Comparison Between Self-Reported Hearing and Measured Hearing Thresholds of the Elderly in China

Diao, Mei; Sun, Jiayu; Jiang, Tao; Fan, Tian; Jia, Zhonghong; Liu, Yang; Chen, Dong-lan

doi:10.1097/aud.0000000000000050

Cited by 37 publications

(40 citation statements)

References 6 publications

(8 reference statements)

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“…Hearing loss was measured by self-report alone and not verified by objective measures. Nevertheless, selfreport of hearing loss has been found to be reasonably accurate when assessed against objective audiological assessment (Deepthi and Kasthuri, 2012;Diao et al, 2014) and may even be a more valid measure of hearing loss because of the perceived impact on daily activities and quality of life (Kiely et al, 2012). The findings of this study also only reflect the experiences of those who were willing to talk about their hearing loss and hearing aid use.…”

Section: Limitations and Further Opportunity For Researchmentioning

confidence: 76%

Factors Affecting Hearing Aid Adoption and Use: A Qualitative Study

Gallagher

Woodside

2018

J Am Acad Audiol

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Similar themes emerged from qualitative analysis across groups of people with hearing loss. More information for those with hearing loss and those with hearing aids and scheduled follow-up appointments for those with hearing aids are essential to improve hearing aid adoption and use in older people. Further research should focus on the most suitable methods of distributing this information and how often follow-up appointments should take place to achieve optimal hearing aid adoption and use.

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Section: Limitations and Further Opportunity For Researchmentioning

confidence: 76%

Factors Affecting Hearing Aid Adoption and Use: A Qualitative Study

Gallagher

Woodside

2018

J Am Acad Audiol

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“…We used the hearing thresholds from the better-hearing ears, which minimized the possibility of underestimation of hearing loss. The selection of the better ear was based on the classification of World Health Organization, which was adopted in many prior studies [6,15]. …”

Section: Discussionmentioning

confidence: 99%

“…There are conflicting opinions regarding the use of a reference for hearing thresholds [8,41,42]. We employed the reference value of 40 dB HL because it has been used in other studies [8,15]. Missing data, mainly resulting from individuals who refused to undergo an audiometric PTA test (7,097 participants), were excluded from the present analysis (S5 Table).…”

Section: Discussionmentioning

confidence: 99%

“…There are several studies examining the factors associated with the discrepancy between self-reported hearing loss and audiometric findings, however most of these studies have been confined to the elderly population, ages 50 and older[6,15,16]. Few studies have focused on the otologic and psychosocial factors that might influence the perception of hearing impairment in large, representative populations with a wide range of age groups.…”

Section: Introductionmentioning

confidence: 99%

“…Few studies have focused on the otologic and psychosocial factors that might influence the perception of hearing impairment in large, representative populations with a wide range of age groups. Moreover, previous studies have evaluated hearing using a dichotomized classification [4,15]. A recent study reported that the 80% of older adults with self-reported hearing loss demonstrated at least mild hearing impairment during audiometric PTA measurements [17].…”

Section: Introductionmentioning

confidence: 99%

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Discrepancy between self-assessed hearing status and measured audiometric evaluation

Kim

et al. 2017

PLoS ONE

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ObjectiveThe purpose of this study was to examine the difference between self-reported hearing status and hearing impairment assessed using conventional audiometry. The associated factors were examined when a concordance between self-reported hearing and audiometric measures was lacking.MethodsIn total, 19,642 individuals ≥20 years of age who participated in the Korea National Health and Nutrition Examination Surveys conducted from 2009 through 2012 were enrolled. Pure-tone hearing threshold audiometry (PTA) was measured and classified into three levels: <25 dB (normal hearing); ≥25 dB <40 dB (mild hearing impairment); and ≥40 dB (moderate-to-severe hearing impairment). The self-reported hearing loss was categorized into 3 categories. The participants were categorized into three groups: the concordance (matched between self-reported hearing loss and audiometric PTA), overestimation (higher self-reported hearing loss compared to audiometric PTA), and underestimation groups (lower self-reported hearing loss compared to audiometric PTA). The associations of age, sex, education level, stress level, anxiety/depression, tympanic membrane (TM) status, hearing aid use, and tinnitus with the discrepancy between the hearing self-reported hearing loss and audiometric pure tone threshold results were analyzed using multinomial logistic regression analysis with complex sampling.ResultsOverall, 80.1%, 7.1%, and 12.8% of the participants were assigned to the concordance, overestimation, and underestimation groups, respectively. Older age (adjusted odds ratios [AORs] = 1.28 [95% confidence interval = 1.19–1.37] and 2.80 [2.62–2.99] for the overestimation and the underestimation groups, respectively), abnormal TM (2.17 [1.46–3.23] and 1.59 [1.17–2.15]), and tinnitus (2.44 [2.10–2.83] and 1.61 [1.38–1.87]) were positively correlated with both the overestimation and underestimation groups. Compared with specialized workers, service workers, manual workers, and the unemployed were more likely to be in the overestimation group (1.48 [1.11–1.98], 1.39 [1.04–1.86], and 1.50 [1.18–1.90], respectively), and service workers were more likely to be in the underestimation group (AOR = 1.42 [1.01–1.99]). Higher education level (0.77 [0.59–1.01] and 0.43 [0.33–0.57]) and hearing aid use (0.36 [0.17–0.77] and 0.23 [0.13–0.43]) were negatively associated with being in the underestimation group (0.43 [0.37–0.50]). Compared with males, females were less likely to be assigned to the underestimation group (0.43 [0.37–0.50]). Stress (1.98 [1.32–2.98]) and anxiety/depression (1.30 [1.06–1.59]) were associated with overestimation group.ConclusionOlder age, lower education level, occupation, abnormal TM, non-hearing aid use, and tinnitus were related to both overestimation and underestimation groups. Male gender was related to underestimation, and stress and anxiety/depression were correlated with overestimation group. An understanding of these factors associated with the self-reported hearing loss will be instrumental to identifying and managing hearin...

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Comparison of Self-reported Measures of Hearing With an Objective Audiometric Measure in Adults in the English Longitudinal Study of Ageing

et al. 2020

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Key Points Questions Among middled-aged adults, are self-reported measures of hearing concordant with audiometry findings, and is potential discordance associated with age or lifestyle factors? Findings In this cross-sectional study of 9666 participants in the English Longitudinal Study of Ageing, self-report measures of hearing had limited accuracy and were not sufficiently sensitive to detect hearing loss. Hearing loss went undetected by the self-reported measures. Meaning These findings may inform public health policies relevant to selection of appropriate and validated tools for detecting hearing problems among middle-aged and older adults.

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Comparison Between Self-Reported Hearing and Measured Hearing Thresholds of the Elderly in China

Cited by 37 publications

References 6 publications

Factors Affecting Hearing Aid Adoption and Use: A Qualitative Study

Factors Affecting Hearing Aid Adoption and Use: A Qualitative Study

Discrepancy between self-assessed hearing status and measured audiometric evaluation

Comparison of Self-reported Measures of Hearing With an Objective Audiometric Measure in Adults in the English Longitudinal Study of Ageing

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