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dc.contributor.authorPolku, Hannele
dc.contributor.authorMikkola, Tuija
dc.contributor.authorRantakokko, Merja
dc.contributor.authorPortegijs, Erja
dc.contributor.authorTörmäkangas, Timo
dc.contributor.authorRantanen, Taina
dc.contributor.authorViljanen, Anne
dc.date.accessioned2015-11-04T05:59:59Z
dc.date.available2015-11-04T05:59:59Z
dc.date.issued2015
dc.identifier.citationPolku, H., Mikkola, T., Rantakokko, M., Portegijs, E., Törmäkangas, T., Rantanen, T., & Viljanen, A. (2015). Self-reported hearing difficulties and changes in life-space mobility among community-dwelling older adults: a Two-year follow-Up study. <i>BMC Geriatrics</i>, <i>15</i>, Article 121. <a href="https://doi.org/10.1186/s12877-015-0119-8" target="_blank">https://doi.org/10.1186/s12877-015-0119-8</a>
dc.identifier.otherCONVID_25260391
dc.identifier.otherTUTKAID_67599
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/47563
dc.description.abstractBackground Life-space mobility reflects individuals’ actual mobility and engagement with society. Difficulty in hearing is common among older adults and can complicate participation in everyday activities, thus restricting life-space mobility. The aim of this study was to examine whether self-reported hearing predicts changes in life-space mobility among older adults. Methods We conducted a prospective cohort study of community-dwelling older adults aged 75–90 years (n = 848). At-home face-to-face interviews at baseline and telephone follow-up were used. Participants responded to standardized questions on perceived hearing at baseline. Life-space mobility (the University of Alabama at Birmingham Life-Space Assessment, LSA, range 0–120) was assessed at baseline and one and two years thereafter. Generalized estimating equations were used to analyze the effect of hearing difficulties on changes in LSA scores. Results At baseline, participants with major hearing difficulties had a significantly lower life-space mobility score than those without hearing difficulties (mean 54, 95 % CI 50–58 vs. 57, 95 % CI 53–61, p = .040). Over the 2-year follow-up, the life-space mobility score declined in all hearing categories in a similar rate (main effect of time p < .001, group x time p = .164). Participants with mild or major hearing difficulties at baseline had significantly higher odds for restricted life-space (LSA score < 60) at two years (OR 1.8, 95 % CI 1.0–3.2 and 2.0, 95 % CI 1.0–3.9, respectively) compared to those without hearing difficulties. The analyses were adjusted for chronic conditions, age, sex and cognitive functioning. Conclusions People with major hearing difficulties had lower life-space mobility scores at baseline but did not exhibit accelerated decline over the follow-up compared to those without hearing difficulties. Life-space mobility describes older people’s possibilities for participating in out-of-home activities and access to community amenities, which are important building blocks of quality of life in old age. Early recognition of hearing difficulties may help prevent life-space restriction.
dc.language.isoeng
dc.publisherBioMed Central Ltd.
dc.relation.ispartofseriesBMC Geriatrics
dc.subject.otheraging
dc.subject.othercohort
dc.subject.otherhearing
dc.subject.otherlife-space
dc.subject.otherlongitudinal study
dc.titleSelf-reported hearing difficulties and changes in life-space mobility among community-dwelling older adults: a Two-year follow-Up study
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-201511033588
dc.contributor.laitosTerveystieteiden laitosfi
dc.contributor.laitosDepartment of Health Sciencesen
dc.contributor.oppiaineGerontologia ja kansanterveysfi
dc.contributor.oppiaineGerontology and Public Healthen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.date.updated2015-11-03T13:15:04Z
dc.type.coarjournal article
dc.description.reviewstatuspeerReviewed
dc.relation.issn1471-2318
dc.relation.numberinseries0
dc.relation.volume15
dc.type.versionpublishedVersion
dc.rights.copyright© 2015 Polku et al. This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License.
dc.rights.accesslevelopenAccessfi
dc.rights.urlhttp://creativecommons.org/licenses/by/4.0/
dc.relation.doi10.1186/s12877-015-0119-8


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© 2015 Polku et al. This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License.
Except where otherwise noted, this item's license is described as © 2015 Polku et al. This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License.