title: Association of Hearing Impairment and Anxiety in Older Adults.
abstract: OBJECTIVE
  The objective of the study is was investigate the association between hearing impairment and anxiety.
  
  
  METHODS
  We conducted a cross-sectional analysis of 1,732 community-based adults aged 76 to 85 years who participated in the Health Aging and Body Composition (ABC) study. Logistic regression models were adjusted for demographic and cardiovascular risk factors. Hearing impairment was defined by the speech-frequency pure tone average. Anxiety was defined as reporting two symptoms of at least "a little" or one symptom "quite a bit" on the three-item Hopkins Symptom Checklist.
  
  
  RESULTS
  Compared with individuals with no hearing impairment, the odds of prevalent anxiety were higher among individuals with mild hearing impairment (odds ratio [OR] = 1.32, 95% confidence interval [CI] = [1.01, 1.73]) and moderate or greater hearing impairment (OR = 1.59, 95% CI = [1.14, 2.22]). Hearing aid use was not significantly associated with lower odds of anxiety.
  
  
  CONCLUSIONS
  Hearing impairment is independently associated with greater odds of anxiety symptoms in older adults.
authors.affiliation: 1 Johns Hopkins University, Baltimore, MD, USA.
authors.forename: Kevin J
authors.initials: KJ
authors.lastname: Contrera
authors.affiliation: 1 Johns Hopkins University, Baltimore, MD, USA.
authors.forename: Josh
authors.initials: J
authors.lastname: Betz
authors.affiliation: 1 Johns Hopkins University, Baltimore, MD, USA.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Deal
authors.affiliation: 1 Johns Hopkins University, Baltimore, MD, USA.
authors.forename: Janet S
authors.initials: JS
authors.lastname: Choi
authors.affiliation: 2 University of California, San Francisco, USA.
authors.forename: Hilsa N
authors.initials: HN
authors.lastname: Ayonayon
authors.affiliation: 3 National Institute on Aging, Baltimore, MD, USA.
authors.forename: Tamara
authors.initials: T
authors.lastname: Harris
authors.affiliation: 4 State University of New York Downstate Medical Center, Brooklyn, New York City, USA.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Helzner
authors.affiliation: 5 Institute of Applied Health Sciences School of Medicine and Dentistry, Aberdeen, UK.
authors.forename: Kathryn R
authors.initials: KR
authors.lastname: Martin
authors.affiliation: 6 VA Pittsburgh Healthcare System, PA, USA.
authors.forename: Kala
authors.initials: K
authors.lastname: Mehta
authors.affiliation: 1 Johns Hopkins University, Baltimore, MD, USA.|6 VA Pittsburgh Healthcare System, PA, USA.
authors.forename: Sheila
authors.initials: S
authors.lastname: Pratt
authors.affiliation: 2 University of California, San Francisco, USA.
authors.forename: Susan M
authors.initials: SM
authors.lastname: Rubin
authors.affiliation: 7 University of Tennessee Health Science Center, Memphis, USA.
authors.forename: Suzanne
authors.initials: S
authors.lastname: Satterfield
authors.affiliation: 2 University of California, San Francisco, USA.
authors.forename: Kristine
authors.initials: K
authors.lastname: Yaffe
authors.affiliation: 8 National Institute on Aging, Baltimore, MD, USA.
authors.forename: Eleanor M
authors.initials: EM
authors.lastname: Simonsick
authors.affiliation: 1 Johns Hopkins University, Baltimore, MD, USA.
authors.forename: Frank R
authors.initials: FR
authors.lastname: Lin
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000209:etiology*; D003430:Cross-Sectional Studies; D005260:Female; D034381:Hearing Loss / Q000523:psychology*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008603:Mental Health; D016017:Odds Ratio
keywords: anxiety; geriatrics; hearing; mental health