{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T09:26:41Z","timestamp":1783416401887,"version":"3.54.6"},"reference-count":54,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"content-version":"vor","delay-in-days":187,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Aging Research"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hearing loss (HL) is common in older adults and is associated with substantial functional decline, yet community\u2010based evidence on its determinants remains limited in China, particularly across different methods of hearing assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate associations and predictors of HL among older adults in southern China using audiometric and self\u2010reported assessments, and to compare patterns across two community\u2010based cohorts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were analyzed from 2664 adults aged \u2265\u200960\u2009years in Shenzhen and 30,518 adults aged \u2265\u200950\u2009years from the Guangzhou Biobank Cohort Study (GBCS). Moderate\u2010to\u2010severe HL was defined as a pure\u2010tone average (PTA) \u2265\u200935\u2009dB hearing level in the better\u2010hearing ear, calculated from air\u2010conduction thresholds at 500\u20138000\u2009Hz. HL was assessed using pure\u2010tone audiometry in Shenzhen and a validated self\u2010reported measure in GBCS. Multivariable logistic regression estimated adjusted odds ratios (aORs) with 95% confidence intervals (CIs). Extreme gradient boosting with SHAP values was used to assess predictor importance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Older age, male sex, and lower household income were consistently associated with higher odds of HL in both cohorts. In Shenzhen, metabolic disease (aOR\u2009=\u20091.28, 95% CI: 1.05\u20131.57) and otitis media (aOR\u2009=\u20092.65, 95% CI: 1.63\u20134.33) were positively associated with HL, whereas thyroid disease showed an inverse association. In GBCS, alcohol consumption (aOR\u2009=\u20091.28, 95% CI: 1.15\u20131.43), arthritis (aOR\u2009=\u20091.37, 95% CI: 1.23\u20131.52), and stroke (aOR\u2009=\u20091.64, 95% CI: 1.06\u20132.45) were positively associated, while overweight status and nonmanual occupation were inversely associated. Machine\u2010learning analyses consistently identified age, sex, education, income, and chronic diseases as key predictors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>HL in older adults shows both shared and cohort\u2010specific associations across assessment methods, highlighting sociodemographic and health\u2010related disparities. Targeted community\u2010based screening and prevention strategies are warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jare\/4809368","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T09:07:47Z","timestamp":1783415267000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hearing Loss in Older Adults: Consistent Determinants Across Two Community\u2010Based Cohorts in Southern China"],"prefix":"10.1155","volume":"2026","author":[{"given":"Dian","family":"Zhu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xutong","family":"Zhong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1145-194X","authenticated-orcid":false,"given":"Ruiqiang","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xianhai","family":"Zeng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0537-922X","authenticated-orcid":false,"given":"Lin","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1672-0400","authenticated-orcid":false,"given":"Juanjuan","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,7]]},"reference":[{"key":"e_1_2_9_1_2","volume-title":"Deafness and Hearing Loss (Fact Sheet)","author":"WHO","year":"2025"},{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.2147\/cia.s26059"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/14992027.2021.1883197"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0288099"},{"key":"e_1_2_9_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/08982643221138162"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-20496-w"},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0298495"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2023.08.023"},{"key":"e_1_2_9_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.26320"},{"key":"e_1_2_9_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.46591"},{"key":"e_1_2_9_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2023.102068"},{"key":"e_1_2_9_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/aud.0000000000001165"},{"key":"e_1_2_9_13_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnagi.2021.695117"},{"key":"e_1_2_9_14_2","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1097\/AUD.0000000000001420","article-title":"Hearing Loss Prevalence, Years Lived with Disability, and Hearing Aid Use in the United States from 1990 to 2019: Findings from the Global Burden of Disease Study","volume":"45","author":"Collaborators G. 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