The purpose of this study was to assess the combined effects of type 2 diabetes (T2D) and hearing loss on the level of distress in individuals with diabetes.
Methods
The 2021 National Health Interview Survey included 2633 adults (ages 18+) with T2D who reported perceived hearing loss, level of diabetes-related distress, household composition, and demographic characteristics. Logistic regressions evaluated these association between hearing loss and diabetes distress controlling for age, income, region of residence, marital status, rurality, educational attainment, insurance coverage, time since diabetes diagnosis, and household composition. Interaction effects examined differential associations between demographic groups.
Results
About 3.5% of adults with T2D in the sample reported hearing loss, and 70% reported diabetes-related distress. Results indicated that diabetes distress was significantly more likely among individuals with hearing loss (OR = 2.08) relative to their hearing counterparts. Additionally, females (OR = 1.50), low-income earners (OR = 1.84), middle-income earners (OR = 1.41), non-Hispanic Blacks (OR = 1.58), and Hispanics (OR = 1.75) with diabetes had higher odds of reporting diabetes distress. Interaction analyses indicated that non-Hispanic Blacks and Hispanics with hearing loss had a 37% and 19%, respectively, higher likelihood of diabetes distress relative to non-Hispanic Whites with hearing loss.
Conclusion
Diabetes distress was more likely among individuals with hearing loss. These findings suggest the communication challenges of individuals with hearing loss may explain the observed differences in distress.
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References
1.
SkinnerTCJoensenLParkinT.Twenty-five years of diabetes distress research. Diabet Med. 2020;37(3):393-400. doi:10.1111/dme.14157
2.
DennickKSturtJSpeightJ.What is diabetes distress and how can we measure it? A narrative review and conceptual model. J Diabetes Complications. 2017;31(5):898-911. doi:10.1016/j.jdiacomp.2016.12.018
3.
VerdeciasNMcQueenAVon NordheimDABroussardDJSmithREKreuterMW.Diabetes distress in a Medicaid sample: the role of psychosocial and health-related factors. J Diabetes Complications. 2023;37(7):108495. doi:10.1016/j.jdiacomp.2023.108495
4.
SchmittABendigEBaumeisterHHermannsNKulzerB.Associations of depression and diabetes distress with self-management behavior and glycemic control. Heal Psychol. 2021;40(2):113-124. doi:10.1037/hea0001037
5.
HoogendoornCJSchechterCBLlabreMMWalkerEAGonzalezJS.Distress and type 2 diabetes self-care: putting the pieces together. Ann Behav Med. 2021;55(10):938-948. doi:10.1093/abm/kaaa070
6.
KreiderKE.Diabetes distress or major depressive disorder? A practical approach to diagnosing and treating psychological comorbidities of diabetes. Diabetes Ther. 2017;8(1):1-7. doi:10.1007/s13300-017-0231-1
7.
DevarajoohCChinnaK.Depression, distress and self-efficacy: the impact on diabetes self-care practices. PLoS One. 2017;12(3):e0175096. doi:10.1371/journal.pone.0175096
8.
GioacchiniFMPisaniDViolaP, et al. Diabetes mellitus and hearing loss: a complex relationship. Medicina (B Aires). 2023;59(2):269. doi:10.3390/medicina59020269
9.
BainbridgeKEHoffmanHJCowieCC.Risk factors for hearing impairment among U.S. adults with diabetes. Diabetes Care. 2011;34(7):1540-1545. doi:10.2337/dc10-2161
10.
GentherDJBetzJPrattS, et al. Association of hearing impairment and mortality in older adults. J Gerontol A Biol Sci Med Sci. 2015;70(1):85-90. doi:10.1093/gerona/glu094
11.
GuptaSEaveyRDWangMCurhanSGCurhanGC.Type 2 diabetes and the risk of incident hearing loss. Diabetologia. 2019;62(2):281-285. doi:10.1007/s00125-018-4766-0
12.
Lerman-GarberICuevas-RamosDValdésS, et al. Sensorineural hearing loss—a common finding in early-onset type 2 diabetes mellitus. Endocr Pract. 2012;18(4):549-557. doi:10.4158/EP11389.OR
13.
RenJMaFZhouY, et al. Hearing impairment in type 2 diabetics and patients with early diabetic nephropathy. J Diabetes Complications. 2018;32(6):575-579. doi:10.1016/j.jdiacomp.2018.03.014
14.
Samocha-BonetDWuBRyugoDK.Diabetes mellitus and hearing loss: a review. Ageing Res Rev. 2021;71:101423. doi:10.1016/j.arr.2021.101423
15.
BainbridgeKEHoffmanHJCowieCC.Diabetes and hearing impairment in the United States: audiometric evidence from the national health and nutrition examination survey, 1999 to 2004. Ann Intern Med. 2008;149(1):1-10. doi:10.7326/0003-4819-149-1-200807010-00231
16.
AladagİEyibilenAGüvenMAtışÖErkokmazÜ. Role of oxidative stress in hearing impairment in patients with type two diabetes mellitus. J Laryngol Otol. 2009;123(9):957-963. doi:10.1017/S0022215109004502
17.
AkbarAKamalakshiTVThulaseedharanNK, et al. Audiometric assessment of hearing loss and its association with oxidative stress in patients with type 2 diabetes mellitus. Natl J Physiol Pharm Pharmacol. 2019;9(6):1. doi:10.5455/njppp.2019.9.0102122032019001
18.
