This study examined the prevalence of cognitive impairment among older adults in central Vietnam and the roles of communication (with or without communication devices) in the association between cognitive impairment and hearing loss. This cross-sectional study was performed on 725 randomly selected community-dwelling older adults aged ≥60 years from Thua Thien Hue province, Vietnam. Participants attended a face-to-face survey. Sociodemographic characteristics, social interaction with or without communication devices, health status and cognitive function using the Mini-Mental State Examination were reported. Ordinal logistic regression analysis was performed to quantify the association between hearing loss and cognitive function by frequency of communication with and without devices. Mild and severe cognitive impairment had prevalence rates of 23.6% and 19.3%, respectively. Cognitive impairment was more prevalent among older adults with hearing-loss, vision loss and difficulties with instrumental activities of daily living (IADL). The association between hearing loss and cognitive impairment was not significant when older adults had frequent communication with others using devices. This study presented the relatively high prevalence of cognitive impairment in community-dwelling older adults in Vietnam. Frequent communication using devices attenuated the association between hearing loss and cognitive impairment.
31 October 2025 in Osong Public Health and Research Perspectives
Objectives: This study measured the impact of prenatal intimate partner violence (p-IPV) on maternal mental health and suspected developmental delays (SDDs) in children at 6 months of age in central Vietnam.Methods: Data were drawn from a community-based birth cohort of 285 mother–child dyads in Hue citycity, central Vietnam. The exposure factor was p-IPV, assessed using the revised conflict tactics scale (CTS2). Maternal mental health was measured with the patient health questionnaire-9. Child development at 6 months was screened using the Vietnamese version of the Ages and Stages Questionnaire, 3rd Edition (ASQ-3). Robust Poisson regression was used to estimate associations of p-IPV with maternal mental health and SDDs.Results: Among the women, 18.9% reported experiencing p-IPV. SDDs were identified in 13% of the children, with communication delays being the most prevalent (10.9%). The association between p-IPV and SDDs remained significant after adjustment for confounders in multilevel models, with the highest relative risk (RR) observed in the fully adjusted model (RR, 2.43; 95% confidence interval [CI], 1.08–5.48). p-IPV exposure was significantly associated with postpartum depression in the crude and partially adjusted models, but this association became non-significant after full adjustment—most notably after accounting for prenatal depression, which remained a predictor of postpartum depression (RR, 1.15; 95% CI, 1.06–1.25).Conclusion: p-IPV is significantly associated with increased risk of postpartum depression and developmental delays in early infancy. Integrating IPV screening and targeted interventions into prenatal care may contribute to improved developmental outcomes in children and better maternal health.