Abstract：
OBJECTIVE:Impaired vision and hearing are common among older adults and have been shown to reduce functional independence and to reduce quality of life. This cohort study investigated the cross-sectional and temporal associations between objectively measured dual sensory impairment (DSI) and retirement from employment. STUDY DESIGN:2409 Blue Mountains Eye Study participants aged 55+ years at baseline were included for analyses. MAIN OUTCOME MEASURES:Visual impairment was defined as visual acuity less than 20/40 (better eye), and hearing impairment as average pure-tone air conduction threshold >25dB HL (500-4000Hz, better ear). Employment status was questioned at each examination over 10 years. RESULTS:At baseline, 650 (27.0%) were employed and 1759 (73.0%) were retired. Cross-sectional analysis showed that participants with moderate to severe hearing loss, compared with those with normal hearing, had greater odds of being retired (multivariable-adjusted OR 1.96; 95% CI 1.05-3.66). Participants presenting with concurrent visual impairment and moderate to severe hearing loss versus participants with no sensory loss had a significantly lower mean retirement age, 57.1 versus 58.7 years (multivariable-adjusted p-value=0.04). Participants with any hearing loss at baseline had significantly higher odds of being retired by the 10-year follow-up (age-sex adjusted OR 1.82; 95% CI 1.00-3.30); this became marginally non-significant after adjusting for all other covariates (multivariable-adjusted OR 1.74; 95% CI 0.95-3.17). No associations were observed between DSI and the incidence of retirement. CONCLUSIONS:Sensory impairment in older adults was independently associated with the decision to retire.
journal_name
Maturitasjournal_title
Maturitasauthors
Gopinath B,Liew G,Burlutsky G,McMahon CM,Mitchell Pdoi
10.1016/j.maturitas.2017.03.318subject
Has Abstractpub_date
2017-06-01 00:00:00pages
77-81eissn
0378-5122issn
1873-4111pii
S0378-5122(17)30006-3journal_volume
100pub_type
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