Determinants of Hearing Aid Use Among Older Americans With Hearing Loss

McKee, Michael; Choi, Hwajung; Wilson, Shelby; DeJonckheere, Melissa; Zazove, Philip; Levy, Helen

doi:10.1093/geront/gny051

Cited by 49 publications

(55 citation statements)

References 26 publications

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“…In the CLSA, hearing device use was more common in males than females. Some studies have shown an effect of sex on hearing device use (Staehelin et al, 2011), whereas others have not (McKee et al, 2018;Popelka et al, 2015). Multivariable analyses using CLSA data are required to determine if the differences seen in our study may be explained by sex-or gender-related factors such as age distribution, hearing loss severity, self-perceived disability, socio-economic status and/or audiogram configuration.…”

Section: Discussionmentioning

confidence: 80%

The prevalence of hearing and vision loss in older Canadians: An analysis of Data from the Canadian Longitudinal Study on Aging

Mick¹,

Hämäläinen²,

Kolisang³

et al. 2019

Preprint

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Objective: To describe the prevalence of hearing loss (HL), vision loss (VL) and dual sensory loss (DSL) in Canadians aged 45-85. Methods: Data from the first wave of the Canadian Longitudinal Study on Aging were used. Audiometry and visual acuity were measured. Prevalence proportions for 2012-2015 and counts for 2011 and 2016 were estimated.Results: In 2016, 1.5 million Canadian males aged 45-85 had HL, 1.8 million had VL, and 570,000 had DSL. Among females, 1.2 million had HL, 2.2 million had VL, and 450,000 had DSL. Prevalence counts increased 8.7-16.9% between 2011 and 2016. Prevalence proportions increased with age but decreased exponentially with severity of impairment. Males were more likely to have HL and DSL; VL was more common in females.Conclusion: HL, VL and DSL are highly prevalent among older Canadian adults.

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Section: Discussionmentioning

confidence: 80%

The prevalence of hearing and vision loss in older Canadians: An analysis of Data from the Canadian Longitudinal Study on Aging

Mick¹,

Hämäläinen²,

Kolisang³

et al. 2019

Preprint

View full text Add to dashboard Cite

show abstract

“…In the CLSA, hearing device use was more common in males than in females. Some studies have shown an effect of sex on hearing device use (Staehelin et al, 2011), whereas others have not (McKee et al, 2018;Popelka et al, 2015). Multivariable analyses using CLSA data are required to determine if the differences seen in our study may be explained by sex-or gender-related factors such as age distribution, hearing loss severity, selfperceived disability, socio-economic status, and/or audiogram configuration.…”

Section: Hearing and Vision Loss In Canadamentioning

confidence: 80%

The Prevalence of Hearing, Vision, and Dual Sensory Loss in Older Canadians: An Analysis of Data from the Canadian Longitudinal Study on Aging

et al. 2020

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The purpose of this study was to describe the prevalence of hearing loss (HL), vision loss (VL), and dual sensory loss (DSL) in Canadians 45–85 years of age. Audiometry and visual acuity were measured. Various levels of impairment severity were described. Results were extrapolated to the 2016 Canadian population. In 2016, 1,500,000 Canadian males 45–85 years of age had at least mild HL, 1,800,000 had at least mild VL, and 570,000 had DSL. Among females, 1,200,000 had at least mild HL, 2,200,000 had at least mild VL, and 450,000 had DSL. Among Canadians 45–85 years of age, mild, moderate, and severe HL was prevalent among 13.4 per cent, 3.7 per cent, and 0.4 per cent of males, and among 11.3 per cent, 2.3 per cent, and 0.2 per cent of females, respectively. Mild and moderate, or severe VL was prevalent among 19.8 per cent and 2.4 per cent of males, and among 23.9 per cent and 2.6 per cent of females, respectively. At least mild DSL was prevalent among 6.4 per cent of males and 6.1 per cent of females.

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“…Looking ahead, employing pretotypes (the term for the approach we used in this study) and prototypes, as well as careful iterative user testing throughout the LVA design process would allow further exploration of these challenges. The stigma of using assistive devices in many other areas has been widely reported including hearing loss 49 and wheelchair use 50 as well as visual impairment 51 . Minimising the potential for perceived stigma and self‐consciousness should therefore be a guiding principle for design.…”

Section: Discussionmentioning

confidence: 99%

Design considerations for the ideal low vision aid: insights from de‐brief interviews following a real‐world recording study

Golubova

Starke

Crossland

et al. 2021

Ophthalmic Physiologic Optic

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Purpose Low Vision Aids (LVAs) can have a transformative impact on people living with sight loss, yet the everyday requirements for developing such devices remain poorly understood and defined. This study systematically explored LVA requirements through a structured de‐brief interview following a real‐world self‐recording study. The purpose of this work was to define the actual needs of those living with sight loss so that low vision services can better address them in future. Methods Thirty‐two visually impaired volunteers with varying levels of previous LVA experience participated in a de‐brief interview centred around a structured questionnaire. The de‐brief followed a one‐week real‐world study during which participants used recoding spectacles to capture and narrate all situations in which they would use a ‘perfect sight aid’. Content and thematic analyses were used to analyse interviews which had the purpose of contextualising these recordings and exploring requirements around psychological, functional and design factors. Results Participants reported that 46% of tasks which they had recorded were most important to them. Of these tasks, 82% were encountered frequently. Few tasks emerged as very important across many participants, the remaining tasks reflecting individual lifestyles or circumstances. Every participant used at least one LVA in their everyday life and 72% identified further coping strategies. Current LVAs identified as consistently poor were distance LVAs, with all other devices receiving mixed or only positive feedback. Around two‐thirds of participants would prefer LVA use on an ad‐hoc / quick access basis rather than over long periods of time, and just over half would prefer to carry it rather than wearing it all day. Lack of consistency in these responses illustrated potentially different user clusters with divergent design needs. Two‐thirds of participants emphasised the desire for a discreet LVA that does not attract attention. However, since half of all participants felt self‐conscious in public or in front of other people when wearing the small recording spectacles, this may not be technically achievable. Conclusions There is a substantial opportunity for new LVAs to address visual needs that traditional devices and coping strategies cannot support. Functional, psychological and design factors require careful consideration for future LVAs to be relevant and widely adopted.

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Determinants of Hearing Aid Use Among Older Americans With Hearing Loss

Abstract: Many socioeconomic factors hinder individuals' ability to obtain and use HA, but these obstacles appeared to be mitigated in part when insurance plans provided adequate HA coverage, or when their family/friends provided encouragement to use HA.

Cited by 49 publications

References 26 publications

The prevalence of hearing and vision loss in older Canadians: An analysis of Data from the Canadian Longitudinal Study on Aging

The prevalence of hearing and vision loss in older Canadians: An analysis of Data from the Canadian Longitudinal Study on Aging

The Prevalence of Hearing, Vision, and Dual Sensory Loss in Older Canadians: An Analysis of Data from the Canadian Longitudinal Study on Aging

Design considerations for the ideal low vision aid: insights from de‐brief interviews following a real‐world recording study

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