ArticleBMC geriatrics2025
Association of visual and hearing impairments with all-cause mortality in older adults in China.
Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Functional, molecular, and digital measurements of biological age.The Journal of clinical investigation · 2026Review
- Associations between cMIND diet, mold exposure, and visual impairment among older adults in China: a national cross-sectional study.Frontiers in nutrition · 2026Article
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Authors and funding
4 authors.
Funding
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Abstract
backgroundFew studies have examined the association between visual and hearing impairments with all-cause mortality, with inconsistent findings. Moreover, previous researches often categorized impairments in a simplistic manner without considering severity levels. This study aimed to investigate the association between visual and hearing impairments with all-cause mortality among older adults, focusing on impairment severity, using data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS).
methodsA total of 31,701 older participants were included (median age: 90.0 [IQR: 81.0, 99.0], men: 41.1%). Different levels of visual and hearing impairments were scored and then aggregated and divided into four groups. Cox regression analysis examined the association of visual and hearing impairments with all-cause mortality.
resultsDuring a median follow-up period of 3.1 years, a total of 22,555 deaths (71.1%) were recorded. Overall, mortality risk increased significantly with the severity of visual and hearing impairments after adjusting for confounders. Compared to score = 0 group, adjusted HRs for mortality were 1.15 (95% CI: 1.11-1.19, p < 0.001) for score = 1 group, 1.26 (95% CI: 1.21-1.31, p < 0.001) for score = 2 group, and 1.47 (95% CI: 1.40-1.54, p < 0.001) for score ≥ 3 group, respectively. Stratified and sensitivity analysis revealed consistent results. Additionally, the population attributable fraction for visual and hearing impairments with mortality was 10.8%.
conclusionsAmong older people, all-cause mortality risk significantly increased with the severity of visual and hearing impairments, and the visual and hearing impairments accounted for 10.8% of total deaths. These findings emphasize the importance of vigilant monitoring and management of visual and hearing impairments.
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