Association between the home-to-healthcare center distance and hearing aid abandonment among older adults

Vista sencilla de ítem
dc.contributor.authorFuentes-López, Eduardo
dc.contributor.authorGalaz-Mella, Javier
dc.contributor.authorAyala, Salvador
dc.contributor.authorDe la Fuente, Carlos
dc.contributor.authorLuna-Monsalve, Manuel
dc.contributor.authorNieman, Carrie
dc.contributor.authorMarcotti, Anthony
dc.date.accessioned2024-11-06T18:21:18Z
dc.date.available2024-11-06T18:21:18Z
dc.date.issued2024-03
dc.descriptionIndexación: Scopus
dc.description.abstractBackground: Access to audiology services for older adults residing in sparsely populated regions is often limited compared to those in central urban areas. The geographic accessibility to follow-up care, particularly the influence of distance, may contribute to an increased risk of hearing aid abandonment. Objective: To assess the association between the home-to-healthcare-calibration-center distance and hearing aid abandonment among older adults fitted in the Chilean public health system. Methods: 455 patients who received hearing aids from two public hospitals in two regions were considered. Univariate and multivariate Poisson regression models with robust variance estimation were used to analyze the association between the geographical distance and hearing aid abandonment, accounting for confounding effects. Results: Approximately 18% of the sample abandoned the hearing aid, and around 50% reported using the hearing aid every day. A twofold increase in distance between home and the hearing center yielded a 35% (RR = 1.35; 95% CI: 1.04–1.74; p = 0.022) increased risk of hearing aid abandonment. Also, those in the second quintile had a 2.17 times the risk of abandoning the hearing aid compared to the first quintile (up to 2.3 km). Under the assumption that patients reside within the first quintile of distance, a potential reduction of 45% in the incidence of hearing aid abandonment would be observed. The observed risk remained consistent across different statistical models to assess sensitivity. Conclusion: A higher distance between the residence and the healthcare center increases hearing aid abandonment risk. The association may be explained by barriers in purchasing supplies required to maintain the device (batteries, cleaning elements, potential repairs, or maintenance).
dc.identifier.citationFrontiers in Public Health Volume 12 2024
dc.identifier.doi10.3389/fpubh.2024.1364000
dc.identifier.issn2296-2565
dc.identifier.urihttps://repositorio.unab.cl/handle/ria/61784
dc.language.isoen
dc.publisherFrontiers Media SA
dc.rights.licenseAttribution 4.0 International CC BY 4.0
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectage-related hearing loss
dc.subjectfollow-up care
dc.subjectgeographic accessibility
dc.subjecthearing aid abandonment
dc.subjecthearing aids
dc.titleAssociation between the home-to-healthcare center distance and hearing aid abandonment among older adults
dc.typeArtículo
Archivos
Bloque original
Mostrando 1 - 1 de 1
No hay miniatura disponible
Nombre:
Association between the home-to-healthcare center distance and hearing aid.pdf
Tamaño:
779.52 KB
Formato:
Adobe Portable Document Format
Descripción:
TEXTO COMPLETO EN INGLES
Descargar
Bloque de licencias
Mostrando 1 - 1 de 1
No hay miniatura disponible
Nombre:
license.txt
Tamaño:
1.71 KB
Formato:
Item-specific license agreed upon to submission
Descripción:
Descargar
Colecciones
FCR - Artículos de Revista