvi
Keyword(s):  
Hearing Loss ◽  
Regression Model ◽  
Pure Tone ◽  
Cross Sectional Study ◽  
Emotional Disturbances ◽  
Self Report ◽  
Strongly Correlated ◽  
Cross Sectional ◽  
The Impact ◽  
The Relationship

AbstractHearing loss is often associated with the phantom sound of tinnitus. However, the degree of the association between severity of hearing loss and tinnitus loudness taking into account the impact of other variables (e.g., emotional disturbances) is not fully understood. This is an important question for audiologists who are specialized in tinnitus rehabilitation as patients often ask whether the loudness of their tinnitus will increase if their hearing gets worse.To explore the relationship between tinnitus loudness and pure tone hearing thresholds.This was a retrospective cross-sectional study.445 consecutive patients who attended a Tinnitus and Hyperacusis Therapy Specialist Clinic in UK were included.The results of audiological tests and self-report questionnaires were gathered retrospectively from the records of the patients. Multiple-regression analysis was used to assess the relationship between tinnitus loudness, hearing loss and other variables.The regression model showed a significant relationship between the pure tone average (PTA) at the frequencies 0.25, 0.5, 1, 2, and 4 kHz of the better ear and the tinnitus loudness as measured via visual analogue scale (VAS), r (regression coefficient) = 0.022 (p < 0.001). Other variables significantly associated with tinnitus loudness were tinnitus annoyance (r = 0.49, p < 0.001) and the effect of tinnitus on life (r = 0.09, p = 0.006). The regression model explained 52% of the variance of tinnitus loudness.Although increased tinnitus loudness was associated with worse PTA, the relationship was very weak. Tinnitus annoyance and impact of tinnitus on life were more strongly correlated with tinnitus loudness than PTA.

scholarly journals Functional Hearing Loss and Social Engagement Among Medicare Beneficiaries

2019 ◽  
Vol 76 (1) ◽  
pp. 195-200 ◽  
Author(s):  
Aishwarya Shukla ◽  
Thomas K M Cudjoe ◽  
Frank R Lin ◽  
Nicholas S Reed
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Social Engagement ◽  
Social Activity ◽  
Medicare Beneficiaries ◽  
Cross Sectional ◽  
The Past ◽  
Hearing Ability ◽  
Nationally Representative ◽  
Using Data

Abstract Objectives Hearing loss is common in older adults and limits communication. We investigated the independent association between functional hearing loss and social engagement in a nationally representative sample of older adults. Methods Using data from the 2015 Medicare Current Beneficiaries Survey, we modeled the cross-sectional association between self-reported hearing ability and limitation in social activity over the past month using multivariable logistic regression. Results The majority of the study population was female (54.8%) and non-Hispanic white (74.3%). Participants (40.4%) reported “a little trouble” hearing and 7.4% reported “a lot of trouble” hearing. Those who reported any trouble hearing had higher odds of limited social engagement in the past month. After adjustment for demographic, clinical, and functional covariates, those who reported “a lot of trouble” hearing had 37% higher odds of limited social activity in the past month compared to those with normal hearing. Discussion These results suggest that hearing loss may be an important risk factor for limited social engagement and downstream negative health consequences, independent of other disability and health conditions.

NONCOMMUNICABLE DISEASES AMONG RELIGIOUS LEADERS IN JAMAICA

2020 ◽  
Vol 4 (3) ◽  
Author(s):  
Paul Andrew Bourne
Keyword(s):  
Diabetes Mellitus ◽  
Health Status ◽  
Good Health ◽  
World Health ◽  
Noncommunicable Diseases ◽  
Religious Leaders ◽  
Cross Sectional ◽  
Middle Income ◽  
Healthcare Seeking ◽  
Health Organization

Introduction: The World Health Organization indicated that 71 per cent of all deaths globally (41 million people) and 80 per cent of mortality in low-to-middle-income nations are accounted for by noncommunicable diseases (NCDs). However, there is sparse information on the prevalence of NCDs among religious leaders. Objectives: To evaluate the nature of NCDs among religious SDA leaders in Central Jamaica, 2) determine the extent of NCDs among religious SDA leaders in Central Jamaica, 3) assess the healthcare-seeking behaviour and prevalence of ill-health experienced among religious SDA leaders who reported having a NCDs, and 4) determine the per cent of religious SDA leaders who reported having hypertension and diabetes mellitus. Methods and materials: The current study employed a correlational cross-sectional design. The population for this research was leaders who serve in the Seventh-day Adventist churches in Central Jamaica (n=350). A standardized questionnaire was developed to collect data and evaluate the research objectives. Findings: The most prevalent NCDs were hypertension (28.9 per cent), high cholesterol and arthritis (18.6 per cent, each), chronic respiratory (8.8 per cent), and diabetes (8.5 per cent). Seventy-two and two tenths per cent of those who reported having an NCD sought medical care compared to 84.5 per cent of those who did not report an NCD (χ2(df=1)=4.231, P = 0.042). Leaders with NCDs were less likely to report good health than those who did not report NCDs (χ2(df=1)=25.048, P < 0.0001, ɸ= -0.352). Conclusion: NCDs among religious SDA leaders are showing worrying signs and these must be affecting their decision-making capabilities.  Keywords: Diabetes mellitus, good health status, noncommunicable diseases (NCDs), religious leaders, healthcare-seeking behaviour, hypertension, self-reported health status

scholarly journals Outcomes of Automated Auditory Evoked Potential Performed in Different Settings and the Factors Associated with Referred Cases

