{"id":"https://openalex.org/W7224952944","doi":"https://doi.org/10.21848/asr.260245","title":"Differential Associations Between Social Connection and Quality of Life by Hearing Loss Status Among Older Adults: An Urban-Rural Comparison","display_name":"Differential Associations Between Social Connection and Quality of Life by Hearing Loss Status Among Older Adults: An Urban-Rural Comparison","publication_year":2026,"publication_date":"2026-10-30","ids":{"openalex":"https://openalex.org/W7224952944","doi":"https://doi.org/10.21848/asr.260245"},"language":"en","primary_location":{"id":"doi:10.21848/asr.260245","doi":"https://doi.org/10.21848/asr.260245","is_oa":true,"landing_page_url":"https://doi.org/10.21848/asr.260245","pdf_url":"https://www.e-asr.org/upload/pdf/asr-260245.pdf","source":{"id":"https://openalex.org/S4210234342","display_name":"Audiology and Speech Research","issn_l":"1738-9399","issn":["1738-9399","2635-5019","2635-5027"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["kci-registered","poland-20","russia-white-list-2"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Audiology and Speech Research","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.e-asr.org/upload/pdf/asr-260245.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160151720","display_name":"Meeyoung Kim","orcid":"https://orcid.org/0009-0006-2239-9093","observed_orcids":["https://orcid.org/0009-0006-2239-9093"]},"institutions":[{"id":"https://openalex.org/I146824383","display_name":"Hallym University","ror":"https://ror.org/03sbhge02","country_code":"KR","type":"education","lineage":["https://openalex.org/I146824383"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Meeyoung Kim","raw_affiliation_strings":["Department of Sociology, College of Social Science, Hallym University, Chuncheon, Korea"],"raw_orcid":"https://orcid.org/0009-0006-2239-9093","affiliations":[{"raw_affiliation_string":"Department of Sociology, College of Social Science, Hallym University, Chuncheon, Korea","institution_ids":["https://openalex.org/I146824383"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5100450857","display_name":"Woojae Han","orcid":"https://orcid.org/0000-0003-1623-9676","observed_orcids":["https://orcid.org/0000-0003-1623-9676"]},"institutions":[{"id":"https://openalex.org/I146824383","display_name":"Hallym University","ror":"https://ror.org/03sbhge02","country_code":"KR","type":"education","lineage":["https://openalex.org/I146824383"]}],"countries":["KR"],"is_corresponding":false,"raw_author_name":"Woojae Han","raw_affiliation_strings":["Division of Speech Pathology and Audiology, College of Natural Science, Hallym University, Chuncheon, Korea","Laboratory of Hearing and Technology, Research Institute of Audiology and Speech Pathology, Hallym University, Chuncheon, Korea"],"raw_orcid":"https://orcid.org/0000-0003-1623-9676","affiliations":[{"raw_affiliation_string":"Division of Speech Pathology and Audiology, College of Natural Science, Hallym University, Chuncheon, Korea","institution_ids":["https://openalex.org/I146824383"]},{"raw_affiliation_string":"Laboratory of Hearing and Technology, Research Institute of Audiology and Speech Pathology, Hallym University, Chuncheon, Korea","institution_ids":["https://openalex.org/I146824383"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I146824383"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.85700775,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"22","issue":"4","first_page":"239","last_page":"250"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10283","display_name":"Hearing Loss and Rehabilitation","score":0.913100004196167,"subfield":{"id":"https://openalex.org/subfields/2805","display_name":"Cognitive Neuroscience"},"field":{"id":"https://openalex.org/fields/28","display_name":"Neuroscience"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T10283","display_name":"Hearing Loss and Rehabilitation","score":0.913100004196167,"subfield":{"id":"https://openalex.org/subfields/2805","display_name":"Cognitive Neuroscience"},"field":{"id":"https://openalex.org/fields/28","display_name":"Neuroscience"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T12811","display_name":"Aging, Health, and Disability","score":0.06459999829530716,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.008100000210106373,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hearing-loss","display_name":"hearing loss","score":0.9589999914169312},{"id":"https://openalex.org/keywords/social-connection","display_name":"social