Hearing health geography in England: findings from the English longitudinal study of ageing (ELSA) and evidence of a north-south divide
Hearing health geography in England: findings from the English longitudinal study of ageing (ELSA) and evidence of a north-south divide
Objective:
To explore regional patterns and trends of hearing loss (HL) in a representative longitudinal prospective cohort study of the English population aged 50 years and above.
Method:
We used the full dataset (74,699 person-years) of the English Longitudinal Study of Ageing (ELSA). We examined the geographical identifiers of the participants at Geographical Office Regions (GOR) level, and the geographically based Index of Multiple Deprivation (IMD). We computed Adjusted Predictions at the Means (APMs) and the Marginal Effects at the Means (MEMs) of the HL prevalence in each ELSA Wave, with age, gender, education, occupation, income, wealth, IMD and alcohol consumption as the factor variables.
Results:
Between 2002-2017 there was an estimated increase of 10.2% in the total HL prevalence in the English older population: 38.50 (95%CI 37.37-39.14) in Wave 1, to 48.66 (95%CI 47.11-49.54) in Wave 8. The Hot Spot and Cold Spot analyses showed marked regional variability and evidence of a North-South divide. There was a wide variation in HL prevalence in representative samples from different regions in England that had similar age profiles, and the increase rate of HL ranged from 3.2% to 45%.
Implications:
These results provided evidence that the increasing trend in HL prevalence is not related to the ageing of the population, as widely believed, as the samples had significantly equal age but differed markedly on their HL outcomes, both regionally and chronically. A socio-spatial approach is crucial for planning sustainable models of hearing care based on actual needs and reducing hearing health inequalities.
Tsimpida, Dalia
2fff4517-3c8e-445b-8646-7f645fa36b0a
Kontopantelis, Evangelos
7c6a71a2-2f63-40f1-8e1c-0a9e4e184761
Ashcroft, Darren
18352905-a9a1-4935-8f19-6090cd104fc2
Panagioti, Maria
639264aa-354f-41ca-b893-49084190e631
12 October 2020
Tsimpida, Dalia
2fff4517-3c8e-445b-8646-7f645fa36b0a
Kontopantelis, Evangelos
7c6a71a2-2f63-40f1-8e1c-0a9e4e184761
Ashcroft, Darren
18352905-a9a1-4935-8f19-6090cd104fc2
Panagioti, Maria
639264aa-354f-41ca-b893-49084190e631
Tsimpida, Dalia, Kontopantelis, Evangelos, Ashcroft, Darren and Panagioti, Maria
(2020)
Hearing health geography in England: findings from the English longitudinal study of ageing (ELSA) and evidence of a north-south divide.
British Society of Audiology Conference, virtual.
12 - 19 Oct 2020.
Record type:
Conference or Workshop Item
(Paper)
Abstract
Objective:
To explore regional patterns and trends of hearing loss (HL) in a representative longitudinal prospective cohort study of the English population aged 50 years and above.
Method:
We used the full dataset (74,699 person-years) of the English Longitudinal Study of Ageing (ELSA). We examined the geographical identifiers of the participants at Geographical Office Regions (GOR) level, and the geographically based Index of Multiple Deprivation (IMD). We computed Adjusted Predictions at the Means (APMs) and the Marginal Effects at the Means (MEMs) of the HL prevalence in each ELSA Wave, with age, gender, education, occupation, income, wealth, IMD and alcohol consumption as the factor variables.
Results:
Between 2002-2017 there was an estimated increase of 10.2% in the total HL prevalence in the English older population: 38.50 (95%CI 37.37-39.14) in Wave 1, to 48.66 (95%CI 47.11-49.54) in Wave 8. The Hot Spot and Cold Spot analyses showed marked regional variability and evidence of a North-South divide. There was a wide variation in HL prevalence in representative samples from different regions in England that had similar age profiles, and the increase rate of HL ranged from 3.2% to 45%.
Implications:
These results provided evidence that the increasing trend in HL prevalence is not related to the ageing of the population, as widely believed, as the samples had significantly equal age but differed markedly on their HL outcomes, both regionally and chronically. A socio-spatial approach is crucial for planning sustainable models of hearing care based on actual needs and reducing hearing health inequalities.
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More information
Published date: 12 October 2020
Venue - Dates:
British Society of Audiology Conference, virtual, 2020-10-12 - 2020-10-19
Identifiers
Local EPrints ID: 483132
URI: http://eprints.soton.ac.uk/id/eprint/483132
PURE UUID: 84f60bcc-2272-4480-9ec0-c9866606a639
Catalogue record
Date deposited: 25 Oct 2023 16:35
Last modified: 18 Mar 2024 04:15
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Contributors
Author:
Dalia Tsimpida
Author:
Evangelos Kontopantelis
Author:
Darren Ashcroft
Author:
Maria Panagioti
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