ArticleJMIR aging2025
Associations Between Hearing Loss and Depressive Symptom Trajectories in Middle-Aged and Older People in China: Retrospective Analysis.
Article in JMIR aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundHearing loss and depression are important health issues among the middle-aged and older population.
objectiveThis study aimed to investigate the associations between hearing loss and depressive symptom trajectories in the Chinese middle-aged and older adult population.
methodsThe survey data of 2011, 2013, 2015, and 2018 waves collected in the China Health and Retirement Longitudinal Study were used for analysis. The latent growth mixture modeling approach was used to explore the trajectories of depressive symptoms. Hearing loss was identified through self-reporting, and depressive symptoms were assessed using the 10-item Center for Epidemiologic Studies Depression scale. The associations between hearing loss and depressive symptom trajectories were examined using logistic regression models.
resultsA total of 4768 participants without depressive symptoms at baseline were included for analysis. Among them, 4 depressive symptom trajectories, including "stable low symptoms" (n=3656, 76.68%), "slowly progressing symptoms" (n=503, 10.55%), "relieved symptoms after progression" (n=467, 9.79%), and "rapidly progressing symptoms" (n=142, 2.98%) were identified. Hearing loss was found to be significantly associated with the trajectory of "rapidly progressing symptoms."
conclusionsThe trajectories of depressive symptoms in middle-aged and older people have 4 types with distinct patterns. Hearing loss is associated with the progression of depressive symptoms, and its impact is more significant for males, affecting not only symptom severity but also progression speed. These findings indicate that the mental health status of middle-aged and older people with hearing loss requires careful consideration, and timely interventions should be provided.
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