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Socioeconomic Position and Health-Seeking Behavior for Hearing Loss Among Older Adults in England

Benova, L and Grundy, E and Ploubidis, GB (2015) 'Socioeconomic Position and Health-Seeking Behavior for Hearing Loss Among Older Adults in England.' Journals of Gerontology, Series B, 70 (3). 443 - 452. ISSN 1079-5014

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Abstract

Objective. To examine whether socioeconomic position (SEP) is associated with progression in the health-seeking process for hearing loss. Method. Logistic regression of data from a cross-sectional survey representative of noninstitutionalized, 50 years and older population of England (ELSA wave 2, 2004). Using self-reported hearing difficulty as starting point, we examined the association between SEP and health-seeking behaviors in 6 stages leading to hearing aid acquisition and use. Results. Higher SEP was associated with lower odds of self-reported hearing difficulty, adjusted odds ratio [OR] = 0.87 (95% confidence interval [CI] 0.83–0.91, p < .001). There was marginal negative association between higher SEP and receiving hearing aid recommendation (adjusted OR = 0.88, 95% CI 0.78–0.99, p = .05). SEP was not associated with any other stage of health-seeking behavior. Discussion. Among the noninstitutionalized older population of England, SEP-related inequalities exist in the prevalence of self-reported hearing loss. However, SEP is not strongly associated with progression in the remaining stages of health-seeking process during and after an individual’s contact with the health system.

Item Type: Article
Uncontrolled Keywords: Health-seeking behavior, Hearing loss, Socioeconomic gradient.
Subjects: H Social Sciences > H Social Sciences (General)
R Medicine > R Medicine (General)
Divisions: Faculty of Social Sciences > Institute for Social and Economic Research
Depositing User: Elements
Date Deposited: 15 Jan 2018 15:06
Last Modified: 15 Jan 2018 16:15
URI: http://repository.essex.ac.uk/id/eprint/20979

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