Evidence map›Paper›PMID 38911874›Full record

ArticleAlzheimer's & dementia (New York, N. Y.)

Hearing loss and cognitive decline: Prioritizing equity in a world in which hearing health matters.

Carrie L Nieman, Roland J Thorpe, Esther S Oh

Abstract read
In one paragraph

Article in Alzheimer's & dementia (New York, N. Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Prevalence of self-reported hearing loss and its association with depression in individuals aged 15 years and above in a large-scale representative sample: evidence from a nationwide population-based cross-sectional study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Article
  2. 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

3 authors.

Carrie L NiemanDepartment of Otolaryngology-Head & Neck Surgery Johns Hopkins University School of Medicine Baltimore Maryland USA.
Roland J ThorpeJohns Hopkins University School of Nursing Baltimore Maryland USA.
Esther S OhCochlear Center for Hearing & Public Health Johns Hopkins Bloomberg School of Public Health Baltimore Maryland USA.

Funding

Addressing Hearing Loss as a Common Unmet Contributor to Neuropsychiatric SymptomsR01AG076525 · NIA · JOHNS HOPKINS UNIVERSITY · PI CARRIE L NIEMAN, Esther Seunghee Oh · 2022 to 2026
$3.9M
Accessible Hearing Care for Reduction of Disruptive Behaviors and Caregiver Burden in DementiaK23AG059900 · NIA · JOHNS HOPKINS UNIVERSITY · PI NIEMAN, CARRIE L · 2018 to 2022
$992k
NIA NIH HHS K23 AG059900NIA NIH HHS R01 AG076525
6 · The paper itself

Abstract

Alzheimer's disease and related dementias (ADRDs) and age-related hearing loss are the intersection of two major public health challenges. With age as the primary risk factor for both disease processes, the burden of ADRDs and age-related hearing loss is growing, and each field maintains significant barriers to broadscale identification and management that is affordable and accessible. With the disproportionate burden of ADRDs among racial and ethnic minority older adults and existing disparities within hearing care, both areas face challenges in achieving equitable access and outcomes across diverse populations. The publication of the Aging and Cognitive Health Evaluation in Elders (ACHIEVE) trial in July 2023 marked a significant moment in the fields of brain and hearing health. The ACHIEVE trial was the first randomized controlled trial to examine whether providing hearing intervention, specifically provision of hearing aids, compared to an education control, would reduce cognitive changes over 3 years. The participants most at risk for cognitive decline, with lower education, lower income, more likely to identify as Black, and have more cardiovascular risk factors, were the participants who benefited most from the hearing intervention and are also the least likely to be represented in research and the least likely to obtain hearing care. With growing evidence of the interconnection between cognitive and sensory health, we have an opportunity to prioritize equity, from purposeful inclusion of diverse participants in trials to influencing the emerging market of over-the-counter hearing aids to supporting expanded models of hearing care that reach those who have traditionally gone unserved. No longer can hearing go unrecognized by clinicians, researchers, and advocates for brain health. At the same time, the fields of brain and hearing health must center equity if we are going to meet the needs of diverse older adults in a world in which hearing health matters.

Indexed as

cognitive declinedementiahealth equityhearing losssensory impairment

Identifiers

PMID38911874
PMCPMC11191749

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.