{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:45:51Z","timestamp":1791812751417,"version":"4.3.4"},"reference-count":31,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hearing loss (HL) is common in older adults, but many do not recognize how it affects communication. This lack of recognition may limit caregivers' ability to provide effective support, since communication is central to caregiving. This study examined whether care recipients' HL recognition is associated with caregiver burden and psychosocial well\u2010being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used the Round 13 (2023) data from NHATS and NSOC, including 1480 caregivers assisting 960 older adults. HL status was classified as: unrecognized HL (audiometric HL without self\u2010reported difficulty), recognized HL (audiometric HL with self\u2010reported difficulty or hearing aid use), and no HL (normal audiometry). Caregiver outcomes included emotional, financial, and physical burden; relationship quality; PHQ\u20104 well\u2010being; and restrictions in leisure and social activities. We further examined differences by HL severity and hearing aid use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among caregivers, 47% supported older adults with unrecognized HL, 34% recognized HL, and 19% had no HL. Compared with caregivers of older adults without HL, caregivers of those with unrecognized HL were more likely to report depressive symptoms, including little interest or pleasure in doing things (OR 1.85; 95% CI: 1.19\u20132.87) and feeling down or depressed (OR 2.07; 95% CI: 1.31\u20133.25). A trend toward fewer depressive symptoms was observed among caregivers of individuals with managed HL, though it was not statistically significant. No differences were found in caregiving burden, relationship quality, or activity restriction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Despite expectations otherwise, associations between HL recognition and caregiver well\u2010being were modest, suggesting current measures may not fully capture the communication challenges shaping caregiving experiences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70756","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T13:00:18Z","timestamp":1791810018000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of Recognition of Hearing Loss Among Care Recipients on Caregiver Reported Care Outcomes"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-0329-1059","authenticated-orcid":false,"given":"Gianna","family":"Rodriguez","sequence":"first","affiliation":[{"name":"Department of Hearing and Speech Sciences University of Maryland  College Park Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8726-6520","authenticated-orcid":false,"given":"Wuyang","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Epidemiology Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"},{"name":"Johns Hopkins, Cochlear Center for Hearing and Public Health  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel E.","family":"Garcia Morales","sequence":"additional","affiliation":[{"name":"Optimal Aging Institute, Department of Population Health Grossman School of Medicine, New York University  New York New York USA"},{"name":"Department of Otolaryngology \u2013 Head and Neck Surgery Grossman School of Public Medicine, New York University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas S.","family":"Reed","sequence":"additional","affiliation":[{"name":"Johns Hopkins, Cochlear Center for Hearing and Public Health  Baltimore Maryland USA"},{"name":"Amplifon SpA  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle S.","family":"Powell","sequence":"additional","affiliation":[{"name":"Department of Hearing and Speech Sciences University of Maryland  College Park Maryland USA"},{"name":"Division of Gerontology, Department of Epidemiology and Public Health University of Maryland School of Medicine  Baltimore Maryland USA"},{"name":"University of Maryland Institute for Health Computing  North Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"B.Spillman J.Wolff V.Freedman andJ.Kasper \u201cInformal Caregiving for Older Americans: An Analysis of the 2011 National Study of Caregiving \u201d(2014) http:\/\/aspe.hhs.gov\/office_specific\/daltcp.cfm."},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2024.00978"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3766\/jaaa.26.2.6"},{"issue":"1","key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"S48","DOI":"10.1093\/geronb\/60.1.S48","article-title":"Investigating the Effects of Communication Problems on Caregiver Burden","volume":"60","author":"Savundranayagam M. 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A.Freedman M.Hu J.Dematteis andJ.Kasper \u201cAccounting for Sample Design in NHATS and NSOC Analyses: Frequently Asked Questions. NHATS Technical Paper #23 \u201d(2020) https:\/\/www.NHATS.org."},{"key":"e_1_2_9_17_1","unstructured":"M.Hu J. R.Ehrlich N. S.Reed andV. A.Freedman \u201cNational Health and Aging Trends Study (NHATS) Vision and Hearing Activities User \u201d(2022) https:\/\/www.NHATS.org."},{"key":"e_1_2_9_18_1","unstructured":"WHO \u201cGrades of Hearing Impairment \u201d(2017) https:\/\/www.who.int\/pbd\/deafness\/hearing_impairment_grades\/en\/#.XA0cHPSTeBo.mendeley."},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/14992027.2018.1518598"},{"key":"e_1_2_9_20_1","unstructured":"V.Freedman B.Spillman andJ.Kasper \u201cHours of Care in Rounds 1 and 2 of the National Health and Aging Trends Study \u201d(2014) https:\/\/www.NHATS.org."},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14910"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0033\u20103182(09)70864\u20103"},{"key":"e_1_2_9_23_1","unstructured":"V. A.Freedman \u201cNational Health and Aging Trends Study Twenty Interval Regression Income Imputations: Rounds 1\u201312. 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