The ability to process binaural temporal fine structure (TFS) information, which
influences the perception of speech in spatially distributed soundscapes,
declines with increasing hearing loss and age. Because of the relatively small
sample sizes used in previous studies, and the population-unrepresentative
distribution of hearing loss and ages within study samples, it has been
difficult to determine the relative and combined contributions of hearing loss
and age. The aim of this study was to survey published and unpublished studies
that assessed binaural TFS sensitivity using the TFS-low frequency (LF) test.
Results from 19 studies were collated, yielding sample sizes of 147 to 648,
depending on the test frequency. At least for the test frequency of 500 Hz,
there were at least 67 listeners in each of four adult age groups and the
distribution of audiometric thresholds at the test frequency within each group
was similar to that for the population as a whole. Binaural TFS sensitivity
declined with increasing age across the adult lifespan and with increasing
hearing loss in old adulthood. For all test frequencies, both audiometric
threshold and age were significantly negatively correlated with TFS-LF
sensitivity (r ranging from −0.19 to −0.64) but the correlation
was always significantly higher for age than for audiometric threshold.
Regression analyses showed that the standardized regression coefficient was
greater for age than for audiometric threshold, and that there was a significant
interaction; the effect of increasing age among older listeners was greater when
the hearing loss was ≥30 dB than when it was < 30 dB.