Hearing Impairment Prevalence and Associated Risk Factors in the Hispanic Community Health Study/Study of Latinos.

IMPORTANCE: Hearing impairment is common in adults, but few studies have addressed it in the US Hispanic/Latino population. OBJECTIVE: To determine the prevalence of hearing impairment among US Hispanic/Latino adults of diverse backgrounds and determine associations with potential risk factors. DESIGN, SETTING, AND PARTICIPANTS: The Hispanic Community Health Study/Study of Latinos (HCHS/SOL) is a population-based sample of Hispanics/Latinos in four US communities (Bronx, New York; Chicago, Illinois; Miami, Florida; and San Diego, California). Examinations were conducted from 2008 through 2011. The HCHS/SOL examined 16,415 self-identified Hispanic/Latino persons aged 18 to 74 years recruited from randomly selected households using a stratified 2-stage area probability sample design based on census block groups and households within block groups. MAIN OUTCOMES AND MEASURES: Hearing thresholds were measured by pure-tone audiometry. Hearing impairment was defined as a pure-tone average (PTA) of thresholds at 0.5, 1, 2, and 4 kHz greater than 25 dB hearing level. Bilateral hearing impairment required a PTA greater than 25 dB hearing level in both ears. Multivariable analyses included adjustments for sociodemographic and lifestyle variables, body mass index, and medical conditions. RESULTS: The prevalence of hearing impairment was 15.06% (SE, 0.44%) overall, and 8.24% (SE, 0.33%) had bilateral hearing impairment. The prevalence of hearing impairment was higher among people 45 years and older, ranging by Hispanic/Latino background from 29.35% to 41.20% among men and 17.89% to 32.11% among women. The multivariable-adjusted odds of hearing impairment was greater for participants of Puerto Rican background compared with Mexican background (odds ratio [OR], 1.57 [95% CI, 1.10-2.25]). The odds of hearing impairment were lower with more education (OR, 0.71 [95% CI, 0.59-0.86] for at least high school) and higher income (OR, 0.58 [95% CI, 0.36-0.92] for >$75,000 vs ≤$10,000). Noise exposure (OR, 1.35 [95% CI, 1.07-1.70]), diabetes (OR, 1.57 [95% CI, 1.27-1.94]), and prediabetes (OR, 1.37 [95% CI, 1.12-1.67]) were associated with hearing impairment. CONCLUSIONS AND RELEVANCE: Hearing impairment is a common problem for older Hispanics/Latinos in these communities and is associated with socioeconomic factors, noise exposure, and abnormal glucose metabolism. Longitudinal studies are needed to determine whether these factors are involved in the etiology of hearing impairment and to identify ways to prevent or delay age-related changes in hearing.

Inference revision processing in adults with and without aphasia.

Processing abilities in aphasia, and the nature of processing breakdowns, were the focuses of this investigation. Individuals with either fluent or nonfluent aphasia, plus a control group, participated in a cross-modal lexical priming task designed to elicit priming effects when activation of inference interpretations occurred. Comprehension of inferences was measured by responses to four types of questions that related to the inferences. Results indicated that both the control group, as well as the nonfluent aphasia group, activated the intended meaning of the stimuli whereas the fluent aphasics did not. Comprehension of the inferences was best demonstrated by control participants, nonfluent aphasic participants, and fluent aphasic participants, in that order.

The single exposure: partial word knowledge growth through reading.

A critical aspect of the assessment of children's word learning processes is the examination of word knowledge growth over time. The purpose of this study was to examine the types of partial word knowledge (PWK) growth that occurred from 1 exposure to unfamiliar words in text, taking into account the roles of part of speech and individual language skills. Sixth-grade children with normal language read stories containing unfamiliar nouns and verbs. The children then completed 2 tasks to assess PWK. Results were that at least 1 type of PWK developed: knowledge that a word exists as a lexical entry in the language. Part of speech appeared to play a role; significant PWK at posttest was apparent for verbs but not for nouns. Children's language skills did not appear to impact the amount of PWK demonstrated at posttest.

Age-related differences in inference revision processing.

In comparison to younger adults, older adults demonstrate deficiencies in cognitive and linguistic abilities. Such cognitive factors that decline with age include working memory capacity and inhibitory abilities. The purpose of the present investigation was to measure differences in time course processing of inference revision abilities, as well as working memory, as they exist relative to adult age differences. Fifteen neurologically intact older adults and 15 younger adults participated in this study. A cross-modal lexical priming paradigm was chosen as the measure of the inference revision task; the listening span task of Tompkins, Bloise, Timko, and Baumgaertner (1994) was selected as the measure of working memory. Both groups demonstrated normal priming effects. No age-related differences were found on the working memory measure. Age-related differences did emerge on inferencing abilities. A significant correlation emerged between the older group's performance on comprehending inference revisions and their working memory capacity. Generally, inhibitory abilities and working memory capacity appeared to adversely affect older participant's performance.