Evidence map›Paper›PMID 39856661›Full record

SynthesisBMC public health2025

Association of hearing loss with cognitive function and mental health in Africa: A systematic review.

Abdulazeez Ahmed, Fatimah Tsiga-Ahmed, Nafisatu Bello-Muhammad, Abdulrazaq Ajiya, Mustapha Gudaji, Denes Stefler

Abstract readSystematic Review
In one paragraph

Synthesis in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Hearing-Functioning Problems Across High-Burden Adult Health Conditions in Africa.International journal of environmental research and public health · 2026
    Pooled it
  2. Pooled it
  3. Article
  4. 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.

Abdulazeez AhmedDepartments of Otolaryngology, Bayero University & Aminu Kano Teaching Hospital, Kano, Nigeria.
Fatimah Tsiga-AhmedDepartment of Community Medicine & Public Health, Bayero University & Aminu Kano Teaching Hospital, Kano, Nigeria. fitsiga.cmed@buk.edu.ng.
Nafisatu Bello-MuhammadDepartment of Otolaryngology, Bayero University & Aminu Kano Teaching Hospital, Kano, Nigeria.
Abdulrazaq AjiyaDepartment of Otolaryngology, Bayero University & Aminu Kano Teaching Hospital, Kano, Nigeria.
Mustapha GudajiDepartment of Psychiatry, Bayero University & Aminu Kano Teaching Hospital, Kano, Nigeria.
Denes SteflerInstitute of Epidemiology and Health Care, University College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo summarize the evidence for the associations between hearing loss and mental health and cognitive function in Africa.

methodsThis systematic review was prepared following the PRISMA guidelines. Cohort, case‒control and cross-sectional studies were considered for inclusion if they reported the prevalence of any mental health conditions or levels of cognitive functioning among persons with hearing loss/deafness in comparison to those without hearing loss. No age restriction was applied. Articles not published in English or not from the African subcontinent were excluded. The initial search yielded a total of 2,822 articles from electronic databases. After title, abstract and full-text screening, seven articles were found to be eligible, with a total of 2,761 participants across Africa.

resultsFive studies reported that hearing difficulties were significantly associated with an increased prevalence of poor mental health. Two studies reported on cognition, one on higher odds (2.22; 95%CI) of developing cognitive decline among persons with hearing difficulties than among those with normal hearing. The majority of studies were conducted among special populations (i.e., retirement homes and special schools), with most participants being female.

conclusionThis study revealed an increased risk of mental health disorders and/or cognitive decline for people with hearing impairment in African populations. However, the number of relevant studies is small, and more research is needed to provide evidence for public health interventions across the continent.

trial registrationPROSPERO-CRD42024520957.

Indexed as

CognitionCognitive DysfunctionHearing LossMental DisordersMental HealthAfricaCross-Sectional StudiesFemaleHumansMalePrevalenceAfricaCognitive declineHearing lossMental healthSystematic review

Identifiers

PMID39856661
PMCPMC11758725

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.