[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-426330-105":59,"doc-detail-426330-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","the-association-between-subjective-hearing-difficulty-and-cognitive-impairment-a-stratified-analysis","THE ASSOCIATION BETWEEN SUBJECTIVE HEARING DIFFICULTY AND COGNITIVE IMPAIRMENT - A STRATIFIED ANALYSIS","","Age-related hearing loss affects half of older adults and threatens cognitive function, yet subgroup-specific effects remain unclear. This cross-sectional study used 2023 National Survey of Older Koreans data to evaluate links between age-related hearing loss, subjective hearing difficulty, and hearing-aid use with cognitive impairment across community-dwelling older adults (n=7,419). Complex sample logistic regression tested associations. Subjective hearing difficulty and hearing-aid use related to cognitive impairment, with stratified models showing a consistent relationship except among hearing-aid users.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/the-association-between-subjective-hearing-difficulty-and-cognitive-impairment-a-stratified-analysis/426330/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/the-association-between-subjective-hearing-difficulty-and-cognitive-impairment-a-stratified-analysis/426330.png","ImageObject",300,407,{"name":92,"@type":93},"McGucket","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-12","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What was the study’s main objective?","Question",{"text":112,"@type":113},"To examine the association between age-related hearing loss and cognitive impairment across diverse subgroups of community-dwelling older adults.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Which hearing-related factors were evaluated?",{"text":117,"@type":113},"ARHL diagnosis, subjective hearing difficulty, and hearing-aid use.",{"name":119,"@type":110,"acceptedAnswer":120},"What did the study find about subjective hearing difficulty and cognitive impairment?",{"text":121,"@type":113},"Subjective hearing difficulty showed a significant association with cognitive impairment, and this relationship persisted after covariate adjustment except in the hearing-aid user subgroup.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},426330,1790874423,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24},1236954412713,"https://us-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Innovation in Aging, 2025, Vol. 9, No. S2 1201  \nAbstract citation ID: igaf122.4022  \nTHE ASSOCIATION BETWEEN SUBJECTIVE HEARING DIFFICULTY AND COGNITIVE IMPAIRMENT:  \nA STRATIFIED ANALYSIS  \nDukyoo Jung, Leeho Yoo, Soo Gyung Shin, Sukyung Byeon, and Hyein Seo, Ewha Womans University, Seoul-t’ukpyolsi, Republic of Korea  \nAge-related hearing loss (ARHL) affects 50% of older adults, and has become a global concern due to its adverse impact on  \n1202 Innovation in Aging, 2025, Vol. 9, No. S2  \ncognitive function. However, the effects ofARHL within specific subgroups remain unclear. This study aimed to examine the association between ARHL and cognitive impairment (CI) across diverse subgroups of community-dwelling older adults. This is across-sectional study using data from the 2023 National Survey of Older Koreans. Hearing-related characteristics included ARHL diagnosis, subjective hearing difficulty, and hearing-aid (HA) use. Complex sample logistic regression was done to examine the relationship between hearing-related characteristics and  \nCI. A total of 7,419 participants were included in the analysis.  \nAmong all participants, subjective hearing difficulty (OR= 3.139, p\u003C.001) and HA use (OR = 0.76, p=.044) were both significantly associated with CI in the unadjusted model, while diagnosis of ARHL was not (OR = 1.337, p=.116) . These associations remained significant after adjusting for covariates but were attenuated. After stratifying participants by HA use, frailty, sex, age, depression, and social participation, subjective hearing difficulty was significantly associated with CI in the unadjusted model. In the adjusted model, this association remained consistent in all subgroups except for the HA user group. Our findings suggest that subjective hearing difficulty is significantly associated with CI in older adults, even after controlling for covariates. The absence of an association between ARHL diagnosis and CI may reflect limited awareness of ARHL among older adults. Also, stratified analysis suggests the potential preventive role of hearing aids in cognitive decline.","cbCaijbmpswR2n4T","https://ap.wps.com/l/cbCaijbmpswR2n4T","pdf",2063180,"English","# Abstract\n## Study design and data source\n## Hearing measures\n## Statistical analysis\n## Results across participants and subgroups","[{\"question\":\"What was the study’s main objective?\",\"answer\":\"To examine the association between age-related hearing loss and cognitive impairment across diverse subgroups of community-dwelling older adults.\"},{\"question\":\"Which hearing-related factors were evaluated?\",\"answer\":\"ARHL diagnosis, subjective hearing difficulty, and hearing-aid use.\"},{\"question\":\"What did the study find about subjective hearing difficulty and cognitive impairment?\",\"answer\":\"Subjective hearing difficulty showed a significant association with cognitive impairment, and this relationship persisted after covariate adjustment except in the hearing-aid user subgroup.\"}]","THE ASSOCIATION BETWEEN SUBJECTIVE HEARING DIFFICULTY AND COGNITIVE IMPAIRMENT - A STRATIFIED ANALYSIS | PDF",1790640237]