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John E. Crews, DPA and Vincent A. Campbell, PhD

John E. Crews and Vincent A. Campbell are with the National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia.

Correspondence: Requests for reprints should be sent to John E. Crews, DPA, Centers for Disease Control and Prevention, 1600 Clifton Road, F-35, Atlanta, GA 30333 (e-mail: jcrews{at}cdc.gov).

Objectives. We investigated the health, activity, and social participation of people aged 70 years or older with vision impairment, hearing loss, or both.

Methods. We examined the 1994 Second Supplement on Aging to determine the health and activities of these 3 groups compared with those without sensory loss. We calculated odds ratios and classified variables according to the International Classification of Functioning, Disability and Health framework.

Results. Older people with only hearing loss reported disparities in health, activities, and social roles; those with only vision impairment reported greater disparities; and those with both reported the greatest disparities.

Conclusions. A hierarchical pattern emerged as impairments predicted consistent disparities in activities and social participation. This population’s patterns of health and activities have public health implications.

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