connectedness","score":0.9710000157356262},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.9980000257492065},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.9980000257492065},{"id":"https://openalex.org/keywords/urban-rural-differences","display_name":"urban-rural differences","score":0.9850000143051147},{"id":"https://openalex.org/keywords/moderation","display_name":"moderation","score":0.4309999942779541},{"id":"https://openalex.org/keywords/contact-with-children","display_name":"child contact","score":0.9620000123977661},{"id":"https://openalex.org/keywords/volunteering","display_name":"volunteering","score":0.6140000224113464},{"id":"https://openalex.org/keywords/hearing-aid-use","display_name":"hearing aid use","score":0.734000027179718},{"id":"https://openalex.org/keywords/korean-older-adults","display_name":"Korean older adults","score":0.828000009059906}],"concepts":[{"id":"https://openalex.org/C2780493683","wikidata":"https://www.wikidata.org/wiki/Q16035842","display_name":"Hearing loss","level":2,"score":0.6987000107765198},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.6119999885559082},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.6050000190734863},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.5723999738693237},{"id":"https://openalex.org/C129047720","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural area","level":2,"score":0.5485000014305115},{"id":"https://openalex.org/C142853389","wikidata":"https://www.wikidata.org/wiki/Q744778","display_name":"Association (psychology)","level":2,"score":0.5188000202178955},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.429500013589859},{"id":"https://openalex.org/C2993273237","wikidata":"https://www.wikidata.org/wiki/Q7551028","display_name":"Social contact","level":2,"score":0.41620001196861267},{"id":"https://openalex.org/C9701087","wikidata":"https://www.wikidata.org/wiki/Q1283504","display_name":"Social engagement","level":2,"score":0.4075999855995178},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.3921000063419342},{"id":"https://openalex.org/C3019858935","wikidata":"https://www.wikidata.org/wiki/Q4340209","display_name":"Depressive symptoms","level":3,"score":0.3752000033855438},{"id":"https://openalex.org/C548259974","wikidata":"https://www.wikidata.org/wiki/Q569965","display_name":"Audiology","level":1,"score":0.36500000953674316},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.3521000146865845},{"id":"https://openalex.org/C130064352","wikidata":"https://www.wikidata.org/wiki/Q853725","display_name":"Social relation","level":2,"score":0.32030001282691956},{"id":"https://openalex.org/C138496976","wikidata":"https://www.wikidata.org/wiki/Q175002","display_name":"Developmental psychology","level":1,"score":0.31049999594688416},{"id":"https://openalex.org/C2987946170","wikidata":"https://www.wikidata.org/wiki/Q853725","display_name":"Social relationship","level":2,"score":0.3093999922275543},{"id":"https://openalex.org/C152877465","wikidata":"https://www.wikidata.org/wiki/Q208042","display_name":"Regression analysis","level":2,"score":0.30889999866485596},{"id":"https://openalex.org/C3019921246","wikidata":"https://www.wikidata.org/wiki/Q104853310","display_name":"Differential effects","level":2,"score":0.3061999976634979},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.28540000319480896},{"id":"https://openalex.org/C91034043","wikidata":"https://www.wikidata.org/wiki/Q223642","display_name":"Interpersonal relationship","level":2,"score":0.28450000286102295},{"id":"https://openalex.org/C3019887659","wikidata":"https://www.wikidata.org/wiki/Q191089","display_name":"Older people","level":2,"score":0.27950000762939453},{"id":"https://openalex.org/C198477413","wikidata":"https://www.wikidata.org/wiki/Q7647069","display_name":"Survey data collection","level":2,"score":0.27059999108314514},{"id":"https://openalex.org/C2780801066","wikidata":"https://www.wikidata.org/wiki/Q323808","display_name":"Hearing aid","level":2,"score":0.27059999108314514},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.2687000036239624},{"id":"https://openalex.org/C2776035688","wikidata":"https://www.wikidata.org/wiki/Q1606558","display_name":"Affect (linguistics)","level":2,"score":0.26829999685287476},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.25589999556541443},{"id":"https://openalex.org/C2779912225","wikidata":"https://www.wikidata.org/wiki/Q1756133","display_name":"Presbycusis","level":3,"score":0.2556000053882599},{"id":"https://openalex.org/C2984915365","wikidata":"https://www.wikidata.org/wiki/Q5141203","display_name":"Cognitive