Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-29T18:16:44.191Z Has data issue: false hasContentIssue false

Prevalence, Risk Factors and Self-Reported Medical Causes of Seeing and Hearing-Related Disabilities Among Older Adults*

Published online by Cambridge University Press:  29 November 2010

Parminder Raina
Affiliation:
University of British Columbia British Columbia Research Institute for Children's and Women's Health
Micheline Wong
Affiliation:
British Columbia Research Institute for Children's and Women's Health
Steven Dukeshire
Affiliation:
McMaster University
Larry W. Chambers
Affiliation:
McMaster University
Joan Lindsay
Affiliation:
Health Canada

Abstract

The prevalence, risk factors, and medical conditions associated with seeing and hearing disabilities were examined among Canadian adults aged 55 years and older. A probability sample of respondents from the 1986 and 1991 Canadian Census were selected to complete the 1986 and 1991 Health and Activity Limitations Survey (HALS). Seniors, 65 years and older, were more likely than 55–64 year olds to experience a sensory disability. Men were more likely than women to report having hearing disabilities, while women were more likely to report seeing disabilities than men. Increased age and lower total household incomes were associated with a greater likelihood of having a sensory disability. Cataracts and deafness were reported most often as the cause of seeing and hearing ADL restrictions in both age groups. Sensory disabilities are prevalent conditions among older adults. Public health initiatives should focus on hearing and seeing disabilities particularly among seniors, women, and the lower income level population.

Résumé

On a examiné la prévalence, les facteurs de risque et les troubles médicaux associés aux déficiences de la vue et de l'ouïe chez les adultes canadiens de 55 ans et plus. On a établi un échantillonnage aléatoire à partir des recensements canadiens de 1986 et 1991 et on a demandé aux citoyens qui en faisaient partie de remplir le Sondage sur la santé et les limitations d'activité (ESLA) de 1986 et 1991. On a constaté que les aîné(e)s de 65 ans et plus présentaient plus de déficiences sensorielles que ceux de 55 à 64 ans. Les hommes signalaient plus de difficultés de l'ouîe que les femmes tandis que les femmes présentaient plus de difficultés de la vue que les hommes. On a constaté que l'incidence des difficultés sensorielles semblait augmenter avec l'âge et avec la diminution de revenu total de la maisonnée. Ce sont les cataractes et la surdité qui ont été le plus souvent mentionnées comme cause de restriction des activités de la vie quotidienne dans les deux groupes d'âge. Les difficultés sensorielles sont fréquentes chez les aîné(e)s. Les initiatives de santé publique devraient se pencher sur les difficultés de la vue et de l'ouïe, particulièrement chez les aîné(e)s, les femmes et les gens à faible revenu.

