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Is PsA Linked to Hearing Impairment?

Psoriatic arthritis (PsA) is associated with an increased risk for hearing impairment, according to the findings of a recent study.

“Emerging data has linked inflammatory arthritis with hearing impairment,” the researchers stated.

In the cross-sectional study, the researchers investigated the relationship between hearing impairment and PsA using data of 10,747 participants enrolled in the National Health and Nutrition Examination survey. Additionally, they assessed the extent to which hearing impairment mediated the effect of PsA on mental health.
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Compared with individuals without PsA, those with PsA were more likely to report hearing difficulties (odds ratio [OR] 1.50), visit a mental health provider (OR 1.62), depression (OR 2.01), and have 1.62 more days of poor mental health over the previous month.

The researchers also found that hearing impairment mediated 6.5%, 8.3%, and 5% of the effect of PsA on visiting a mental health provider, days of poor mental health, and depression, respectively.

“PsA is independently associated with a significantly increased risk of [hearing impairment], which partially mediates an association with worsened psychiatric outcomes,” the researchers concluded.


Semenov YR, Hsiang EY, Huang A, et al. Association between psoriasis with arthritis and hearing impairment in US adults: Data from the National Health and Nutrition Examination Survey [published online January 15, 2019]. J Rheumatol. doi:10.3899/jrheum.17122

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