Purpose

This study examined the association between hearing status (i.e., adolescents with and without hearing loss) and physical activity and sports participation. Secondarily, we explored the association between physical activity and sports participation and psychosocial outcomes among adolescents with hearing loss.

Methods

Analyses included 29,034 adolescents (52.1% male, 13.8 ± 2.3 (M ± SD) years) from the combined 2018–2019 National Survey of Children's Health. Adolescents were grouped by hearing status. Adjusted logistic regression models assessed physical activity level (i.e., 0, 1–3, 4–6, and 7 days/week) and sports participation (i.e., participation in sports within the past 12 months) by hearing status. Secondary analyses examined associations between physical activity and sports participation with psychosocial outcomes among adolescents with hearing loss adjusting for relevant confounders.

Results

Relative to their hearing peers, adolescents with hearing loss (n = 359) were 40% [adjusted odds ratio (AOR), 0.60; 95% confidence interval (CI), 0.44, 0.81], 43% [AOR, 0.57; 95% CI, 0.41, 0.80], and 33% [AOR, 0.67; 95% CI, 0.47, 0.95] less likely to engage in 1–3 days/week of physical activity, 4–6 days/week of physical activity, and meet physical activity guidelines, respectively. Further, adolescents with hearing loss were 31% [AOR, 0.69; 95% CI, 0.55, 0.85] less likely to participate in sports. Sports participation, but not physical activity, was associated with a significant reduction in the likelihood of experiencing adverse psychosocial outcomes among adolescents with hearing loss (p's < .05).

Discussion

Sports participation, but not physical activity, was associated with attenuated likelihood of experiencing adverse psychosocial outcomes in adolescents with hearing loss, suggesting unique characteristics of sports participation confer protection of psychosocial health. Increasing access to and reducing barriers to engagement in sports should be prioritized to improve psychosocial health in adolescents with hearing loss.

中文翻译：

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听力损失青少年的体育锻炼、体育参与和心理社会健康

目的

这项研究检查了听力状况（即有和没有听力损失的青少年）与身体活动和体育参与之间的关联。其次，我们探讨了听力损失青少年的体育活动与体育参与和心理社会结果之间的关系。

方法

分析包括来自 2018-2019 年全国儿童健康综合调查的 29,034 名青少年（52.1% 男性，13.8 ± 2.3 (M ± SD) 岁）。青少年按听力状况分组。调整后的逻辑回归模型通过听力状态评估身体活动水平（即每周 0、1-3、4-6 和 7 天）和运动参与（即过去 12 个月内参加的运动）。次要分析检查了针对相关混杂因素进行调整的听力损失青少年的体育活动和体育参与与心理社会结果之间的关联。

结果

相对于他们的听力同龄人，有听力损失的青少年 (n = 359) 为 40% [调整优势比 (AOR), 0.60; 95% 置信区间 (CI), 0.44, 0.81], 43% [AOR, 0.57; 95% CI, 0.41, 0.80] 和 33% [AOR, 0.67; 95% CI, 0.47, 0.95] 不太可能每周进行 1-3 天的体力活动，每周进行 4-6 天的体力活动，并分别符合体力活动指南。此外，有听力损失的青少年为 31% [AOR, 0.69; 95% CI, 0.55, 0.85] 不太可能参加运动。体育参与而非体育活动与听力损失青少年经历不良心理社会后果的可能性显着降低相关（p < .05）。

讨论

体育参与而非体育活动与听力损失青少年经历不良心理社会后果的可能性降低有关，这表明体育参与的独特特征可以保护心理社会健康。应优先考虑增加参与体育运动的机会和减少参与体育运动的障碍，以改善听力损失青少年的社会心理健康。