Type
Articles
Copyright
Copyright © Canadian Association on Gerontology 2000

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Hebert, R. Functional decline in old age. J Can Med Ass 1997;157:1037–45.Google ScholarPubMed
2.Mor, V, Wilcox, V, Rakowski, W, Hiris, J. Functional transitions among the elderly: Patterns, predictors, and related hospital use. Am J Public Health 1994;84:1274–80.CrossRefGoogle ScholarPubMed
3.Strawbridge, WJ, Kaplan, GA, Camacho, T, Cohen, RD. The dynamics of disability and functional change in an elderly cohort: Results from the Alameda County study. J Am Geriatr Soc 1992;40:799806.CrossRefGoogle Scholar
4.Forbes, WF, Hayward, LM, Agwani, N. Factors associated with the prevalence of various self-reported impairments among older people residing in the community. Can J Public Health 1991;82:240–4.Google ScholarPubMed
5.Laforge, RG, Sector, WD, Sternberg, J. The relationship of vision and hearing impairment to one-year mortality and functional decline. J Aging Health 1992;February: 126–48.CrossRefGoogle Scholar
6.Gerson, LW, Jarjoura, D, McCord, G. Risk of imbalance in elderly people with impaired hearing or vision. Age Ageing 1989;18:31–4.CrossRefGoogle ScholarPubMed
7.Nicolosi, A, Marighi, PE, Rizzardi, P, Osella, A, Miglior, S. Prevalence and causes of visual impairment in Italy. Int J Epidemiol 1994;23:359–64.CrossRefGoogle ScholarPubMed
8.Ives, DG, Bonino, P, Traven, ND, Kuller, LH. Characteristics and comorbidities of rural older adults with hearing impairment. J Am Geriatr Soc 1995;43:803–6.CrossRefGoogle ScholarPubMed
9.Herbst, KG, Humphrey, C. Hearing impairment and mental state in the elderly living at home. Br Med J 1980;281:903–5.CrossRefGoogle Scholar
10.Tielsch, JM, Javitt, JC, Coleman, A, Katz, J, Sommer, A. The prevalence of blindness and visual impairment among nursing home residents in Baltimore. N Eng J Med 1995;332:1205–9.CrossRefGoogle ScholarPubMed
11.Rudberg, MA, Cassel, CKAre death and disability in olde age preventable? Facts Res Gerontol 1993;7:191202.Google Scholar
12.Rudberg, MA, Furner, SE, Dunn, JE, Cassel, CK. The relationship of visual and hearing impairments to disability: An analysis using the Longitudinal Study of Aging. J Gerontol 1993;48:M261–5.CrossRefGoogle ScholarPubMed
13.Salive, ME, Guralnik, J, Glynn, RJ, Christen, W, Wallace, RB, Ostfeld, AM. Association of visual impairment with mobility and physical function. J Am Geriatr Soc 1994;42:287–92.CrossRefGoogle ScholarPubMed
14.Marx, MS, Werner, P, Cohen-Mansfield, J, Feldman, R. The relationship between low vision and performance of activities of daily living in nursing home residents. J Am Geriatr Soc 1992;40:1018–20.CrossRefGoogle ScholarPubMed
15.Verbrugge, LM, Lepkowski, JM, Imanaka, Y. Comorbidity and its impact on disability. Dis Stat Rep 1989;2:139.Google Scholar
16.Dargent-Molina, P, Hays, M, Breart, G. Sensory impairment and physical disability in aged women living at home. Int J Epi 1996:25(3):621–9.CrossRefGoogle ScholarPubMed
17.Statistics Canada. The Health and Activity Limitation Survey, 1986. Ottawa: Statistics Canada, 1989.Google Scholar
18.Statistics Canada. The Health and Activity Limitation Survey, 1991. Ottawa: Statistics Canada, 1991.Google Scholar
19.Statistics Canada. Users guide: Health and Activity Limitation Survey. Ottawa: Statistics Canada, 1987.Google Scholar
20.Raina, P, Dukeshire, S, Lindsay, J, Chambers, LW. Chronic conditions and disabilities among seniors: An analysis of population-based Health and Activity Limitation Surveys. Ann Epidemiology 1998;8:402–9.CrossRefGoogle ScholarPubMed
21.Haan, M, Kaplan, GA, Camacho, T. Poverty and health. Am J Epidemio 1987;125(6):989–98.CrossRefGoogle ScholarPubMed
22.Jenkins, CD, Tuthill, RW, Tannenbaum, SI, Kirby, C. Social stressors and excess mortality from hypertensive diseases. J Human Stress 1979;5:2940.CrossRefGoogle ScholarPubMed
23.Raina, P, Dukeshire, S, Lindsay, J, Chambers, W, Lindsay, J. Sensory impairment among Canadians 55 years and older: An analysis of 1986 and 1991 Health and Activity Limitation Survey. IESOP Research Paper No. 18. Hamilton: McMaster University, 1997.Google Scholar
24.Branch, LG, Horowitz, A, Carr, C. The implication for everyday life of incident self-reported visual decline among people over age 65 living in the community. Gerontologist 1989;29(3):359–65.CrossRefGoogle ScholarPubMed
25.Horowitz, A. The prevalence and consequences of visual impairment among nursing home residents. Monograph of the Lighthouse, Inc. New York, 1988.Google Scholar
26.Neils, J, Newman, CW, Hill, M, Wieler, E. The effects of rate, sequencing, and memory on auditory processing in the elderly. J Gerontol 1991;46:71–5.CrossRefGoogle ScholarPubMed
