Inequalities in hearing and vision health Manchester Centre for - - PowerPoint PPT Presentation

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inequalities in hearing and vision health
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Inequalities in hearing and vision health Manchester Centre for - - PowerPoint PPT Presentation

Jul 02, 2023 399 likes •737 views

Manchester Centre for Audiology and Deafness Inequalities in hearing and vision health Manchester Centre for Audiology and Deafness (ManCAD) Manchester Centre for Audiology and Deafness 14:00 - 14:20 - Piers Dawes - Hearing/vision inequalities

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Manchester Centre for Audiology and Deafness Manchester Centre for Audiology and Deafness (ManCAD)

Inequalities in hearing and vision health

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Manchester Centre for Audiology and Deafness Manchester Centre for Audiology and Deafness (ManCAD)

14:00 - 14:20 - Piers Dawes - Hearing/vision inequalities in Europe Hearing health 14:20 - 14:40 – Jack Allum: Demographics of hearing impairment 14:40 – 15:00 – Harry Taylor: Ethnicity and hearing health inequality Vision health 15:00 - 15:20 - Christopher Davey: Ethnicity and vision health inequality 15:20 - 15:40 - Katey Matthews: vision health inequality 15:40 - 16:00 - Q&A with the panel of speakers

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SENSE-Cog has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 668648.

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Inequalities in hearing and vision health in Europe

Piers Dawes, Asri Maharani, Neil Pendleton, Gindo Tampubolon, James Nazroo, on behalf of the Sense-Cog WP1 group

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Manchester Centre for Audiology and Deafness Manchester Centre for Audiology and Deafness (ManCAD)

  • 1.3 billion people with hearing impairment
  • 661 million people with vision impairment
  • Mostly (older) adults
  • Impact: quality of life, activity, education,

employment, communication, mobility, social engagement, mental well-being

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Hearing (#2) vision (#3)

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Hearing & vision Diabetes

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Hearing & vision Diabetes Alzheimer’s disease

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Causes of vision impairment

  • 80% preventable causes
  • Socioeconomic factors: 69.4% of global variation in MSVI and 76.3% of blindness
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Hearing impairment in adults

1 2 3 4 5 6 7 8 9 10 Males Females

Percentage

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Manchester Centre for Audiology and Deafness Manchester Centre for Audiology and Deafness (ManCAD)

Causes of hearing impairment

‘Presbycusis’: environmental + genetic contribution

– Noise – Ototoxic drugs – Smoking – Diabetes – Cardiovascular disease

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Manchester Centre for Audiology and Deafness Manchester Centre for Audiology and Deafness (ManCAD)

  • Look at hearing/vision in Europe
  • What might explain any differences?
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Survey of health, aging and retirement in Europe

  • 17 EU countries
  • Self reported

hearing/vision

  • Adults >50
  • 2014/2015
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Manchester Centre for Audiology and Deafness Manchester Centre for Audiology and Deafness (ManCAD)

20 22

20 40 60 80 100

Vision Hearing

Percentage

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Prevalence of hearing and visual impairment in Europe per country

19% 14% 16% 24% 12% 19% 15% 25% 19% 20% 9% 35% 20% 21% 25% 13% 31% 18% 10% 12% 29% 13% 19% 15% 26% 14% 34% 24% 46% 23% 24% 43% 20% 33%

0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%

Hearing impairment Visual impairment

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Manchester Centre for Audiology and Deafness Manchester Centre for Audiology and Deafness (ManCAD)

  • Health care system?
  • OECD report: Europe 2018
  • Health care function and performance

indicators (older adults)

  • Compare ‘good’ vs ‘poor’ performers
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Manchester Centre for Audiology and Deafness Manchester Centre for Audiology and Deafness (ManCAD)

1. Healthy Life Years at 65years > median EU28 2. Self reported health % good or very good > median EU28 3. Health expenditure and financing: Categorise as health expenditure as percentage of GDP >mean EU28 4. Effectiveness, quality of care and patient experience: preventable mortality >mean for EU28 5. Accessibility affordability availability and use of services: unmet need for medical exam for financial, geographic or waiting time parameters <mean for EU28

