研究背景與目的 生活空間移動反映了個體在日常生活和社交環境中的移動情況，維持活動能力是活躍老化的基礎，好的移動能力的中高齡者比較有活力，而且可以獨立的生活。本研究旨在利用純音聽力平均值探討聽力損失與生活空間移動之間的關聯。
方法 本研究為橫斷性研究，於2023年1月至2024年5月期間在社區及醫院進行招募。受試者通過成大醫院電子布告欄及社區口耳相傳招募，招募對象為居住在台灣南部社區，年齡介於50至79歲之間的中高齡者，並排除視覺障礙無法閱讀收案問卷者。本研究檢查了優耳聽力、劣耳聽力、雙耳聽力障礙，並判斷不同標準對空間的重要性，通過問卷 (社會經濟地位、生活空間移動、認知、社會衰弱、助聽器或人工電子耳的效益和健康狀況) 收集受試者資料，並在醫院耳鼻喉部聽力檢查室內，進行純音聽力評估。純音聽力檢查檢測受試者優耳純音聽力平均值、雙耳聽力障礙，以優耳純音聽力平均值辨識受試者的聽力程度高低，並歸納是否為雙側聽力障礙；另外也蒐集劣耳聽力平均值。以邏輯斯回歸驗證不同的聽力障礙標準，找出能預測生活空間的重要獨立預測因子。
結果 共90名中高齡者（50-79歲，平均年齡64.21歲，標準差7.53歲) 擁有良好的認知 (認知測驗0-30，平均28.8分，標準差1.3分)，完成了包括生活空間移動 (0-120，平均65.1分，標準差14.7分)、社會衰弱 (0-5，平均0.74分，標準差0.8分) 在內的調查。純音聽力測試結果顯示60%的人雙耳聽力損失 (優耳聽力平均值大於20 分貝)。15.6 %有雙側聽力障礙 (雙側聽力平均值大於50分貝)，5.6 %的社區中高齡者有極低的生活空間移動 (生活空間移動量表小於40)，13.3% 有社會衰弱。結果顯示，在多變項控制後，雙側聽力障礙預測低度生活空間的勝算比為38.38 (95%信賴區間為1.1至57.5)；此外，劣耳聽力每增加1分貝會增加5%低度生活空間的機率 (OR=1.05，CI= 1.0-1.1)。
討論與結論 聽力損失是生活空間移動的獨立預測因子，劣耳聽力平均值增加與低生活空間移動相關。設計與執行簡易聽力篩檢工具提升社區中高齡者對聽力健康的覺知，防止聽力問題限制空間移動。即時提供助聽器協助並制定聽覺復能計畫是未來研究與實務的重要方向。

Purpose Life-space mobility reflects daily and social movement, crucial for active aging and independence in older adults. Good mobility is associated with greater vitality and the ability to live independently. This study examines the relationship between hearing loss and life-space mobility using pure tone average (PTA) hearing levels. Design and Methods This cross-sectional study recruited participants aged 50-79 from January 2023 to May 2024 through community in southern Taiwan. Participants were recruited via electronic bulletin boards and word-of-mouth. Hearing was assessed using pure tone audiometry, and data on socioeconomic status, life-space mobility, cognition, depression, social frailty, and health status were collected via questionnaires. Logistic regression was used to identify predictors of life-space mobility. Results Ninety participants (mean age 64.21 years) with good cognition completed the study. Pure tone audiometry showed 60% had bilateral hearing loss (better ear hearing level >20 dB), and 15.6% had bilateral hearing disability (bilateral hearing level >50 dB). Low lifespace mobility was observed in 5.6%, and social frailty in 13.3%. Bilateral hearing disabilities predicted low life-space mobility (OR = 38.38, CI = 1.1-57.5). Each decibel increase in worse ear hearing level increased the likelihood of low life-space mobility by 5% (OR = 1.05, CI = 1.0-1.1). Conclusion Hearing loss is an independent predictor of life-space mobility. Increased worse ear hearing levels are associated with reduced life-space. Simple hearing screening and aural rehabilitation can enhance life space mobility in older adults.

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