27.Slawinski, EB, Hartel, DM, Kline, DW. Self-reported hearing problems in daily life throughout adulthood. Psychol Aging 1993;8(4):552–61.CrossRefGoogle ScholarPubMed
28.Suzman, RM, Manton, KG, Willis, DP. Introducing the oldest old. In RM, Suzman, DP, Willis, KG, Manton (eds): The oldest old. New York: Oxford University Press, 1992.CrossRefGoogle Scholar
29.Mor, VK, Wilcox, V, Rakowski, W, Hiris, J. Functional transitions among the elderly: Patterns, predictors, and related hospital use. Am J Public Health 1994;84:1274–80.CrossRefGoogle ScholarPubMed
30.Wormald, RPL, Wright, LA, Courtney, P, Beaumont, B, Haines, AP. Visual problems in the elderly population and implications for services. Br Med J 1992;304:1226–9.CrossRefGoogle ScholarPubMed
31.Wallhagen, M.I, Strawbridge, WJ, Cohen, RD, Kaplan, GA. An increasing prevalence of hearing impairment and associated risk factors over three decades of the Alameda County Study. Am J Public Health 1997;87:440–2.CrossRefGoogle ScholarPubMed
32.Raina, P, Dukeshire, S, Lindsay, J, Chambers, W. Income status and disability among Canadians 55 years and older: An analysis using the 1986 and 1991 Health and Activity Limitation Surveys. Ottawa: Division of Aging-Related Diseases, Cancer Bureau at LCDC, Health Canada, 1997.Google Scholar
33.Strickland, BR. Sex-related differences in health and illness. Psychol Women Q 1988;12:381–99.CrossRefGoogle Scholar
34.Verbrugge, LM. An epidemiological profile of older women. In MR, Haug, AB, Ford, and R, Sheafor (eds.): The physical and mental health of aged women. New York: Springer, 1985 (pp. 4146).Google Scholar
35.Cairney, LG, Arnold, R. Social class, health and aging: Socioeconomic determinants of self-reported modbidity among the non-instituationalized elderly in Canada. Can J Public Health 1996;87(3):199203.Google Scholar
36.Hirdes, JP, Brown, SK, Forbes, WF, et al. The association between self-reported income and preceived health based on the Ontario longitudinal study of aging. Can J Aging 1986;5(3):189204.CrossRefGoogle Scholar
37.MacDonough, P, Duncan, GJ, William, D, et al. Income dynamics and adult mortality in the United States, 1972 through 1989. Am J Public Health 1997;87(9): 1476–83.CrossRefGoogle Scholar
38.Dutton, DB, Levine, S. Socioeconomic status and health: Overview, methodology, critique, and reformation. In Bunker, J. P., Gomby, D. S. and Kehrer, B. H. (eds): Pathway to health, the role of social factors. The Henry J Kaiser Family Foundation: California, 1989.Google Scholar
39.Lindheim, R, Syme, S. Environments, people and health. Ann Rev Public Health 1983;4:335–59.CrossRefGoogle ScholarPubMed
40.Scholzman, KL, Verba, S. The new unemployment: does it hurt? Public Policy 1978;26(3):333–58.Google Scholar
41.Raina, P, Dukeshire, S, Chambers, LW, Denton, M, Gafni, A, et al. Income, disability and functional independence. IESOP Research Paper no. 12, January 1998. Program for Research on the Independence and Economic Security of the Older Population, McMaster University, Faculty of Social Sciences, Hamilton, Ontario, Canada.Google Scholar
42.Strawbridge, WJ, Kaplan, GA, Camacho, T, et al. The dynamics of disability and functional change in an elderly cohort: Results from the Alameda County study. J Am Geriatr Soc 1992;40:799806.CrossRefGoogle Scholar
43.Ory, MG, Bond, K. Introduction: health care for an aging population. In MG, Ory and K, Bond (eds): Aging health care. Routledge: London, 1989.Google Scholar
44.Holden, KC, Smeeding, TM. The poor, the rich and the insecure elderly caught in the middle. Milbank Q 1990;68(2):192219.CrossRefGoogle Scholar
45.Marx, Ms, Werner, P, Cohen-Mansfield, J, Feldman, R. The relationship between low vision and preformance of activities of daily living in nursing home residents. J Am Geriatr Soc 1992;40:1018–20.CrossRefGoogle Scholar
46.Rahmani, B, Tielsch, JM, Katz, J, Gottsch, J, Quigley, H, Javitt, J, Sommer, A. The cause-specific prevalence of visual impairment in an urban population: The Baltimore Eye Survey. Opthamology 1996;103:1721–6.CrossRefGoogle Scholar
47.Faye, EE. Maintianing visual functions in the elderly. Bulletin of the New York Academy of Medicine 1984;60:987–93.Google Scholar
48.Besdine, R. The data base of geriatric medicine. In JW, Rowe and RW, Desdine (eds): Health and disease in old age. Boston: Little, Brown, 1982.Google Scholar
49.Arlinger, S. Audiometric profile in presbycusis. Acta Otolaryngologica 1991;Suppl. 476:8590.CrossRefGoogle Scholar
50.Humes, JE, Roberts, L. Speech-recognition difficulties of the hearing-impaired elderly: the contributions of audibility. J Speech Hearing Res 1990;33:726–35.CrossRefGoogle ScholarPubMed