2017 ◽  
Vol 22 (04) ◽  
pp. 342-347
Author(s):  
Daniela Silva ◽  
Georgea Ribeiro ◽  
Gustavo Castilho ◽  
Jair Mantovani
Keyword(s):  
Hearing Loss ◽  
Evoked Potential ◽  
Cross Sectional Study ◽  
Auditory Evoked Potential ◽  
Sectional Study ◽  
Cross Sectional ◽  
Factors Associated ◽  
Hearing Status ◽  
Significant Difference ◽  
Age Of Diagnosis

Introduction For the population with risk factors for hearing loss, the first option to assess the hearing status is the performance of the automated brainstem auditory evoked potential (BAEP) test because of its efficacy in identifying retrocochlear hearing loss. Objective To verify the outcomes of automated BAEP performed in different settings as well as the factors associated with the prevalence of hearing impairment. Methods Cross-sectional study conducted from October of 2014 to May of 2015. The sample consisted of 161 infants with at least one risk factor for hearing loss who underwent automated BAEP during the hospital stay or at the outpatient clinic. After 30 days, the altered cases were referred for BAEP diagnosis. Results One hundred and thirty-eight infants (86%) had a result of “pass” and 23 (14%) of “failure” in the automated BAEP. There was no statistically significant difference in the rate of “referred” results between examinations performed in different settings. The infants' ages did not influence the number of abnormal cases. All of the 23 infants who presented a “referred” result in the automated BAEP, unilateral or bilateral, were sent for BAEP diagnosis, and out of these, 9 (39%) remained with at least some degree of alteration. The average age of diagnosis was 2.7 months. Conclusion The results of the automated BAEP were similar when performed during hospitalization or after discharge. Neither the age at the examination nor the gender of the patient influenced the prevalence of hearing loss.

scholarly journals Health Status of Adults with Hearing Loss in the United States

2021 ◽  
Vol 11 (1) ◽  
pp. 100-111
Author(s):  
Jennifer Glassman ◽  
Timothy Jordan ◽  
Jiunn-Jye Sheu ◽  
Lori Pakulski ◽  
Amy Thompson
Keyword(s):  
United States ◽  
Hearing Loss ◽  
Heart Disease ◽  
Health Status ◽  
The United States ◽  
Self Report ◽  
Lifestyle Behaviors ◽  
General Health Status ◽  
Disease States ◽  
Screening Behaviors

Purpose: The purpose of this study was to identify the current health status of adults in the United States with self-reported hearing loss and compare it with US adults with a self-reported excellent or good hearing in three areas: (1) chronic disease states and general health status, (2) medical screening behaviors, and (3) lifestyle behaviors. Methods: A secondary data analysis was conducted using the 2014 data set from the National Health Interview Survey (NHIS), specifically the Sample Adult Public Use File (samadult). For this questionnaire set, one adult per family was randomly selected. This individual self-reported their response to the questionnaire items. Binary regressions were used to analyze the odds ratio to find differences for selected disease states, screenings, and lifestyle behaviors. Respondents were grouped into one of four categories: excellent/good hearing, a little trouble hearing, moderate/a lot of trouble hearing, and deaf. Results: The excellent/good hearing group was used as the comparison group for the other three levels of hearing. There are many differences in likelihood to self-report disease states; the greatest increased likelihoods include tinnitus and heart disease, with tinnitus being 8.6 times more likely for those who identified as having moderate/a lot of hearing loss. Those with any level of hearing loss were 3 to 5 times more likely to self-report heart disease. Regarding lifestyle factors, individuals with any level of hearing loss were less likely to consume alcohol and 2.5 to 9 times more likely to be unable to engage in moderate or vigorous activity on a weekly basis, respectively. Conclusions: There is a difference in the health status of individuals with hearing loss across all three areas examined (chronic disease states and general health status, medical screening behaviors, and lifestyle behaviors), and those differences vary based on level of hearing loss, the most notable being the self-reported inability to engage in moderate and vigorous physical activity. Disproportionate rates of tinnitus and heart disease were evident in all levels of hearing loss but most notable in those identifying as having moderate/a lot of trouble hearing. Further interdisciplinary research is necessary to improve the health of individuals with all levels of hearing loss, increase awareness of the hearing/health connection, and decrease hearing loss in general.