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Good: 4 or more Poor: less than 4

Healthy Life Years at 65years > median Self reported health % good or very good > median Health expenditure as % GDP > median Preventable mortality < median Unmet medical examination need <median Sweden Y y Y y Y Denmark

  • y

Y Y Y Austria Y y Y y Y Germany

  • Y

Y Y France Y

  • Y

Y Y Switzerland Y Y Y Y Y Belgium Y Y Y Y Y Luxemburg y Y

  • y

Y Spain Y Y

  • y

Y Italy Y Y

  • y
  • Greece

Y Y

  • y
  • Portugal

Y

  • y

Y Slovenia Y

  • Y

Czech Republic

  • Y

Poland

  • Croatia
  • Y

Estonia

  • UK
  • Y

Y Y Y

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Hearing and visual impairment in Europe per region

18.90% 18.64%

20.65% 27.24%

0% 5% 10% 15% 20% 25% 30%

Hearing impairment Visual impairment Good Poor

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Hearing and visual impairment in Europe per region based on gender

0% 5% 10% 15% 20% 25%

Male Female All

0% 5% 10% 15% 20% 25% 30%

Male Female All

Hearing Vision

  • Males: poorer hearing
  • Females: poorer vision
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Hearing and visual impairment in Europe per region based on gender

0% 5% 10% 15% 20% 25%

Male Female Good Poor

0% 5% 10% 15% 20% 25% 30% 35%

Male Female Good Poor

Hearing Vision

  • Males: poorer hearing
  • Females: poorer vision
  • Similar patterns across region
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Hearing and visual impairment in Europe per region based on education

0% 5% 10% 15% 20% 25% 30%

Primary Secondary College All

Hearing Vision

0% 5% 10% 15% 20% 25% 30% 35%

Primary Secondary College All

  • Higher education
  • less sensory impairment
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Hearing and visual impairment in Europe per region based on education

0% 5% 10% 15% 20% 25% 30%

Primary Secondary College Good Poor

Hearing Vision

0% 5% 10% 15% 20% 25% 30% 35% 40%

Primary Secondary College Good Poor

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Hearing impairment in Europe per region based

  • n wealth quintile

0% 5% 10% 15% 20% 25% 30%

Q1 Q2 Q3 Q4 Q5 All

More affluent

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Hearing impairment in Europe per region based

  • n wealth quintile

0% 5% 10% 15% 20% 25% 30%

Q1 Q2 Q3 Q4 Q5 Good Poor

More affluent

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Hearing impairment in Europe per region based

  • n wealth quintile

0% 5% 10% 15% 20% 25% 30%

Q1 Q2 Q3 Q4 Q5 Good Poor

  • Wealth associated with HI in poor but not in good regions

*** ns

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Visual impairment in Europe per region based

  • n wealth quintile

0% 5% 10% 15% 20% 25% 30% 35%

Q1 Q2 Q3 Q4 Q5 All

More affluent

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Visual impairment in Europe per region based

  • n wealth quintile

0% 5% 10% 15% 20% 25% 30% 35% 40%

Q1 Q2 Q3 Q4 Q5 Good Poor

More affluent

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Visual impairment in Europe per region based

  • n wealth quintile

0% 5% 10% 15% 20% 25% 30% 35% 40%

Q1 Q2 Q3 Q4 Q5 Good Poor

More affluent: less vision impairment in BOTH regions *** ***

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Manchester Centre for Audiology and Deafness Manchester Centre for Audiology and Deafness (ManCAD)

  • Reasons for wealth & hearing/vision link?
  • Both education and income: target public

hearing/vision public health programs (particularly in countries with poor healthcare performance)

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Manchester Centre for Audiology and Deafness Manchester Centre for Audiology and Deafness (ManCAD)

Acknowledgements

  • This work was supported by SENSE-Cog
  • project. This project has received funding

from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 668648.

This work was supported by SENSE-Cog project. This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 668648. PD is supported in part by the NIHR Manchester Biomedical Research Centre.