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Depression and Health-Related Quality of Life Among Older Adults With Hearing Loss in the ACHIEVE Study

Huang, Alison R.; Reed, Nicholas S.; Deal, Jennifer A.; Arnold, Michelle; Burgard, Sheila; Chisolm, Theresa; Couper, David; Glynn, Nancy W.; Gmelin, Theresa; Goman, Adele M.; Gravens-Mueller, Lisa; Hayden, Kathleen M.; Mitchell, Christine; Pankow, James S.; Pike, James R.; Schrack, Jennifer A.; Sanchez, Victoria; Coresh, Josef; Lin, Frank R.; ACHIEVE Collaborative Research Group


Alison R. Huang

Nicholas S. Reed

Jennifer A. Deal

Michelle Arnold

Sheila Burgard

Theresa Chisolm

David Couper

Nancy W. Glynn

Theresa Gmelin

Lisa Gravens-Mueller

Kathleen M. Hayden

Christine Mitchell

James S. Pankow

James R. Pike

Jennifer A. Schrack

Victoria Sanchez

Josef Coresh

Frank R. Lin

ACHIEVE Collaborative Research Group


Hearing loss is associated with cognitive/physical health; less is known about mental health. We investigated associations between hearing loss severity, depression, and health-related quality of life among older adults with unaided hearing loss. Data (N = 948) were from the Aging and Cognitive Health Evaluation in Elders Study. Hearing was measured by pure-tone average (PTA), Quick Speech-in-Noise (QuickSIN) test, and the Hearing Handicap Inventory for the Elderly (HHIE-S). Outcomes were validated measures of depression and health-related quality of life. Associations were assessed by negative binomial regression. More severe hearing loss was associated with worse physical health–related quality of life (ratio: .98, 95% CI: .96, 1.00). Better QuickSIN was associated with higher mental health–related quality of life (1.01 [1.00, 1.02]). Worse HHIE-S was associated with depression (1.24 [1.16, 1.33]) and worse mental (.97 [.96, .98]) and physical (.95 [ .93, .96]) health–related quality of life. Further work will test effects of hearing intervention on mental health.

Journal Article Type Article
Acceptance Date Oct 9, 2023
Online Publication Date Nov 28, 2023
Publication Date 2024-05
Deposit Date Dec 12, 2023
Publicly Available Date Jan 9, 2024
Journal Journal of Applied Gerontology
Print ISSN 0733-4648
Electronic ISSN 1552-4523
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 43
Issue 5
Pages 550–561
Keywords hearing loss, depression, mental health, epidemiology
Public URL