ArticleFrontiers in aging neuroscience2023
Impact of hearing loss on cognitive function in community-dwelling older adults: serial mediation of self-rated health and depressive anxiety symptoms.
Article in Frontiers in aging neuroscience, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 14 citations in OpenAlex.
- Association between subjective hearing difficulty and cognitive impairment among community-dwelling older adults: A secondary analysis of the 2023 National Survey of Older Koreans.Journal of Korean gerontological nursing · 2026Article
- How Anxiety Shapes Students' Self-Rated Health at Elite Universities: A Longitudinal Study.Behavioral sciences (Basel, Switzerland) · 2026Article
- The relationship between hearing loss and cognitive function in the elderly: the mediating effect of social isolation.BMC geriatrics · 2025Article
- The impact of hearing ability on depression among retired middle-aged and elderly individuals in China: the chain mediating role of self-rated health and life satisfaction.Journal of health, population, and nutrition · 2025Article
- Indoor ventilation frequency and cognitive function among Chinese old adults: the multiple mediation effect of anxiety and self-rated health.BMC geriatrics · 2025Article
- Equitable access to cochlear implants: a perspective on social justice and international obligations.Frontiers in public health · 2025Article
- Real-life intrinsic capacity screening data from the ICOPE-Care program.Nature aging · 2024Article
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Hearing loss can exacerbate cognitive decline; therefore, exploring the mechanisms through which hearing loss affects cognitive function is crucial. The current study aimed to investigate the impact of hearing loss on cognitive function and the mediating role played by self-rated health and depressive anxiety symptoms. Methods: Using stratified whole-group random sampling, the study employed a cross-sectional design and included 624 participants aged ≥65 years from three communities in Urumqi, China. Cognitive function was assessed using the Mini-Mental State Examination. Hearing function and self-rated health were determined by self-report. The 15-item Geriatric Depression Scale and the 7-item Generalized Anxiety Disorder Scale were used to assess depressive anxiety symptoms. Serial mediation analysis was performed using AMOS 26.0. Results: Hearing loss can not only negatively affect cognitive function in older adults directly (direct effect = -0.106; SE = 0.045; 95% confidence interval (CI): -0.201 to -0.016), but also indirectly affect the relationship between hearing loss and cognitive function through self-rated health and depressive anxiety symptoms. The results of the serial mediation analysis showed that the total indirect effect of self-rated health and depressive anxiety symptoms was -0.115 (95% CI: -0.168 to -0.070), and the total effect of the model was -0.221 (95% CI: -0.307 to -0.132), with the total indirect effect accounting for 52.04% of the total effect of the model. Conclusion: Our study discovered that there is a partial mediation of the relationship between hearing loss and cognitive function by self-rated health and depressive anxiety symptoms. It is suggested that by enhancing self-rated health and ensuring good mental health, the decline in cognitive function among older adults with hearing loss can be delayed.
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