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BMC Geriatrics
Published in: BMC Geriatrics 1/2016

Open Access 01-12-2016 | Research article

Hearing loss and use of health services: a population-based cross-sectional study among Finnish older adults

Authors: Tuija M. Mikkola, Hannele Polku, Päivi Sainio, Päivikki Koponen, Seppo Koskinen, Anne Viljanen

Published in: BMC Geriatrics | Issue 1/2016

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Abstract

Background

Older adults with hearing difficulties face problems of communication which may lead to underuse of health services. This study investigated the association of hearing loss and self-reported hearing difficulty with the use of health services and unmet health care needs in older adults.

Methods

Data on persons aged 65 and older (n = 2144) drawn from a population-based study, Health 2000, were analyzed. Hearing loss was determined with screening audiometry (n = 1680). Structured face-to-face interviews were used to assess self-reported hearing difficulty (n = 1962), use of health services (physician and nurse visits, health examinations, mental health services, physical therapy, health promotion groups, vision test, hearing test, mammography, PSA test) and perceived unmet health care needs. Multivariable logistic regression analyses were used.

Results

After adjusting for socio-economic and health-related confounders, persons with hearing loss (hearing level of better ear 0.5–2 kHz > 40 dB) were more likely to have used mental health services than those with non-impaired hearing (OR = 3.2, 95 % CI 1.3–7.9). Self-reported hearing difficulty was also associated with higher odds for mental health service use (OR = 2.1 95 % CI 1.2–3.5). Hearing was not associated with use of the other health services studied, except presenting for a hearing test. Persons with self-reported hearing difficulty were more likely to perceive unmet health care needs than those without hearing difficulty (OR = 1.7, 95 % CI 1.4–2.1).

Conclusions

Older adults with hearing loss or self-reported hearing difficulty are as likely to use most health services as those without hearing loss. However, self-reported hearing difficulty is associated with experiencing unmet health care needs. Adequate health services should be ensured for older adults with hearing difficulties.
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Metadata
Title
Hearing loss and use of health services: a population-based cross-sectional study among Finnish older adults
Authors
Tuija M. Mikkola
Hannele Polku
Päivi Sainio
Päivikki Koponen
Seppo Koskinen
Anne Viljanen
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2016
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-016-0356-5

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