Harry Taylor

The implications of an ageing population for democracy are far reaching, however, older people are often treated as a homogenous group. This article used survey data from 29 countries across Europe, alongside qualitative interviews with the older old (people aged 70 and older) in the North-West of England (United Kingdom). The findings suggest that voting declines amongst the older old and women aged 85 and older were less likely to report having voted compared to men in the same age group. Older women aged 85 and older were also less likely to feel that people like them could have an influence on politics. In terms of a sense of the future, having grandchildren was associated with the likelihood of reporting having voted, but being older than the country average life expectancy was not. The interviews with the older old in the North-West of England revealed that many could remember the first time they had voted and its lasting personal significance. However, many also described becoming politically disengaged in their late old age. Older people also reported barriers to voting, including difficulties in accessing polling stations and in using postal voting. There was a desire amongst the older old to see more young people voting and frustration about their lack of interest, including amongst their own children and grandchildren. This suggests a concern for democracy and future generations. As the population ages and people are living longer, it is important to develop the understanding of voter turnout amongst the older old at different ages and the barriers they can face.

To establish whether ethnic inequalities exist in levels of self-reported hearing difficulty and hearing aid use among middle-aged adults.Cross-sectional data from the UK Biobank resource.164,460 p...

Introduction Research using the UK Biobank data has shown ethnic inequalities in hearing health; however, the hearing test used may exhibit a disadvantage for non-native language speakers. Objectives To validate the results of the UK Biobank hearing test (Digit Triplet Test, DTT) against self-reported measures of hearing in the dataset and create classifications of hearing health. To observe if language proficiency and migration age have the same effect on hearing health classification as on the DTT in isolation. Our hypothesis is that language proficiency acts differently on the DTT, demonstrating that the DTT is biased for non-native speakers of English. Design Latent classes representing profiles of hearing health were identified from the available hearing measures. Factors associated with class membership were tested using multinomial logistic regression models. Ethnicity was defined as (1) White, native English-speaking, (2) ethnic minority, arrived in the UK aged 12. Participants The UK Biobank participants with valid hearing test results and associated covariates (N=151 268). Outcome measures DTT score, self-reported hearing difficulty, self-reported hearing difficulty in noise and hearing aid use. Results Three classes of hearing health were found: ‘normal’, ‘generally poor’ and ‘only subjectively poor’. In a model adjusting for known confounders of hearing loss, a poor or insufficient hearing test result was less likely for those with better language (OR 0.69, 95% CI 0.65 to 0.74) or numerical ability (OR 0.71, 95% CI 0.67 to 0.75) but more likely for those having migrated aged >12 (OR 3.85, 95% CI 3.64 to 4.07). Conclusions The DTT showed evidence of bias, having greater dependence on language ability and migration age than other hearing indicators. Designers of future surveys and hearing screening applications may wish to consider the limitations of speech-in-noise tests in evaluating hearing acuity for populations that include non-native speakers.