{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T14:23:23Z","timestamp":1791469403977,"version":"4.3.4"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2019,7,30]],"date-time":"2019-07-30T00:00:00Z","timestamp":1564444800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"Cochlear Center for Hearing and Public Health"},{"name":"Eleanor Schwartz Charitable Foundation"},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R33 DC015062"],"award-info":[{"award-number":["R33 DC015062"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["KL2 TR001077"],"award-info":[{"award-number":["KL2 TR001077"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Hearing loss is common in older adults and limits communication. We investigated the independent association between functional hearing loss and social engagement in a nationally representative sample of older adults.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Using data from the 2015 Medicare Current Beneficiaries Survey, we modeled the cross-sectional association between self-reported hearing ability and limitation in social activity over the past month using multivariable logistic regression.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The majority of the study population was female (54.8%) and non-Hispanic white (74.3%). Participants (40.4%) reported \u201ca little trouble\u201d hearing and 7.4% reported \u201ca lot of trouble\u201d hearing. Those who reported any trouble hearing had higher odds of limited social engagement in the past month. After adjustment for demographic, clinical, and functional covariates, those who reported \u201ca lot of trouble\u201d hearing had 37% higher odds of limited social activity in the past month compared to those with normal hearing.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>These results suggest that hearing loss may be an important risk factor for limited social engagement and downstream negative health consequences, independent of other disability and health conditions.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/geronb\/gbz094","type":"journal-article","created":{"date-parts":[[2019,7,29]],"date-time":"2019-07-29T11:08:23Z","timestamp":1564398503000},"page":"195-200","source":"Crossref","is-referenced-by-count":37,"title":["Functional Hearing Loss and Social Engagement Among Medicare Beneficiaries"],"prefix":"10.1093","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0794-5747","authenticated-orcid":false,"given":"Aishwarya","family":"Shukla","sequence":"first","affiliation":[{"name":"Johns Hopkins School of Medicine, Baltimore, Maryland"},{"name":"Cochlear Center for Hearing and Public Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas K M","family":"Cudjoe","sequence":"additional","affiliation":[{"name":"Division of Geriatric Medicine and Gerontology, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank R","family":"Lin","sequence":"additional","affiliation":[{"name":"Cochlear Center for Hearing and Public Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland"},{"name":"Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas S","family":"Reed","sequence":"additional","affiliation":[{"name":"Cochlear Center for Hearing and Public Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland"},{"name":"Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2019,7,30]]},"reference":[{"key":"2020122307293873400_CIT0001","first-page":"153","article-title":"A profile of the Medicare Current Beneficiary Survey","volume":"15","author":"Adler","year":"1994","journal-title":"Health Care Financing Review"},{"key":"2020122307293873400_CIT0002","doi-asserted-by":"crossref","first-page":"165","DOI":"10.7326\/0003-4819-131-3-199908030-00002","article-title":"Social disengagement and incident cognitive decline in community-dwelling elderly persons","volume":"131","author":"Bassuk","year":"1999","journal-title":"Annals of Internal Medicine"},{"key":"2020122307293873400_CIT0003","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1177\/002214650905000103","article-title":"Social disconnectedness, perceived isolation, and health among older adults","volume":"50","author":"Cornwell","year":"2009","journal-title":"Journal of Health and Social Behavior"},{"key":"2020122307293873400_CIT0004","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/j.maturitas.2018.04.014","article-title":"Preventing social isolation in older people","volume":"113","author":"Cotterell","year":"2018","journal-title":"Maturitas"},{"key":"2020122307293873400_CIT0005","doi-asserted-by":"crossref","first-page":"823","DOI":"10.2105\/AJPH.94.5.823","article-title":"Vision impairment and hearing loss among community-dwelling older Americans: Implications for health and functioning","volume":"94","author":"Crews","year":"2004","journal-title":"American Journal of Public Health"},{"key":"2020122307293873400_CIT0006","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1001\/jamaoto.2018.2876","article-title":"Incident hearing loss and comorbidity: A longitudinal administrative claims study","volume":"145","author":"Deal","year":"2018","journal-title":"JAMA Otolaryngology\u2013Head and Neck Surgery"},{"key":"2020122307293873400_CIT0007","doi-asserted-by":"crossref","first-page":"1820","DOI":"10.2105\/AJPH.2016.303299","article-title":"Prevalence of hearing loss by severity in the United States","volume":"106","author":"Goman","year":"2016","journal-title":"American Journal of Public Health"},{"key":"2020122307293873400_CIT0008","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1001\/jamainternmed.2013.1597","article-title":"Living