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Impact of Hearing Aids on Poverty, Quality of Life and Mental Health in Guatemala: Results of a before and after Study

Author

Listed:
  • Mark Spreckley

    (Health and Social Care/Allied Health Sciences, London South Bank University, London SE11 0AA, UK)

  • David Macleod

    (Department of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK)

  • Brenda González Trampe

    (Independent Consultant, Guatemala City, Guatemala)

  • Andrew Smith

    (International Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK)

  • Hannah Kuper

    (International Centre for Evidence in Disability, London School of Hygiene & Tropical Medicine, London WC1E 7HT, UK)

Abstract

There are 466 million people globally with disabling hearing loss, many of whom can benefit from hearing aids. The aim of the study was to assess the impact of providing hearing aids on poverty, mental health, quality of life, and activities, among adults in Guatemala. A nonrandomised before and after study was conducted, with a comparison group to assess for secular trends. Adult cases with bilateral hearing impairment were identified within 150 km of Guatemala City, as well as age- and sex-matched comparison subjects without disabling hearing loss. All participants were interviewed with a semistructured questionnaire, and cases were offered hearing aids. Participants were reinterviewed 6–9 months later. We interviewed 135 cases and 89 comparison subjects at baseline and follow-up. At baseline, cases were poorer than comparison subjects with respect to individual income ( p = 0.01), household income ( p = 0.02), and per capita expenditure (PCE) ( p = 0.003). After provision of hearing aids, median household income improved among cases ( p = 0.03). In the comparison group, median individual income ( p = 0.01) and PCE ( p = 0.03) fell between baseline at follow-up. At follow-up, there were also improvements in productive time use, quality of life, and depressive symptoms among cases, but these were less apparent in the comparison group. In conclusion, this study has demonstrated a positive effect of hearing aids in improving quality of life, economic circumstances and mental health among Guatemalan adults.

Suggested Citation

  • Mark Spreckley & David Macleod & Brenda González Trampe & Andrew Smith & Hannah Kuper, 2020. "Impact of Hearing Aids on Poverty, Quality of Life and Mental Health in Guatemala: Results of a before and after Study," IJERPH, MDPI, vol. 17(10), pages 1-10, May.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:10:p:3470-:d:358734
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    References listed on IDEAS

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    1. Tess Bright & Hannah Kuper, 2018. "A Systematic Review of Access to General Healthcare Services for People with Disabilities in Low and Middle Income Countries," IJERPH, MDPI, vol. 15(9), pages 1-29, August.
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    4. Margaret Grosh & Paul Glewwe, 2000. "Designing Household Survey Questionnaires for Developing Countries," World Bank Publications - Books, The World Bank Group, number 25338.
    5. Margaret Grosh & Paul Glewwe, 2000. "Designing Household Survey Questionnaires for Developing Countries : Lessons from 15 Years of the Living Standards Measurement Study, Volume 2," World Bank Publications - Books, The World Bank Group, number 15194.
    6. Piers Dawes & Richard Emsley & Karen J Cruickshanks & David R Moore & Heather Fortnum & Mark Edmondson-Jones & Abby McCormack & Kevin J Munro, 2015. "Hearing Loss and Cognition: The Role of Hearing Aids, Social Isolation and Depression," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-9, March.
    7. Lisa Danquah & Hannah Kuper & Cristina Eusebio & Mamunur Akm Rashid & Liza Bowen & Allen Foster & Sarah Polack, 2014. "The Long Term Impact of Cataract Surgery on Quality of Life, Activities and Poverty: Results from a Six Year Longitudinal Study in Bangladesh and the Philippines," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-10, April.
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    Cited by:

    1. Junghwa Bahng & Chang Heon Lee, 2020. "Topic Modeling for Analyzing Patients’ Perceptions and Concerns of Hearing Loss on Social Q&A Sites: Incorporating Patients’ Perspective," IJERPH, MDPI, vol. 17(17), pages 1-14, August.

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