scholarly journals Hearing Status of the Traffic Police with or without Use of Sound Protector in Dhaka Metropolitan City

2018 ◽  
Vol 4 (1) ◽  
pp. 13-16
Author(s):  
Ahmed Sharif ◽  
Rashida Akter Khanam ◽  
Mohammad Mashudur Rahman ◽  
Sheikh Hasanur Rahman ◽  
Md Kamaruzzaman ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Pure Tone Audiometry ◽  
Neck Surgery ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Entire Study ◽  
Traffic Police ◽  
Metropolitan City ◽  
Hearing Status ◽  
Study Population

Background: Sound protector is an essential tool to protect hearing.Objective: The purpose of the present study was to see the hearing status of traffic police with or without sound protector.Methodology: The cross-sectional study was conducted in the Department of Otolaryngology and Head Neck Surgery at Bangabandhu Sheikh Mujib Medical University, Dhaka from January 2003 to June 2004 for a period of one and half year. Traffic police who were working in the Dhaka metropolitan city at any age were included as study population. Hearing status was measured to all subjects. The traffic police at any age working in the Dhaka metropolitan city with the duration of service more than 5 years were included as study population. Otoscopic examination, tuning fork test and pure tone audiometry were performed by clinical audiometer (AC 33) with two channels, with TDH39 earphones among the entire study subject.Result: A total number of 100 traffic polices working in Dhaka metropolitan city were examined. Highest (56%) number of the respondents was in between 30 to 40 years of age group. The mean age with SD was 36.15 ±5.5. In this study 53.0% respondents found to have exposure of 6 to 10 years and 16.0% found to have exposure between 16 to 20 years. It was found that 26 traffic police used ear protector occasionally. Among them 7(26.9%) subjects had different degree of hearing loss. Nonusers had higher rate (23%) of hearing loss (p=0.685).Conclusion: In conclusion use of sound protector by traffic police is not significantly related with the hearing loss though this is clinically significant.Journal of Current and Advance Medical Research 2017;4(1):13-16

scholarly journals HEARING LOSS AND HEALTH CARE SATISFACTION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S43-S43
Author(s):  
Nicholas Reed ◽  
Nicholas Reed ◽  
Amber Willink ◽  
Jennifer Deal ◽  
Frank R lin
Keyword(s):  
Health Care ◽  
Hearing Loss ◽  
Self Report ◽  
Patient Centered ◽  
Cross Sectional ◽  
Atherosclerosis Risk In Communities ◽  
Patient Reported ◽  
Centered Care ◽  
Patient Provider Communication ◽  
Adjusted Logistic Regression

Abstract Hearing loss (HL) impacts two-thirds of adults over 70 years and affects patient-provider communication which could limit satisfaction. We used two cross-sectional cohorts, The Atherosclerosis Risk in Communities Study (ARIC, n=250) and the Medicare Current Beneficiaries Survey (MCBS, n=12,311) to examine the relationship between HL (subjective and objective measures) and self-report satisfaction with quality of health care using multivariable-adjusted logistic regression. In ARIC, there was an interaction between HL and age such that HL had a greater impact on odds of dissatisfaction as age increased. In an 85-year-old, for every 10 dB increase in HL, the odds of being dissatisfied increased 1.33 (95% Confidence Interval [CI]:0.96-1.83). In MCBS, compared to participants with no trouble hearing, those with a lot of trouble hearing had 1.7 times the odds ( 95% CI = 1.150-2.623) of being dissatisfied. This has implications for patient-centered care planning given that Medicare ties reimbursement to patient-reported satisfaction.

scholarly journals Evaluation of hearing level in patients on long term aspirin therapy

F1000Research ◽  
2017 ◽  
Vol 6 ◽  
pp. 445
Author(s):  
Apar Pokharel ◽  
Sangita Bhandary
Keyword(s):  
Hearing Loss ◽  
Aspirin Therapy ◽  
Hearing Level ◽  
Healthy Controls ◽  
Confounding Factors ◽  
Cross Sectional ◽  
Hearing Status ◽  
Study Population ◽  
One Year

Introduction: Aspirin is a routinely prescribed drug, most notably for cardiovascular diseases, such as myocardial ischemia. This cross sectional, comparative study study aims to explore differences in hearing status between the cardiovascular disease patients on aspirin therapy and age matched healthy controls.Methods: The study population consisted of 182 patients with heart disease taking long term aspirin (i.e., for more than one year). The control population consisted of 221 age matched healthy controls who were not taking aspirin.Results: Not aspirin, but the age of the patient was found to be the important risk factor for hearing loss. Conclusions: When confounding factors like age of the patient, hypertension and diabetes were taken into account, aspirin in its antiplatelet dose was not found to be the cause of any audiological problems like tinnitus and hearing loss.

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