impairment","level":3,"score":0.2535000145435333}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.21848/asr.260245","doi":"https://doi.org/10.21848/asr.260245","is_oa":true,"landing_page_url":"https://doi.org/10.21848/asr.260245","pdf_url":"https://www.e-asr.org/upload/pdf/asr-260245.pdf","source":{"id":"https://openalex.org/S4210234342","display_name":"Audiology and Speech Research","issn_l":"1738-9399","issn":["1738-9399","2635-5019","2635-5027"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["kci-registered","poland-20","russia-white-list-2"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Audiology and Speech Research","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.21848/asr.260245","doi":"https://doi.org/10.21848/asr.260245","is_oa":true,"landing_page_url":"https://doi.org/10.21848/asr.260245","pdf_url":"https://www.e-asr.org/upload/pdf/asr-260245.pdf","source":{"id":"https://openalex.org/S4210234342","display_name":"Audiology and Speech Research","issn_l":"1738-9399","issn":["1738-9399","2635-5019","2635-5027"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["kci-registered","poland-20","russia-white-list-2"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Audiology and Speech Research","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9789000153541565,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.5,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7224952944.pdf","grobid_xml":"https://content.openalex.org/works/W7224952944.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2727556273","https://openalex.org/W2885897293","https://openalex.org/W4390081049","https://openalex.org/W4414106470","https://openalex.org/W3031583831","https://openalex.org/W7168840448","https://openalex.org/W2345635829","https://openalex.org/W2937318835","https://openalex.org/W4417397485","https://openalex.org/W2802126468"],"abstract_inverted_index":{"Purpose:":[0],"This":[1],"study":[2],"examined":[3],"whether":[4,23],"hearing":[5,65,76,160],"loss":[6,77,117,199],"moderates":[7],"the":[8,31,49,84,93,143,230],"association":[9],"between":[10,75],"social":[11,79,96,134,236],"connection":[12,80,97,135],"and":[13,22,52,57,70,78,86,112,126,152,170,176,205,216],"quality":[14],"of":[15,36,233],"life":[16],"(QoL)":[17],"among":[18,157],"older":[19,37,234],"Korean":[20,33],"adults":[21],"this":[24],"pattern":[25],"differs":[26],"by":[27],"urban-rural":[28],"residence.Methods:":[29],"Using":[30],"2023":[32],"national":[34],"survey":[35],"persons":[38],"(n":[39],"=":[40],"9,951),":[41],"multivariable":[42],"linear":[43],"regression":[44],"models":[45,88],"were":[46,81,137],"estimated":[47],"for":[48,53,62,105,165,177],"full":[50,94,131],"sample":[51],"hearing-loss,":[54],"non-hearing-loss,":[55],"urban,":[56],"rural":[58,87,125,174,217],"subgroups.":[59],"Models":[60],"controlled":[61],"sociodemographic":[63],"characteristics,":[64],"aid":[66],"use,":[67],"cognitive":[68],"function,":[69],"depressive":[71],"symptoms.":[72],"Interaction":[73],"terms":[74],"added":[82],"to":[83,89,222],"urban":[85,127,182,196,215],"assess":[90],"moderation.Results:":[91],"In":[92],"sample,":[95],"was":[98,118,200],"positively":[99],"associated":[100,120,139,201],"with":[101,108,114,121,140,149,168,179,188,191,202],"QoL,":[102,204],"most":[103],"strongly":[104],"frequent":[106,147,166,189],"contact":[107,113,148,167,178,190],"friends/neighbors,":[109,150],"fellowship-group":[110,171],"participation,":[111],"children.":[115],"Hearing":[116,198],"negatively":[119],"QoL":[122,141],"in":[123,142,173,181,195,214],"both":[124],"areas,":[128,183],"even":[129],"after":[130],"adjustment.":[132],"Fewer":[133],"variables":[136],"significantly":[138],"hearing-loss":[144],"group;":[145],"less":[146],"volunteering,":[151],"educational":[153],"activities":[154],"mattered":[155],"only":[156,194,225],"those":[158],"without":[159],"loss.":[161],"Negative":[162],"interactions":[163],"emerged":[164,208],"friends/neighbors":[169,180],"participation":[172],"areas":[175],"whereas":[184],"a":[185],"positive":[186],"interaction":[187],"children":[192],"appeared":[193],"areas.Conclusion:":[197],"lower":[203],"moderating":[206],"patterns":[207],"selectively,":[209],"involving":[210],"different":[211],"relationship":[212],"types":[213],"areas.":[218],"Interventions":[219],"may":[220],"need":[221],"address":[223],"not":[224],"audiological":[226],"impairment":[227],"but":[228],"also":[229],"communicative":[231],"demands":[232],"adults\u2019":[235],"environments.":[237]},"counts_by_year":[],"updated_date":"2026-11-01T11:40:01.658920","created_date":"2026-10-31T00:00:00"}