Hearing Impairment and Incident Dementia: Findings from the English Longitudinal Study of Ageing

Hilary R Davies, Dorina Cadar, Annie Herbert, Martin Orrell, Andrew Steptoe

Research output: Contribution to journalArticle (Academic Journal)peer-review


OBJECTIVES: To determine whether hearing loss is associated with incident physician-diagnosed dementia in a representative sample.

DESIGN: Retrospective cohort study.

SETTING: English Longitudinal Study of Ageing.

PARTICIPANTS: Adults aged 50 and older.

MEASUREMENTS: Cross-sectional associations between self-reported (n = 7,865) and objective hearing measures (n = 6,902) and dementia were examined using multinomial-logistic regression. The longitudinal association between self-reported hearing at Wave 2 (2004/05) and cumulative physician-diagnosed dementia up to Wave 7 (2014/15) was modelled using Cox proportional hazards regression.

RESULTS: After adjustment for potential confounders, in cross-sectional analysis, participants who had self-reported or objective moderate and poor hearing were more likely to have a dementia diagnosis than those with normal hearing (self-reported: odds ratio OR = 1.6, 95% CI = 1.1-2.4 moderate hearing; OR = 2.6, 95% CI = 1.7-3.9 poor hearing, objective: OR = 1.6, 95% CI = 1.0-2.8 moderate hearing; OR = 4.4, 95% CI = 1.9-9.9 poor hearing). Longitudinally, the hazard of developing dementia was 1.4 (95% CI = 1.0-1.9) times as high in individuals who reported moderate hearing and 1.6 (95% CI = 1.1-2.0) times as high in those who reported poor hearing.

CONCLUSION: Older adults with hearing loss are at greater risk of dementia than those with normal hearing. These findings are consistent with the rationale that correction of hearing loss could help delay the onset of dementia, or that hearing loss itself could serve as a risk indicator for cognitive decline.

Original languageEnglish
Pages (from-to)2074-2081
Number of pages8
JournalJournal of the American Geriatrics Society
Issue number9
Early online date22 Jul 2017
Publication statusPublished - Sep 2017

Bibliographical note

© 2017, The Authors. The Journal of the American Geriatrics Society published by Wiley Periodicals, Inc. on behalf of The American Geriatrics Society.


  • Aged
  • Aged, 80 and over
  • Aging/psychology
  • Cross-Sectional Studies
  • Dementia/epidemiology
  • England
  • Female
  • Health Surveys
  • Hearing Loss/complications
  • Humans
  • Incidence
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Retrospective Studies
  • Risk Factors
  • Self Report

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