AI Article Synopsis
- The study investigated the effectiveness of self-perceived hearing loss as a method for detecting actual hearing loss among older adults in Malaysia, focusing on community-dwelling individuals aged 60 and above.
- Results revealed that a single-question assessment of perceived hearing loss had low sensitivity, only correctly identifying a fraction of participants with actual hearing issues, while factors like history of otorrhea and tinnitus were correlated with self-perceived hearing loss.
- The study found very low rates of hearing aid adoption (2.7% and 7.3% for different levels of hearing loss), indicating that many older adults are underestimating their hearing issues, which can hinder access to necessary interventions.
Article Abstract
Introduction: The aims of this study were to examine the validity of self-perceived hearing loss in detecting hearing loss and factors associated with self-perceived hearing loss and hearing-help seeking and to report hearing aid adoption among a group of community-dwelling older adults in Malaysia.
Methods: A total of 301 older adults (⩾60 years of age) participating in a study on aging had their hearing tested using pure-tone audiometry. Self-perceived hearing loss was assessed using a single question. Sociodemographic profile, otologic history, and general cognitive status were also obtained.
Results: A single question had low sensitivity in detecting actual hearing loss: 31.3% for 4-frequency average > 25 dBHL and 48.8% for 4-frequency average > 40 dBHL. Besides hearing level, history of otorrhea and tinnitus were factors that were associated with self-perceived hearing loss among older adults with at least mild hearing loss. Hearing-help-seeking behavior was not associated with any of the tested variables. The hearing aid adoption rate was 2.7% and 7.3% among participants with 4-frequency averages > 25 dBHL and > 40 dBHL, respectively.
Conclusion: The underestimation of hearing loss in the majority of older adults in this study poses a potential barrier to hearing loss intervention.
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| http://dx.doi.org/10.1177/0003489418795982 | DOI Listing |
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