Functional Hearing Impairment, Psychological Resilience, and Social Well-Being Among Chinese Older Adults in Low-Income Households

Author:

Gao Jiamin1,Hu Hongwei23ORCID,He Haotian23

Affiliation:

1. School of Social Development and Public Policy, Beijing Normal University, China

2. School of Public Administration and Policy, Renmin University of China, Beijing

3. The Research Center for Health Protection, Renmin University of China, Beijing

Abstract

Purpose: Hearing loss (HL) is prevalent and relates to social health in old age. This study aims to examine the association between functional HL and social well-being (SWB) in older adults and to investigate whether psychological resilience mediates this association. Method: The analytical sample of 4,531 older adults aged ≥ 60 years was from the Sample Survey on Vulnerable Populations from Poor Families in Urban/Rural China (2018). SWB was measured by social networks and social engagement using the Lubben Social Network Scale and Index of Social Engagement Scale, respectively. Functional hearing impairment was defined by a dichotomized measure of self-perceived hearing difficulty. Psychological resilience was assessed by a 25-item Connor-Davidson Resilience Scale. Structural equation modeling was performed to determine associations of HL with SWB and the mediating roles of psychological resilience. Results: Functional HL was associated with reduced SWB among older adults living in low-income households. Hearing-impaired individuals were more likely to be socially isolated and less socially engaged compared to those with normal hearing. The association persisted in gender subsamples and in non–low-income households but not in older adults aged ≥ 70 years. Psychological resilience partially mediated the association of hearing impairment with SWB, accounting for 50.9% of the variance in the change of SWB. Conclusions: Functional hearing impairment may be a modifiable risk factor for social restrictions and downstream older adults' health. Promotion of hearing health care and accessibility to coping resources including psychological support may improve social wellness among the older adults and benefit healthy aging. Supplemental Material: https://doi.org/10.23641/asha.22750736

Publisher

American Speech Language Hearing Association

Subject

Speech and Hearing,Linguistics and Language,Language and Linguistics

Reference60 articles.

1. Brain Volume Differences Associated With Hearing Impairment in Adults

2. A scoping review of studies investigating hearing loss, social isolation and/or loneliness in adults

3. Stress and health disparities: Contexts, mechanisms, and interventions among racial/ethnic minority and low socioeconomic status populations;Brondolo E.;American Psychological Association (APA) Working Group Report,2017

4. Cachadinha C. Pedro J. B. & Fialho J. C. (2011). Social participation of community living older persons: Importance determinants and opportunities. International conference on inclusive design “the role of inclusive Design in Making Social Innovation Happen ” London . https://www.semanticscholar.org/paper/Social-participation-of-community-living-older-and-Cachadinha-Pedro/64ab27932d9a18ab8a09cf261debc75259670081

5. Validation of an abbreviated version of the Lubben Social Network Scale (“LSNS-6”) and its associations with suicidality among older adults in China

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