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Exposure to Chinese famine in early life and the risk of sensory impairment in adulthood

Bibliographic Data

ID11174266
AuthorsHongguo Rong (0000-0003-4536-4396, Peking University), Xiaozhen Lai (0000-0001-8978-286X, Peking University), Elham Mahmoudi (0000-0002-9746-8165, University of Michigan), Hai Fang (0000-0003-0335-1685, Peking University, corresponding author)
Year2021
Volume75
Issue1
Pages16-21
Publication date2021-01-01
Open AccessYes
TypeARTICLE
VenueJournal of Epidemiology and Community Health (JOURNAL)
Journal identifiersISSN: 0143-005X • E-ISSN: 1470-2738
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/jech-2020-213775
PMID32859671
OpenAlexW3081808515
LanguageEN
Citations received2
References cited37

Background Studies have shown that malnutrition in early life has a negative effect on midlife cognitive functions. Little is known, however, about the relationship between early-life malnutrition and visual, hearing or dual sensory impairments in adulthood. This study aims to investigate the association between exposure to the 1959–1961 Chinese famine in early life and sensory impairments in adulthood. Methods A total of 6347 adults born between 1952 and 1964 surveyed in the 2015 China Health and Retirement Longitudinal Study were included in this study. The presence of sensory impairments was identified by self-reported assessment of visual and hearing functions. The associations between multi-stage early-life famine exposure and sensory functions were estimated using the multiple generalised linear model. Results Compared with the unexposed group, respondents exposed to famine in the fetal period and late childhood had a significantly higher risk of hearing impairment (OR 1.54, 95% CI 1.06 to 2.24; OR 1.75, 95% CI 1.23 to 2.50) and dual sensory impairments (OR 1.45, 95% CI 1.00 to 2.11; OR 1.55, 95% CI 1.09 to 2.21), respectively. Furthermore, in severely famine-affected areas, the early, mid and late childhood-exposed groups were more likely to have hearing and dual sensory impairments than the unexposed group. Those associations were not observed in less famine-affected areas. However, no significant association was found between famine exposure and visual impairment in early-life famine-exposed group. Conclusion Exposure to Chinese famine in the fetal period and late childhood was linked to hearing and dual sensory impairments in adulthood

Audiology · Famine · Hearing loss · Longitudinal study · Malnutrition · Sensory system · Birth, Development, and Health · Child Nutrition and Water Access · Demography · Infant Development and Preterm Care · Internal Medicine · Medicine · Psychology · Pediatrics

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Citations per year0.67
Citation span2023 - 2024 (2)
Highly citedNo

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