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Social participation in older people with hearing impairment in Chinese community: A latent profile analysis

•Social participation, defined as a key determinant of successful and healthy ageing, is important for improving the quality of life of older people.•The social participation of older people with hearing impairment significantly increases psychological distress and affects psychological well-being,...

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Published in:Geriatric nursing (New York) 2024-01, Vol.55, p.204-212
Main Authors: Kuang, Li, Wang, Lingyun, Dai, Halina, Hu, Hanyu, Liu, Guangnan, Xiang, Shule, Sheng, Yu
Format: Article
Language:English
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Summary:•Social participation, defined as a key determinant of successful and healthy ageing, is important for improving the quality of life of older people.•The social participation of older people with hearing impairment significantly increases psychological distress and affects psychological well-being, but does not receive sufficient attention and information based on the characteristics of different dimensions.•Our results showed the different profiles of social participation among older people with hearing impairment and related predicting factors to carry out interventions accordingly. Hearing impairment may lead to increased communication difficulties for older people, making their social participation less optimistic. However, there is little research on the social participation of older people with hearing impairment, especially based on the characteristics of their social participation. This study aimed to identify different social participation profiles in older people with hearing impairment and to explore sociodemographic characteristics, disease-related characteristics and psychosocial factors with different social participation profiles. A cross-sectional study of 300 older people with hearing impairment using the sociodemographic questionnaire, the Impact on Participation and Autonomy Questionnaire, the Lubben Social Network Scale-6, Medical Outcomes Study Social Support Survey and Geriatric Depression Scale-15 from May to August 2023 in a community of Beijing, China. Latent profile analysis was used to analyse the latent profiles of social participation in elderly with hearing impairment. Multiple logistic regression was used to explore the predictors of different profiles. The social participation of older people with hearing impairment in the community can be classified into three potential profiles: Profile 1 - high social participation group (76.05 %), Profile 2 - moderate social participation group (17.34 %), Profile 3 - low social participation group (6.61 %). Age, types of chronic diseases, self-reported health, severity of hearing impairment, social network, social support and depression were predictors of different profiles. Nurses should pay attention to the characteristics, depression, social network and support of older people with different hearing impairment to improve social participation in different profiles. This was the first study exploring latent profiles of social participation in older people with hearing impairment. Insigh
ISSN:0197-4572
1528-3984
1528-3984
DOI:10.1016/j.gerinurse.2023.11.008