Evidence map›Paper›PMID 27821075›Full record

ArticleBMC geriatrics2016

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

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

Abstract read
In one paragraph

Article in BMC geriatrics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Limited Health Literacy and Hearing Loss Among Older Adults.Health literacy research and practice · 2020
    Article
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  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Tuija M MikkolaGerontology Research Center and Department of Health Sciences, University of Jyvaskyla, P.O. Box 35, Viveca, Jyvaskyla, 40014, Finland. tuija.m.mikkola@jyu.fi.
Hannele PolkuGerontology Research Center and Department of Health Sciences, University of Jyvaskyla, P.O. Box 35, Viveca, Jyvaskyla, 40014, Finland.
Päivi SainioNational Institute for Health and Welfare, Helsinki, Finland.
Päivikki KoponenNational Institute for Health and Welfare, Helsinki, Finland.
Seppo KoskinenNational Institute for Health and Welfare, Helsinki, Finland.
Anne ViljanenGerontology Research Center and Department of Health Sciences, University of Jyvaskyla, P.O. Box 35, Viveca, Jyvaskyla, 40014, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOlder 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.

methodsData 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.

resultsAfter 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).

conclusionsOlder 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.

Indexed as

Communication BarriersHealth Services MisuseHearing LossAgedAudiometry, Pure-ToneCross-Sectional StudiesFemaleFinlandHealth ServicesHumansMaleMiddle AgedNeeds AssessmentSelf ReportAgedAgingHealth servicesHealth services needs and demandHearing lossPure-tone audiometry

Identifiers

PMID27821075
PMCPMC5100231

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.