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Research Letter| Volume 22, ISSUE 11, P2397-2398, November 2021

Association of Sensory Impairment and Health Care Utilization Among Chinese Older Adults With and Without Functional Impairment

  • Qiong Wang
    Affiliations
    Centre for Health Management and Policy, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
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  • Tingting Gao
    Affiliations
    Centre for Health Management and Policy, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
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  • Shimin Zhang
    Affiliations
    Centre for Health Management and Policy, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
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  • Zhengyue Jing
    Affiliations
    Centre for Health Management and Policy, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
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  • Yi Wang
    Affiliations
    Centre for Health Management and Policy, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
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  • Dan Zhao
    Affiliations
    Centre for Health Management and Policy, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
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  • Chengchao Zhou
    Correspondence
    Address correspondence to Chengchao Zhou, PhD, Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, and NHC Key Lab of Health Economics and Policy Research (Shandong University), 44 Wen-hua-xi Road, Jinan, Shandong 250012, China.
    Affiliations
    Centre for Health Management and Policy, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China
    NHC Key Lab of Health Economics and Policy Research (Shandong University), Jinan, China
    Search for articles by this author
      Sensory impairment, including hearing impairment, vision impairment, and dual sensory impairment, is highly prevalent in older adults and associated with increased risk of mortality
      • Sun J.
      • Li L.
      • Sun J.
      Sensory impairment and all-cause mortality among the elderly adults in China—a population-based cohort study.
      ,
      • Zhang Y.
      • Ge M.
      • Zhao W.
      • et al.
      Sensory impairment and all-cause mortality among the oldest-old: Findings from the Chinese Longitudinal Healthy Longevity Survey (CLHLS).
      and burden of disease,
      • Huddle M.G.
      • Deal J.A.
      • Swenor B.
      • et al.
      Association between dual sensory impairment, hospitalization, and burden of disease.
      which has attracted widespread concern recently. However, the relationship between sensory impairment and health care utilization among older adults is not well defined. Moreover, sensory impairment leads to activity limitations and participation restrictions,
      • Xiang X.
      • Freedman V.A.
      • Shah K.
      • et al.
      Self-reported vision impairment and subjective well-being in older adults: A longitudinal mediation analysis.
      and commonly coexists with functional impairment, as they share common risk factors.
      • Mehta N.K.
      • Patel S.A.
      • Ali M.K.
      • et al.
      Preventing disability: The influence of modifiable risk factors on state and national disability prevalence.
      ,
      • Fransen E.
      • Lemkens N.
      • Van Laer L.
      • et al.
      Age-related hearing impairment (ARHI): Environmental risk factors and genetic prospects.
      Functional impairment is a potent driver of health care utilization.
      • Chen N.
      • Li X.
      • Wang J.
      • et al.
      Rural-urban differences in the association between disability and body mass index among the oldest-old in China.
      Although older adults with functional impairment may perform activities less frequently, whether the co-occurrence of sensory impairment is a potential driver of excessive health care utilization remains unclear.
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