Perception of hearing impairment and the willingness to use hearing aids in an elderly population in southern Taiwan: A community-based study

Chang, Ning-Chia; Dai, Chia‐Yen; Lin, Wen‐Yi; Chien, Chen‐Yu; Hsieh, Meng-Hsuan; Ho, Kuen‐Yao

doi:10.1080/14992027.2016.1182651

Cited by 9 publications

(8 citation statements)

References 18 publications

(37 reference statements)

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“…The elderly do not necessarily consider themselves to be hearing impaired, and reject using their aids. 46 , 59 , 60 Supplemental and alternative forms of interventions should be considered to ensure individual needs as well as autonomy.…”

Section: Discussionmentioning

confidence: 99%

Lack of ear care knowledge in nursing homes

Solheim¹,

Shiryaeva²,

Kværner³

2016

JMDH

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BackgroundRising life expectancy means an increase in the number of elderly people with hearing loss in the population. Many elderly people live in nursing homes, with varying care needs. A substantial proportion of these people will need help with their hearing aids and other hearing devices.ObjectiveThe objective of the study has been to assess the knowledge, experience, skills, competence, and need for information of staff at nursing homes in relation to residents’ hearing loss and hearing aids.Materials and methodsOne hundred and ninety-five employees at seven nursing homes participated in the study. The main approach was a descriptive study, using questionnaires.ResultsThe main findings are that 73% of informants found that many residents need help with their hearing aids. Only one-tenth report that they know enough about the residents’ hearing aids. Almost four out of five informants find that the residents become socially isolated as a result of hearing loss. Seventy-eight percent agree to some extent that more residents would benefit from hearing aids.ConclusionStaff at nursing homes have insufficient knowledge about hearing loss and hearing aids. Increased focus on the elderly with hearing impairment in nursing homes is needed. Contact between nursing homes and audiological specialists should be improved to best followup hearing loss and hearing aids.

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Section: Discussionmentioning

confidence: 99%

Lack of ear care knowledge in nursing homes

Solheim¹,

Shiryaeva²,

Kværner³

2016

JMDH

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“…For those with mild to moderate hearing loss, the main barrier to adopting a hearing aid is the perception that they hear well enough in most situations [12]. In one study, among those who were unwilling to use hearing aids, 47% did not give a reason for refusal or declined to discuss the topic and 19.7% felt that hearing aids were unnecessary [59]. The perception of minor hearing difficulties may be enhanced by significant others who may compensate for the loss by speaking loudly and allowing the volume of the TV to be sufficiently loud to compensate for the hearing loss.…”

Section: Reasons For Rejection Of Hearing Aidsmentioning

confidence: 99%

“…Cost of the hearing aid itself is unlikely to be the only major barrier to accepting a hearing aid [60]. In a recent study of individuals with hearing loss from southern Taiwan, who did not wish to pursue hearing aids, only 5.1% noted cost-related concerns [59]. For individuals in the age-range of 65 to 74 years , in UK, where free hearing aids are available for those who qualify, the hearing aid adoption rate is 40%, compared to a rate of 39% in the U.S. where not everyone receives free hearing aids.…”

Section: Ambivalence About the Effectiveness Of Hearing Aidsmentioning

confidence: 99%

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Denial by Patients of Hearing Loss And Their Rejection of Hearing Health Care: A Review

Rawool¹

2018

J Hear Sci

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Background: Some patients deny that they have a hearing impairment, which can lead to unmanaged hearing impairment. The purpose of this review is to provide insights into why some individuals deny they have a hearing loss and do not want any hearing health care. This paper suggests strategies for promoting acceptance among such patients. Materials and Methods:The article is based on a synthesis of the clinical and scientific literature, as well as clinical experience related to the various aspects of why patients deny that they have a hearing loss and reject hearing health care. The cited literature was collected by using the PubMed database and the Google Scholar search engine using the terms 'denial' , 'hearing loss' , and 'hearing aids' .Results: In addition to denying they have a hearing loss, some patients deny there is any impact of hearing loss and that they don't need hearing aids. Denial can present in a variety of forms, including implicit or explicit denial, and can range in severity from partial to complete denial. Reasons for denial include the stigma related to hearing loss and hearing aids, lack of trust in hearing health care providers, uncertainty of the benefits of hearing aids, and lack of confidence in making the required adaptations.Conclusions: Patients with denial of hearing loss are unlikely to seek assistance from hearing health professionals or participate in studies related to their condition. Thus, outreach efforts are necessary to reach such individuals. To address denial, enrolment in aural rehabilitation support groups, guidance to significant communication partners, and several other strategies can be used. Additional studies will be beneficial in further exploring denial.

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“…The prevalence of hearing impairment has been reported to be 34% in people 65 years of age or older, and it increases to 72% in people 85 years of age or older [1,2]. In Taiwan, the prevalence of hearing impairment is reportedly as high as 78% among the population 65 years of age or older [3]. Understanding the mechanisms of ARHI may help in the prevention and treatment of ARHI, hence decreasing its prevalence.…”

Section: Introductionmentioning

confidence: 99%

The association of genetic polymorphisms in interleukin-1 receptors type 1 and type 2 with age-related hearing impairment in a Taiwanese population: A case control study

Chang

Yang

Dai

et al. 2020

Journal of Otolaryngology - Head & Neck Surgery

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Background: Age-related hearing impairment (ARHI) is a major disability among the elder population. Chronic inflammation is an important factor in the development of ARHI. Interleukin-1 (IL-1) plays a key role in inflammation and may be associated with ARHI. The aim of this study is to analyze the associations of single nucleotide polymorphisms (SNPs) of IL-1 receptor genes with ARHI in an elderly population in Taiwan. Method: Participants ≥65 years of age were recruited for audiometric tests and genetic analyses. The bilateral puretone average (PTA) of high-tone hearing levels was calculated for ARHI evaluation. The associations of SNPs of the IL-1 receptor type 1 gene (IL1R1) (rs3917225 and rs2234650) and type 2 gene (IL1R2) (rs4141134 and rs2071008) with ARHI were analyzed in 182 ARHI-susceptible (case) and 176 ARHI-resistant (control) participants. Results: The G allele of IL1R1 rs3917225 showed a decreased risk of ARHI after adjustments for sex, age, and noise exposure. The GG genotype of IL1R1 rs3917225 in all hereditary models and the TT genotype of IL1R2 rs2071008 in the recessive model also showed decreased risks of ARHI after adjustments. Conclusion: These findings suggest that IL1R1 and IL1R2 polymorphisms may contribute to the decreased risk of ARHI in the elderly population.

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Perception of hearing impairment and the willingness to use hearing aids in an elderly population in southern Taiwan: A community-based study

Abstract: The prevalence of HI was high among the elderly population in southern Taiwan. Age and sex were the determinants of HA use.

Cited by 9 publications

References 18 publications

Lack of ear care knowledge in nursing homes

Lack of ear care knowledge in nursing homes

Denial by Patients of Hearing Loss And Their Rejection of Hearing Health Care: A Review

The association of genetic polymorphisms in interleukin-1 receptors type 1 and type 2 with age-related hearing impairment in a Taiwanese population: A case control study

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