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Journal of Aging and Health
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Sensory Impairment, Use of Community Support Services, and Quality of Life in Aged Care Clients

Tien Tay, MBBS

University of Sydney, Australia

Jie Jin Wang, MMed, PhD

University of Sydney, Australia, jiejin_wang{at}wmi.usyd.edu.au.

Richard Lindley, MD, FRCP Edin, FRACP

University of Sydney, Australia

Ee-Munn Chia, MBBS

University of Sydney, Australia

Peter Landau, MBBS, FRACP

University of Sydney, Australia

Nicholas Ingham, MBBS, FRACP

University of Sydney, Australia

Annette Kifley, MBBS, MApplStat

University of Sydney, Australia

Paul Mitchell, MD, PhD, FRANZCO

University of Sydney, Australia

Objective: To assess influences from visual or hearing impairment on use of community support services and health-related quality of life in aged care clients. Method: The authors sampled 284 frail elderly individuals presenting for assessment in Sydney, Australia. Moderate to severe visual impairment was defined as visual acuity <20/80 (better eye), and moderate to severe hearing loss as hearing thresholds >40 decibels (better ear). Community support services included home-delivered meals, home help, and community nurse visits. Results: After adjusting for age, sex, and two or more comorbid conditions, moderate to severe visual impairment, but not moderate to severe hearing loss, was significantly associated with increased use of community services (adjusted odds ratio 2.8, 95% confidence interval = 1.0—7.8). Conclusion: Moderate to severe visual impairment was associated with an increased likelihood of community service utilization in this aged care client sample.

Key Words: aged care client study • visual impairment • hearing loss • hearing impairment • community support services • health-related quality of life • aged care

Journal of Aging and Health, Vol. 19, No. 2, 229-241 (2007)
DOI: 10.1177/0898264307299243
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