The correlation between sensory impairments and depressive symptoms among Chinese older adults:a cohort study based on CHARLS
Objective:To explore the longitudinal correlation between sensory impairments and depressive symp-toms to provide evidence for the prevention of depression.Methods:This study utilized data from the China health and retirement longitudinal study(CHARLS)spanning the years 2011 to 2020.Sensory impairments were defined by self-reported indicators of hearing and visual impairments.Participants were categorized into four groups based on their hearing and visual conditions:no sensory impairment(NSI)group,hearing impairment on-ly(HI)group,vision impairment only(VI)group,and dual sensory impairments(DSL)group.Depressive symp-toms were assessed using the Center for Epidemiological Studies Depression Scale(CESD-10).The longitudinal association between sensory impairments and depressive symptoms was investigated using Cox proportional haz-ard models.Results:A total of 12,952 participants were included in the study,with 745(5.8%)in the HI group,2,756(21.3%)in the VI group,and 671(5.2%)in the DSL group.During a median follow-up period of 5.42 years,5,498 participants exhibited depressive symptoms.Cox proportional hazard model results showed that in the un-adjusted model,the risk of depressive symptoms was higher in the HI,VI,and DSL groups compared with the NSI group(P<0.05).After adjusting for sociodemographic,lifestyle,and health-related factors,the risk of de-pressive symptoms in the HI group was 1.24 times higher than that in the NSI group(95%CI:1.09-1.41),the VI group was 1.20 times(95%CI:1.11-1.29),and the DSL group was 1.37 times(95%CI:1.21-1.56).Conclusion:There is a longitudinal association between self-reported visual,hearing,or dual sensory impairments and depres-sive symptoms.Attention should be focused on the mental health of individuals with hearing and vision impair-ments.