Healthcare-Seeking Behaviors Among Medicare Beneficiaries by Functional Hearing Status

Author:

Lin Heng-Yu H.1ORCID,Willink Amber12,Jilla Anna M.1,Weinreich Heather M.3,Oh Esther S.14,Robertson Mariah4,Ward Hannah V.5,Reed Nicholas S.16

Affiliation:

1. Cochlear Center for Hearing and Public Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

2. Menzies Centre for Health Policy, University of Sydney, Sydney, New South Wales, Australia

3. University of Illinois–Chicago, Chicago, IL, USA

4. Division of Geriatric Medicine and Gerontology, Johns Hopkins School of Medicine, Baltimore, MD, USA

5. Johns Hopkins Bayview Medical Center, Baltimore, MD, USA

6. Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA

Abstract

Objective: Hearing loss is associated with higher health expenditures and poor healthcare utilization. This study aims to build on these findings by characterizing the association between hearing status and healthcare-seeking behaviors among Medicare beneficiaries. Methods: Cross-sectional log-binominal regression was used to assess the association between self-report hearing and healthcare-seeking behaviors (avoidance or delay of care, personal health concerns, and sharing health status) using the 2016 Medicare Current Beneficiary Survey ( N = 12,140). Results: Beneficiaries with trouble hearing had significantly higher risks of avoiding and delaying health care compared to those without trouble hearing. Conversely, trouble hearing was not associated with concern for health status or sharing health status. Discussion: These findings may help explain higher costs associated with hearing loss as avoidance of care can exacerbate health problems. Further work is needed to understand underlying causes and whether addressing hearing loss modifies the observed association.

Funder

National Institutes of Health

Publisher

SAGE Publications

Subject

Geriatrics and Gerontology,Community and Home Care,Gerontology

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