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4 results

  • The Prevalence of Hearing, Vision, and Dual Sensory Loss in Older Canadians: An Analysis of Data from the Canadian Longitudinal Study on Aging

  • Paul Thomas Mick, Anni Hämäläinen, Lebo Kolisang, M. Kathleen Pichora-Fuller, Natalie Phillips, Dawn Guthrie, Walter Wittich
  • Journal:
    Canadian Journal on Aging / La Revue canadienne du vieillissement / Volume 40 / Issue 1 / March 2021
    Published online by Cambridge University Press:
    17 June 2020, pp. 1-22
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  • The purpose of this study was to describe the prevalence of hearing loss (HL), vision loss (VL), and dual sensory loss (DSL) in Canadians 45–85 years of age. Audiometry and visual acuity were measured. Various levels of impairment severity were described. Results were extrapolated to the 2016 Canadian population. In 2016, 1,500,000 Canadian males 45–85 years of age had at least mild HL, 1,800,000 had at least mild VL, and 570,000 had DSL. Among females, 1,200,000 had at least mild HL, 2,200,000 had at least mild VL, and 450,000 had DSL. Among Canadians 45–85 years of age, mild, moderate, and severe HL was prevalent among 13.4 per cent, 3.7 per cent, and 0.4 per cent of males, and among 11.3 per cent, 2.3 per cent, and 0.2 per cent of females, respectively. Mild and moderate, or severe VL was prevalent among 19.8 per cent and 2.4 per cent of males, and among 23.9 per cent and 2.6 per cent of females, respectively. At least mild DSL was prevalent among 6.4 per cent of males and 6.1 per cent of females.

  • Sensory loss and suicide ideation in older adults: findings from the Three-City cohort study

  • S. Cosh, I. Carrière, V. Daien, C. Tzourio, C. Delcourt, C. Helmer,
  • Journal:
    International Psychogeriatrics / Volume 31 / Issue 1 / January 2019
    Published online by Cambridge University Press:
    25 May 2018, pp. 139-145
  • Objectives:

    To examine the longitudinal risk of vision loss (VL) or hearing loss (HL) for experiencing suicidal ideation in older adults.

    Design:

    The Three-City study, examining data from three waves of follow-up (2006–2008, 2008–2010, and 2010–2012).

    Setting:

    Community-dwelling older French adults.

    Participants:

    N = 5,438 adults aged 73 years and over.

    Measurements:

    Suicidality was assessed by the Mini-International Neuropsychiatric Interview, Major Depressive Disorder module. Mild VL was defined as Parinaud of 3 or 4 and severe VL as Parinaud >4. Mild HL was self-reported as difficulty understanding a conversation and severe HL as inability to understand a conversation.

    Results:

    Severe VL was associated with an increased risk of suicidal ideation at baseline (OR = 1.59, 95% CIs = 1.06–2.38) and over five years (OR = 1.65, 95% CIs = 1.05–2.59). Mild and severe HL were associated with an increased risk of suicidal ideation, both at baseline (OR = 1.29, 95% CIs = 1.03–1.63; OR = 1.78, 95% CIs = 1.32–2.40) and over five years (OR = 1.47, 95% CIs = 1.17–1.85; OR = 1.97, 95% CIs = 1.44–2.70).

    Conclusion:

    Sensory losses in late life pose a risk for suicidal ideation. Suicidality requires better assessment and intervention in this population.

  • Differential associations between sensory loss and neuropsychiatric symptoms in adults with and without a neurocognitive disorder

  • Kim M. Kiely, Moyra E. Mortby, Kaarin J. Anstey
  • Journal:
    International Psychogeriatrics / Volume 30 / Issue 2 / February 2018
    Published online by Cambridge University Press:
    20 July 2017, pp. 261-272
  • Background:

    To investigate the differential associations between sensory loss and neuropsychiatric symptoms among older adults with and without diagnosed neurocognitive disorder.

    Methods:

    The sample comprised 1,393 adults (52.3% men) aged between 72 and 79 years from a community-based cohort study. There were 213 cases of mild and 64 cases of major neurocognitive disorders. The main outcome was number of informant reported symptoms on the Neuropsychiatric Inventory (NPI). Sensory loss was defined by visual acuity worse the 0.3 logMAR (6/12 or 20/40) and self-reported hearing problems.

    Results:

    Clinically relevant NPI symptoms were reported in 182 (13.1%) participants, but no individual symptom occurred in more than 5% of the total sample. Among participants diagnosed with a major neurocognitive disorder, those with any sensory loss had over three times (95%CI: 1.72–11.78) greater rates of NPI symptoms than those with unimpaired levels of sensory functioning. There were no differences in the number of neuropsychiatric symptoms by type of sensory loss, and no additional risk associated with a dual sensory loss compared to a single sensory loss. There was no evidence of an association between sensory loss and number of neuropsychiatric symptoms among cognitively healthy adults.

    Conclusions:

    The extent to which this association is the result of underlying neuropathology, unmet need, or interpersonal factors is unclear. These findings have significant implications for dementia care settings, including hospitals and respite care, as patients with sensory loss are at increased risk of neuropsychiatric symptoms and may require additional psychosocial support. Interventions to manage sensory loss and reduce the impact of sensory limitations on neuropsychiatric symptoms are needed.

  • The communication and psychosocial perceptions of older adults with sensory loss: a qualitative study

  • CHYRISSE HEINE, COLETTE J. BROWNING
  • Journal:
    Ageing & Society / Volume 24 / Issue 1 / January 2004
    Published online by Cambridge University Press:
    28 January 2004, pp. 113-130
    Print publication:
    January 2004

  • Sensory loss (visual and/or hearing loss) is prevalent in older adults. Decreased vision and/or hearing acuity often result in poor communication and psychosocial functioning. This qualitative study explores the communication and psychosocial perceptions of a group of older adults with single or dual sensory loss. The aims were to identify the communication difficulties and conversational strategies used by the subjects, and to explore their perceptions of their social adjustment, quality of life and physical and mental well-being. The participants were all older adults with sensory loss who attended the Vision Australia Foundation. In-depth interviews revealed that the participants experienced frequent communication difficulties. They identified the personal, situational and environmental triggers responsible for communication breakdown, and they described the compensation and avoidance strategies that they used. The participants acknowledged that frequent communication breakdown resulted in decreased socialisation. The problems of adjusting to sensory loss, depression, anxiety, lethargy and social dissatisfaction were cited as factors that affected their physical and mental well-being, while being optimistic, coping with their sensory loss, and maintaining social contact contributed to an improved quality of life. All participants expressed interest in being involved in further communication intervention programmes.