Hearing loss in people over 60 years and barriers to access to hearing rehabilitation in Colombia
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Abstract
Introduction: There is low detection and rehabilitation of hearing impairment in older adults. This study aims to estimate the prevalence of hearing loss in adults over 60 years of age in Colombia and explore the presence of auditory rehabilitation and the barriers to accessing it. Methods: Retrospective analytical study, through a secondary analysis of the SABE survey database in Colombia in 2015. The survey uses a nationally representative sample, with a total of 23.694 older adults. Results: A prevalence of any degree of hearing loss is estimated in 31.73% of Colombian older adults, of which 14.35% we inferred would have an indication for auditory rehabilitation, with only 14.35% presenting auditory rehabilitation through earphones. The main reason for not using hearing aids is the lack of a medical prescription. Conclusions: The prevalence of hearing loss in older Colombian adults is estimated at 31.73% and hearing rehabilitation-only at 14.35%, data consistent with those reported worldwide. The self-reported main limitation for the use of hearing aids was the lack of a medical prescription in 51.15%, which could be related to difficulties in accessing specialized hearing health care, other barriers are related to different administrative difficulties and related to the patient itself.
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Este artículo es publicado por la Revista Acta de Otorrinolaringología & Cirugía de Cabeza y Cuello.
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eISSN: 2539-0856
ISSN: 0120-8411
References
World Health Organization. World Report on Hearing. World Health Organization; 2021 [consultado el 29 de enero de 2023]. Disponible en: https://www.who.int/publications/i/ item/9789240020481
World Health Organization. Integrated care for older people: guidelines on community-level interventions to manage declines in intrinsic capacity. World Health Organization; 2017 [consultado el 16 de abril de 2023]. Disponible en: https:// www.who.int/publications/i/item/9789241550109
Davis A, Smith P, Ferguson M, Stephens D, Gianopoulos I. Acceptability, benefit and costs of early screening for hearing disability: a study of potential screening tests and models. Health Technol Assess. 2007;11(42):1-294. doi: 10.3310/ hta11420
Jerger J, Chmiel R, Wilson N, Luchi R. Hearing impairment in older adults: new concepts. J Am Geriatr Soc. 1995;43(8):928- 35. doi: 10.1111/j.1532-5415.1995.tb05539.x
Ministerio de Salud y Protección Social (MINSAL). Encuesta Nacional de Salud, Bienestar y envejecimiento (SABE 2015) [consultado el 16 de abril de 2023]. Disponible en: [https:// www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/ VS/ED/GCFI/Resumen-Ejecutivo-Encuesta-SABE.pdf]
The World Medical Association-WMA Declaration of Helsinki – Ethical Principles for Medical Research Involving Human Subjects; 2022 [consultado el 25 de abril del 2020]. Disponible en: https://www.wma.net/policies-post/wma-declaration-ofhelsinki-ethical-principles-for-medical-research-involving human-subjects/
Ministerio de Salud y Protección Social. Resolución Número 8430 de 1993 [consultada el 25 de abril del 2020]. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/ RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF
Livingston G, Huntley J, Sommerlad A, Ames D, Ballard C, Banerjee S, et al. Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. Lancet. 2020;396(10248):413-446. doi: 10.1016/S0140- 6736(20)30367-6
Mukadam N, Sommerlad A, Huntley J, Livingston G. Population attributable fractions for risk factors for dementia in low-income and middle-income countries: an analysis using cross-sectional survey data. Lancet Glob Health. 2019;7(5):e596-e603. doi: 10.1016/S2214-109X(19)30074-9
Babajanian EE, Gurgel RK. Cognitive and behavioral effects of hearing loss. Curr Opin Otolaryngol Head Neck Surg. 2022;30(5):339-343. doi: 10.1097/MOO.0000000000000825
Departamento Administrativo Nacional de Estadística (DANE). Censo Nacional de Población y Vivienda 2018 [consultado el 12 de noviembre de 2019]. Disponible en: https://www.dane.gov. co/index.php/estadisticas-por-tema/demografia-y-poblacion/ censo-nacional-de-poblacion-y-vivenda-2018
Castiglione A, Benatti A, Velardita C, Favaro D, Padoan E, Severi D, et al. Aging, Cognitive Decline and Hearing Loss: Effects of Auditory Rehabilitation and Training with Hearing Aids and Cochlear Implants on Cognitive Function and Depression among Older Adults. Audiol Neurootol. 2016;21 Suppl 1:21-28. doi: 10.1159/000448350
Kuenburg A, Fellinger P, Fellinger J. Health Care Access Among Deaf People. J Deaf Stud Deaf Educ. 2016;21(1):1-10. doi: 10.1093/deafed/env042
Pandhi N, Schumacher JR, Barnett S, Smith MA. Hearing loss and older adults’ perceptions of access to care. J Community Health. 2011;36(5):748-55. doi: 10.1007/s10900-011-9369-3
Scheier DB. Barriers to health care for people with hearing loss: a review of the literature. J N Y State Nurses Assoc. 2009 Spring-Summer;40(1):4-10