PMID- 34735286
OWN - NLM
STAT- MEDLINE
DCOM- 20220324
LR  - 20221207
IS  - 1558-9102 (Electronic)
IS  - 1092-4388 (Linking)
VI  - 64
IP  - 12
DP  - 2021 Dec 13
TI  - Black Older Americans Have Lower Prevalence of Hearing Loss Than Their White 
      Peers: Findings From Two Large Nationally Representative Surveys.
PG  - 5014-5021
LID - 10.1044/2021_JSLHR-21-00075 [doi]
AB  - PURPOSE: The purpose of this study was to investigate Black-White differences 
      associated with hearing loss among older adults living in the United States. 
      METHOD: Secondary data analysis was conducted using the 2017 American Community 
      Survey (ACS) with a replication analysis of the 2016 ACS. The ACS is an annual 
      nationally representative survey of Americans living in community settings and 
      institutions. The sample size of older Americans (age 65+ years) in 2017 was 
      467,789 non-Hispanic Whites (NHWs) and 45,105 non-Hispanic Blacks (NHBs). In the 
      2016 ACS, there were 459,692 NHW and 45,990 NHB respondents. Measures of hearing 
      loss, age, race/ethnicity, education level, and household income were based on 
      self-report. Data were weighted to adjust for nonresponse and differential 
      selection probabilities. RESULTS: The prevalence of hearing loss was markedly 
      higher among older NHWs (15.4% in both surveys) in comparison with NHBs (9.0% in 
      2017 and 9.4% in 2016, both ethnic differences p < .001). In the 2017 ACS, the 
      age- and sex-adjusted odds of hearing loss were 69% higher for NHWs compared with 
      NHBs, which increased to 91% higher odds when household income and education 
      level were also taken into account (OR = 1.91; 95% confidence interval [CI; 1.85, 
      1.97]). Findings from the 2016 ACS were very similar (e.g., 65+ fully adjusted OR 
      = 1.81; 95% CI [1.76, 1.87]). CONCLUSIONS: NHWs have a much higher prevalence and 
      almost double the odds of hearing loss compared with NHBs. Unfortunately, the ACS 
      survey does not allow us to explore potential causal mechanisms behind this 
      association.
FAU - Deng, ZhiDi
AU  - Deng Z
AUID- ORCID: 0000-0002-7402-4254
AD  - Leslie Dan Faculty of Pharmacy, University of Toronto, Ontario, Canada.
FAU - Agbeyaka, Senyo
AU  - Agbeyaka S
AUID- ORCID: 0000-0003-3528-7753
AD  - University Health Network, Toronto, Ontario, Canada.
FAU - Fuller-Thomson, Esme
AU  - Fuller-Thomson E
AUID- ORCID: 0000-0002-9705-6216
AD  - Institute for Life Course and Aging, Factor-Inwentash Faculty of Social Work, 
      University of Toronto, Ontario, Canada.
AD  - Department of Family & Community Medicine, University of Toronto, Ontario, 
      Canada.
LA  - eng
PT  - Journal Article
DEP - 20211104
PL  - United States
TA  - J Speech Lang Hear Res
JT  - Journal of speech, language, and hearing research : JSLHR
JID - 9705610
SB  - IM
MH  - Black or African American
MH  - Aged
MH  - *Hearing Loss/epidemiology
MH  - Humans
MH  - Prevalence
MH  - Surveys and Questionnaires
MH  - United States/epidemiology
MH  - *White People
EDAT- 2021/11/05 06:00
MHDA- 2022/03/25 06:00
CRDT- 2021/11/04 17:18
PHST- 2021/11/05 06:00 [pubmed]
PHST- 2022/03/25 06:00 [medline]
PHST- 2021/11/04 17:18 [entrez]
AID - 10.1044/2021_JSLHR-21-00075 [doi]
PST - ppublish
SO  - J Speech Lang Hear Res. 2021 Dec 13;64(12):5014-5021. doi: 
      10.1044/2021_JSLHR-21-00075. Epub 2021 Nov 4.