Falls, injuries from falls, health related quality of life and mortality in older adults with vision and hearing impairment - is there a gender difference?

Lopez, Derrick, McCaul, Kieran A., Hankey, Graeme J., Norman, Paul E., Almeida, Osvaldo P., Dobson, Annette J., Byles, Julie E., Yeap, Bu B. and Flicker, Leon (2011) Falls, injuries from falls, health related quality of life and mortality in older adults with vision and hearing impairment - is there a gender difference?. Maturitas, 69 4: 359-364. doi:10.1016/j.maturitas.2011.05.006


Author Lopez, Derrick
McCaul, Kieran A.
Hankey, Graeme J.
Norman, Paul E.
Almeida, Osvaldo P.
Dobson, Annette J.
Byles, Julie E.
Yeap, Bu B.
Flicker, Leon
Title Falls, injuries from falls, health related quality of life and mortality in older adults with vision and hearing impairment - is there a gender difference?
Journal name Maturitas   Check publisher's open access policy
ISSN 0378-5122
1873-4111
Publication date 2011-08
Sub-type Article (original research)
DOI 10.1016/j.maturitas.2011.05.006
Volume 69
Issue 4
Start page 359
End page 364
Total pages 6
Place of publication Shannon, Co. Clare, Ireland
Publisher Elsevier Ireland
Collection year 2012
Language eng
Formatted abstract
Background
Vision and hearing decline with age. Loss of these senses is associated with increased risk of falls, injuries from falls, mortality and decreased health-related quality of life (HRQOL). Our objective was to determine if there are gender differences in the associations between visual and hearing impairment and these outcomes.

Methods
2340 men and 3014 women aged 76–81 years from the Health in Men Study and the Australian Longitudinal Study on Women's Health were followed for an average of 6.36 years. Dependent variables were self-reported vision and hearing impairment. Outcome variables were falls, injuries from falls, physical and mental components of HRQOL (SF-36 PCS and MCS) and all-cause mortality.

Results
Vision impairment was more common in women and hearing impairment was more common in men. Vision impairment was associated with increased falls risk (odds ratio (OR) = 1.77, 95% CI = 1.35–2.32 in men; OR = 1.82, 95% CI = 1.44–2.30 in women), injuries from falls (OR = 1.69, 95% CI = 1.23–2.34 in men, OR = 1.79, 95% CI = 1.38–2.33 in women), and mortality (hazard ratio (HR) = 1.44; 95% CI = 1.17–1.77 in men; HR = 1.50, 95% CI = 1.24–1.82 in women) and declines in SF-36 PCS and MCS. Hearing impairment was associated with increased falls risk (OR = 1.38, 95% CI = 1.08–1.78 in men; OR = 1.45, 95% CI = 1.08–1.93 in women) and declines in SF-36 PCS and MCS. Overall there were no gender differences in the association between vision and hearing impairment and the outcomes.

Conclusion
In men and women aged 76–81 years, there were no gender differences in the association between self-reported vision and hearing impairment and the outcomes of falls, mortality and HRQOL.
Keyword Vision impairment
Hearing impairment
Falls
Injuries
Quality of life
Mortality
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Public Health Publications
 
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