dc.contributor.author | Mikkola, Tuija | |
dc.contributor.author | Polku, Hannele | |
dc.contributor.author | Sainio, Päivi | |
dc.contributor.author | Koponen, Päivikki | |
dc.contributor.author | Koskinen, Seppo | |
dc.contributor.author | Viljanen, Anne | |
dc.date.accessioned | 2016-11-11T08:55:20Z | |
dc.date.available | 2016-11-11T08:55:20Z | |
dc.date.issued | 2016 | |
dc.identifier.citation | Mikkola, T., Polku, H., Sainio, P., Koponen, P., Koskinen, S., & Viljanen, A. (2016). Hearing loss and use of health services : a population-based cross-sectional study among Finnish older adults. <i>BMC Geriatrics</i>, <i>16</i>(1), Article 182. <a href="https://doi.org/10.1186/s12877-016-0356-5" target="_blank">https://doi.org/10.1186/s12877-016-0356-5</a> | |
dc.identifier.other | CONVID_26305812 | |
dc.identifier.other | TUTKAID_71671 | |
dc.identifier.uri | https://jyx.jyu.fi/handle/123456789/51864 | |
dc.description.abstract | Background: Older adults with hearing difficulties face problems of communication which may lead to underuse
of health services. This study investigated the association of hearing loss and self-reported hearing difficulty with
the use of health services and unmet health care needs in older adults.
Methods: Data on persons aged 65 and older (n = 2144) drawn from a population-based study, Health 2000, were
analyzed. Hearing loss was determined with screening audiometry (n = 1680). Structured face-to-face interviews
were used to assess self-reported hearing difficulty (n = 1962), use of health services (physician and nurse visits,
health examinations, mental health services, physical therapy, health promotion groups, vision test, hearing test,
mammography, PSA test) and perceived unmet health care needs. Multivariable logistic regression analyses were
used.
Results: After adjusting for socio-economic and health-related confounders, persons with hearing loss (hearing
level of better ear 0.5–2 kHz > 40 dB) were more likely to have used mental health services than those with nonimpaired
hearing (OR = 3.2, 95 % CI 1.3–7.9). Self-reported hearing difficulty was also associated with higher odds
for mental health service use (OR = 2.1 95 % CI 1.2–3.5). Hearing was not associated with use of the other health
services studied, except presenting for a hearing test. Persons with self-reported hearing difficulty were more likely
to perceive unmet health care needs than those without hearing difficulty (OR = 1.7, 95 % CI 1.4–2.1).
Conclusions: Older adults with hearing loss or self-reported hearing difficulty are as likely to use most health
services as those without hearing loss. However, self-reported hearing difficulty is associated with experiencing
unmet health care needs. Adequate health services should be ensured for older adults with hearing difficulties. | |
dc.language.iso | eng | |
dc.publisher | BioMed Central Ltd. | |
dc.relation.ispartofseries | BMC Geriatrics | |
dc.subject.other | pure-tone audiometry | |
dc.subject.other | aged | |
dc.subject.other | aging | |
dc.title | Hearing loss and use of health services : a population-based cross-sectional study among Finnish older adults | |
dc.type | article | |
dc.identifier.urn | URN:NBN:fi:jyu-201611084588 | |
dc.contributor.laitos | Terveystieteiden laitos | fi |
dc.contributor.laitos | Department of Health Sciences | en |
dc.contributor.oppiaine | Gerontologia ja kansanterveys | fi |
dc.contributor.oppiaine | Gerontologian tutkimuskeskus | fi |
dc.contributor.oppiaine | Hyvinvoinnin tutkimuksen yhteisö | fi |
dc.contributor.oppiaine | Gerontology and Public Health | en |
dc.contributor.oppiaine | Gerontology Research Center | en |
dc.contributor.oppiaine | School of Wellbeing | en |
dc.type.uri | http://purl.org/eprint/type/JournalArticle | |
dc.date.updated | 2016-11-08T10:15:08Z | |
dc.type.coar | http://purl.org/coar/resource_type/c_2df8fbb1 | |
dc.description.reviewstatus | peerReviewed | |
dc.relation.issn | 1471-2318 | |
dc.relation.numberinseries | 1 | |
dc.relation.volume | 16 | |
dc.type.version | publishedVersion | |
dc.rights.copyright | © The Author(s). 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License. | |
dc.rights.accesslevel | openAccess | fi |
dc.subject.yso | huonokuuloisuus | |
dc.subject.yso | terveyspalvelut | |
dc.subject.yso | tarpeet | |
dc.subject.yso | kysyntä | |
jyx.subject.uri | http://www.yso.fi/onto/yso/p1939 | |
jyx.subject.uri | http://www.yso.fi/onto/yso/p3307 | |
jyx.subject.uri | http://www.yso.fi/onto/yso/p4176 | |
jyx.subject.uri | http://www.yso.fi/onto/yso/p6256 | |
dc.rights.url | https://creativecommons.org/licenses/by/4.0/ | |
dc.relation.doi | 10.1186/s12877-016-0356-5 | |
dc.type.okm | A1 | |