{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T06:20:31Z","timestamp":1789021231376,"version":"build-2803163510"},"reference-count":48,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2021,9,3]],"date-time":"2021-09-03T00:00:00Z","timestamp":1630627200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000053","name":"National Eye Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000053","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Vision and hearing impairments often co\u2010exist with dementia, and all are independently associated with limitations in daily activities. Our aim was to examine the association of dual sensory impairment with functional limitations, and further examine the combined estimated association of sensory impairment and dementia with these functional limitations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Cross\u2010sectional analysis of the National Health and Aging Trends Study (NHATS), a population\u2010based cohort of Medicare beneficiaries, was performed. Participants were selected from the 2015 round. Survey weighted Poisson regression models adjusted for dementia, demographics, and health status variables examined the association of self\u2010reported dual sensory impairment (no sensory impairment, single sensory impairment, dual sensory impairment) with scores of limitations in mobility, self\u2010care, and household activities. Models were repeated to take into account the combined effects of dual sensory impairment and dementia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 7124 participants representative of Medicare beneficiaries 65\u2009years or older were included. Of them, 43.9% were 75\u2009years or older and 55.3% were female. Older adults with dual sensory impairment had greater limitations with mobility (prevalence rate ratio [PRR]\u00a0=\u00a01.45, 95% CI\u00a0=\u00a01.28\u20131.63), self\u2010care (PRR\u00a0=\u00a01.41, 95% CI\u00a0=\u00a01.25\u20131.59), and household activities (PRR\u00a0=\u00a01.54, 95% CI\u00a0=\u00a01.37\u20131.72) compared with those without sensory impairment. They also had greater limitations than those with a single sensory impairment across the different activity categories. In models taking into account the combined estimated effect of both sensory impairment and dementia, those with dual sensory impairment and dementia had greater limitations than those without sensory impairment or dementia in each category (mobility: PRR\u00a0=\u00a01.85, 95% CI\u00a0=\u00a01.59\u20132.14, self\u2010care: PRR\u00a0=\u00a01.86, 95% CI\u00a0=\u00a01.59\u20132.18, household: PRR\u00a0=\u00a02.41, 95% CI\u00a0=\u00a02.09\u20132.77).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Older adults with dual sensory impairment had greater functional limitations compared with those without sensory impairment and those with a single sensory impairment. Strategies to improve visual and\/or hearing function (e.g., sensory aids, rehabilitation) could potentially help prevent or minimize disability, even among those with dementia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.17448","type":"journal-article","created":{"date-parts":[[2021,9,3]],"date-time":"2021-09-03T14:26:07Z","timestamp":1630679167000},"page":"3557-3567","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["<scp>Self\u2010reported<\/scp>\n                    dual sensory impairment, dementia, and functional limitations in Medicare beneficiaries"],"prefix":"10.1111","volume":"69","author":[{"given":"Lama","family":"Assi","sequence":"first","affiliation":[{"name":"Cochlear Center for Hearing and Public Health Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"},{"name":"Department of Ophthalmology Louisiana State University Health Sciences Center  New Orleans Louisiana USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0607-3564","authenticated-orcid":false,"given":"Joshua R.","family":"Ehrlich","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences University of Michigan Medical School  Ann Arbor Michigan USA"},{"name":"Institute for Healthcare Policy and Innovation University of Michigan  Ann Arbor Michigan USA"},{"name":"Institute for Social Research University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunshu","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology and Visual Sciences University of Michigan Medical School  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alison","family":"Huang","sequence":"additional","affiliation":[{"name":"Cochlear Center for Hearing and Public Health Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"},{"name":"Department of Mental Health Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Kasper","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"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 USA"},{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Johns Hopkins School of Medicine  Baltimore Maryland USA"},{"name":"Department of Epidemiology Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael M.","family":"McKee","sequence":"additional","affiliation":[{"name":"Institute for Healthcare Policy and Innovation University of Michigan  Ann Arbor Michigan USA"},{"name":"Department of Family Medicine University of Michigan Medical School  Ann Arbor Michigan USA"}],"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 USA"},{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Johns Hopkins School of Medicine  Baltimore Maryland USA"},{"name":"Department of Epidemiology Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"},{"name":"The Disability Health Research Center Johns Hopkins Bloomberg University  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bonnielin K.","family":"Swenor","sequence":"additional","affiliation":[{"name":"Cochlear Center for Hearing and Public Health Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"},{"name":"Department of Epidemiology Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"},{"name":"The Disability Health Research Center Johns Hopkins Bloomberg University  Baltimore Maryland USA"},{"name":"The Wilmer Eye Institute Johns Hopkins University  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer A.","family":"Deal","sequence":"additional","affiliation":[{"name":"Cochlear Center for Hearing and Public Health Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"},{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Johns Hopkins School of Medicine  Baltimore Maryland USA"},{"name":"Department of Epidemiology Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"},{"name":"The Disability Health Research Center Johns Hopkins Bloomberg University  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,9,3]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/1468-0009.12076"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2019.01800"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gby037"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.3928\/19404921-20171002-01"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15447"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-7-13"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-016-0160-8"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2019.103907"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1167\/iovs.12-10542"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13183"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afr155"},{"key":"e_1_2_9_13_1","unstructured":"Prevent Blindness America. Vision Problems in the U.S.: Prevalence of Adult Vision Impairment and Age\u2010Related Eye Disease in America. Published 2012. Accessed February 29 2020.http:\/\/www.visionproblemsus.org"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2016.303299"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.1880"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-019-1231-9"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/gly155"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.3109\/09286580903312236"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-014-0657-0"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1682\/JRRD.2005.06.0109"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.5237"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbz043"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-016-0286-2"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glv036"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.1558"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-148-6-200803180-00005"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1159\/000109998"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603-014-0503-7"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/2333721415623495"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0192971"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2020.1562"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyz109"},{"key":"e_1_2_9_33_1","unstructured":"NHATS Data Collection Procedures: Round 5 2015. Accessed December 11 2020.www.nhats.org"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glr087"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glx022"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.168.14.1522"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000075"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ophtha.2020.06.064"},{"key":"e_1_2_9_39_1","unstructured":"KasperJD FreedmanVA SpillmanB. Classification of Persons by Dementia Status in the National Health and Aging Trends Study. Technical Paper #5. Baltimore MD: Johns Hopkins University School of Public Health. 2013. Accessed November 11 2020.www.NHATS.org"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLR.0000093487.78664.3C"},{"key":"e_1_2_9_41_1","unstructured":"KasperJD FreedmanVA SpillmanB. National Health and Aging Trends Study User Guide: Rounds 1\u20109 Final Release. Baltimore MD: Johns Hopkins University School of Public Health. 2020. Accessed November 11 2020.www.NHATS.org"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002250"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S198763"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1080\/11038120701442963"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610218000728"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaophthalmol.2013.1700"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.5231"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2019.00451"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp2027050"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.17448","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jgs.17448","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.17448","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T16:40:36Z","timestamp":1762188036000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.17448"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9,3]]},"references-count":48,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1111\/jgs.17448"],"URL":"https:\/\/doi.org\/10.1111\/jgs.17448","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9,3]]},"assertion":[{"value":"2021-05-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-08-06","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-09-03","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}