alone and risk of mortality in older, community-dwelling adults","volume":"173","author":"Gopinath","year":"2013","journal-title":"JAMA Internal Medicine"},{"key":"2020122307293873400_CIT0009","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1017\/S0144686X03001491","article-title":"The communication and psychosocial perceptions of older adults with sensory loss: A qualitative study","volume":"24","author":"Heine","year":"2004","journal-title":"Ageing and Society"},{"key":"2020122307293873400_CIT0010","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1093\/ageing\/afw060","article-title":"Social support and cognition in a community-based cohort: The Atherosclerosis Risk in Communities (ARIC) study","volume":"45","author":"Kats","year":"2016","journal-title":"Age and Ageing"},{"key":"2020122307293873400_CIT0011","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1001\/jamainternmed.2013.1868","article-title":"Hearing loss and cognitive decline in older adults","volume":"173","author":"Lin","year":"2013","journal-title":"JAMA Internal Medicine"},{"key":"2020122307293873400_CIT0012","doi-asserted-by":"crossref","first-page":"2673","DOI":"10.1016\/S0140-6736(17)31363-6","article-title":"Dementia prevention, intervention, and care","volume":"390","author":"Livingston","year":"2017","journal-title":"Lancet (London, England)"},{"key":"2020122307293873400_CIT0013","first-page":"168","article-title":"A cultural approach to male-female miscommunication","author":"Maltz","year":"1982","journal-title":"A Cultural Approach to Interpersonal Communication"},{"key":"2020122307293873400_CIT0014","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1177\/0194599813518021","article-title":"The association between hearing loss and social isolation in older adults","volume":"150","author":"Mick","year":"2014","journal-title":"Otolaryngology\u2013Head and Neck Surgery"},{"key":"2020122307293873400_CIT0015","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1093\/oxfordjournals.aje.a116297","article-title":"Social support and depressive symptoms in the elderly","volume":"135","author":"Oxman","year":"1992","journal-title":"American Journal of Epidemiology"},{"key":"2020122307293873400_CIT0016","doi-asserted-by":"crossref","first-page":"26","DOI":"10.3109\/14992020309074641","article-title":"Cognitive aging and auditory information processing","volume":"42","author":"Pichora-Fuller","year":"2003","journal-title":"International Journal of Audiology"},{"key":"2020122307293873400_CIT0017","doi-asserted-by":"crossref","first-page":"876","DOI":"10.1001\/jamaoto.2018.1656","article-title":"Association of cognition and age-related hearing impairment in the english longitudinal study of ageing","volume":"144","author":"Ray","year":"2018","journal-title":"JAMA otolaryngology\u2013Head and Neck Surgery"},{"key":"2020122307293873400_CIT0071","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1176\/appi.ajp.2017.17040423","article-title":"Sensation and psychiatry: linking age-related hearing loss to late-life depression and cognitive decline","volume":"175","author":"Rutherford","year":"2017","journal-title":"American Journal of Psychiatry"},{"key":"2020122307293873400_CIT0018","doi-asserted-by":"crossref","first-page":"1371","DOI":"10.1093\/ije\/30.6.1371","article-title":"Validation of self-reported hearing loss. The Blue Mountains Hearing Study","volume":"30","author":"Sindhusake","year":"2001","journal-title":"International Journal of Epidemiology"},{"key":"2020122307293873400_CIT0019","doi-asserted-by":"crossref","first-page":"1081","DOI":"10.1093\/aje\/155.12.1081","article-title":"Late-life engagement in social and leisure activities is associated with a decreased risk of dementia: A longitudinal study from the Kungsholmen project","volume":"155","author":"Wang","year":"2002","journal-title":"American Journal of Epidemiology"},{"key":"2020122307293873400_CIT0020","doi-asserted-by":"crossref","first-page":"1304","DOI":"10.1111\/j.1532-5415.2012.04039.x","article-title":"Self-reported hearing loss in older adults is associated with future decline in instrumental activities of daily living but not in social participation","volume":"60","author":"Yamada","year":"2012","journal-title":"Journal of the American Geriatrics Society"}],"container-title":["The Journals of Gerontology: Series B"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/psychsocgerontology\/advance-article-pdf\/doi\/10.1093\/geronb\/gbz094\/29194619\/gbz094.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/psychsocgerontology\/article-pdf\/76\/1\/195\/35086472\/gbz094.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/psychsocgerontology\/article-pdf\/76\/1\/195\/35086472\/gbz094.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,23]],"date-time":"2020-12-23T12:53:13Z","timestamp":1608727993000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/psychsocgerontology\/article\/76\/1\/195\/5540718"}},"subtitle":[],"editor":[{"given":"Deborah","family":"Carr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2019,7,30]]},"references-count":21,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2019,7,30]]},"published-print":{"date-parts":[[2021,1,1]]}},"URL":"https:\/\/doi.org\/10.1093\/geronb\/gbz094","relation":{},"ISSN":["1079-5014","1758-5368"],"issn-type":[{"value":"1079-5014","type":"print"},{"value":"1758-5368","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2021,1,1]]},"published":{"date-parts":[[2019,7,30]]}}}