FukushimaHCureogluSSchachernPAPaparellaMMHaradaTOktayMF.Effects of type 2 diabetes mellitus on cochlear structure in humans. Arch Otolaryngol Neck Surg. 2006;132(9):934. doi:10.1001/archotol.132.9.934
19.
CiorbaAAimoniCBovoR.Hearing loss and diabetes mellitus: evidences of cochlear microangiopathy?Audiol Med. 2012;10(3):105-108. doi:10.3109/1651386X.2012.709352
20.
LisowskaGNamysłowskiGMorawskiKStrojekK.Cochlear dysfunction and diabetic microangiopathy. Scand Audiol. 2001;30(1):199-203. doi:10.1080/010503901300007524
PolonskyWHFisherLEarlesJ, et al. Assessing psychosocial distress in diabetes. Diabetes Care. 2005;28(3):626-631. doi:10.2337/diacare.28.3.626
23.
ChengPGilchristARobinsonKMPaulL.The risk and consequences of clinical miscoding due to inadequate medical documentation: a case study of the impact on health services funding. Heal Inf Manag J. 2009;38(1):35-46. doi:10.1177/183335830903800105
24.
GopinathBHicksonLSchneiderJ, et al. Hearing-impaired adults are at increased risk of experiencing emotional distress and social engagement restrictions five years later. Age Ageing. 2012;41(5):618-623. doi:10.1093/ageing/afs058
25.
TheodoropoulouKTDimitriadisGDTentolourisNDarviriCChrousosGP.Diabetes distress is associated with individualized glycemic control in adults with type 2 diabetes mellitus. Hormones. 2020;19(4):515-521. doi:10.1007/s42000-020-00237-3
26.
TrottMSmithLXiaoT, et al. Hearing impairment and diverse health outcomes. Wien Klin Wochenschr. 2021;133(19-20):1028-1041. doi:10.1007/s00508-021-01893-0
27.
LinFRNiparkoJKFerrucciL.Hearing loss prevalence in the United States. Arch Intern Med. 2011;171(20):1851-1853.
28.
HelznerEPCauleyJAPrattSR, et al. Race and sex differences in age-related hearing loss: the health, aging and body composition study. J Am Geriatr Soc. 2005;53(12):2119-2127. doi:10.1111/j.1532-5415.2005.00525.x
29.
HelgesonVSNaqviJBKorytkowskiMTGary-WebbTL.A closer look at racial differences in diabetes outcomes among a community sample: diabetes distress, self-care, and HbA1c. Diabetes Care. 2021;44(11):2487-2492. doi:10.2337/dc21-0734
30.
ButlerAMBrownSDCarreonSASmallsBLTerryA.Equity in psychosocial outcomes and care for racial and ethnic minorities and socioeconomically disadvantaged people with diabetes. Diabetes Spectr. 2022;35(3):276-283. doi:10.2337/dsi22-0006
31.
NesbittJCPutnamJBJrWalshGLRothJAMountainCF.Survival in early-stage non-small cell lung cancer. Ann Thorac Surg. 1995;60(2):466-472.
32.
SewellHEPlanasLGBrownMR, et al. Diabetes and hearing impairment: knowledge, attitudes, and practices among providers and patients. Sci Diabetes Self Manag Care. 2024;50(3):201-210. doi:10.1177/26350106241250291
33.
NiemanCLMarroneNSzantonSLThorpeRJJrLinFR.Racial/ethnic and socioeconomic disparities in hearing health care among older Americans. J Aging Health. 2016;28(1):68-94.
34.
HoffmanHJDobieRALosonczyKGThemannCLFlammeGA.Declining prevalence of hearing loss in US adults aged 20 to 69 years. JAMA Otolaryngol Neck Surg. 2017;143(3):274-285.
35.
WengSChenYHsuCTsengF.Clinical features of sudden sensorineural hearing loss in diabetic patients. Laryngoscope. 2005;115(9):1676-1680. doi:10.1097/01.mlg.0000184790.91675.e3
36.
BenerAAl-HamaqAOAAAbdulhadiKSalahaldinAHGansanL.Interaction between diabetes mellitus and hypertension on risk of hearing loss in highly endogamous population. Diabetes Metab Syndr. 2017;11(suppl 1):S45-S51. doi:10.1016/j.dsx.2016.09.004
37.
MozaffariMTajikAAriaeiNAli EhyaiiFBehnamH.Diabetes mellitus and sensorineural hearing loss among non-elderly people. East Mediterr Health J. 2010;16(9):947-952.
38.
DaltonAFBuntonAJCykertS, et al. Patient characteristics associated with favorable perceptions of patient–provider communication in early-stage lung cancer treatment. J Health Commun. 2014;19(5):532-544. doi:10.1080/10810730.2013.821550
39.
ParkEShimJChoiSJJungHHImGJ.Effects of glycemic control on hearing outcomes in diabetes patients with idiopathic sudden sensorineural hearing loss. J Int Adv Otol. 2021;17(2):109-114. doi:10.5152/JIAO.2021.9276
40.
MitchellPGopinathBMcMahonCM, et al. Relationship of type 2 diabetes to the prevalence, incidence and progression of age-related hearing loss. Diabet Med. 2009;26(5):483-488. doi:10.1111/j.1464-5491.2009.02710.x
41.
SunkumAJKPingileS.A clinical study of audiological profile in diabetes mellitus patients. Eur Arch Otorhinolaryngol. 2013;270(3):875-879. doi:10.1007/s00405-012-2063-y
