Full
Outline
To explore the association between hearing impairment and depressive symptoms among middle-aged and older adults, as well as the moderating role of sleep duration.
Data from four waves of the China Health and Retirement Longitudinal Study (2013—2020) were analyzed. Multivariable Cox regression was used to conduct interaction tests and stratified analyses to verify the association and moderating effect.
In the overall population, hearing impairment was associated with a significantly higher risk of depression (HR=1.29, 95% CI: 1.08-1.55). Stratified analysis revealed that such association existed in the short sleep group (HR=1.35) and long sleep group (HR=1.78), whereas no significant association was observed in the normal sleep group. Interaction analysis indicated that only prolonged sleep significantly exacerbated the association between hearing impairment and depression (HR=1.69). Subgroup analysis showed that the association was more prominent in females with short sleep and males with long sleep, and the effect was significant among individuals aged 60 years and above.
Hearing impairment is a significant risk factor for depressive symptoms among older adults, and sleep duration plays a moderating role in this relationship. Maintaining a normal sleep duration may alleviate and offset the increased risk of depression attributable to hearing impairment, thereby providing a novel intervention target for the mental health protection of middle-aged and older adults with hearing impairment.
190
81
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
关闭全屏
No. 86 Xueyuan South Road, Haidian District, Beijing
010-62662699(Operation and Technical Support)
qkjq@cast.org.cn
Copyright © 2025 China Association for Science and Technology. All rights reserved. For all open access content, the relevant licensing terms apply.
Sponsored by the Office of the Leading Group for Cybersecurity and Informatization of CAST, and supported by Science and Technology Review Publishing House
