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June 17, 2011American Journal of Public Health

Determinants of Hearing Aid Acquisition in Older Adults

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Authors

MFMary FischerMemorial Sloan Kettering Cancer CenterKCKaren J. CruickshanksUniversity of Colorado HospitalTWTerry L. WileyUniversity of Wisconsin–Madison

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Implication

Prospective cohort study reveals low hearing aid adoption alongside key clinical and educational determinants in older adults, highlighting ongoing barriers to hearing care.

Key Points

  • To identify demographic, subjective, and audiometric determinants of hearing aid acquisition among older adults with documented hearing loss.
  • Analyzed data from a population-based, prospective investigation (Epidemiology of Hearing Loss Study, 1993–2005) across three follow-up examinations.
  • Evaluated 718 participants (mean age = 70.5 years) with newly identified hearing loss—defined as a better-ear pure tone threshold average (PTA) > 25 dB Hearing Level at 0.5, 1, 2, and 4 kHz—and no prior hearing aid use.
  • The 10-year cumulative incidence of acquiring a hearing aid was 35.7%.
  • Significant factors driving acquisition included college education (HR = 2.5; 95% CI = 1.5, 4.1) and poor self-perceived hearing compared to good or better hearing (HR = 2.5; 95% CI = 1.3, 5.0).
  • Higher perceived hearing handicap scores (HR = 1.1 per 1-point increase; 95% CI = 1.0, 1.1) and worse audiometric thresholds (HR = 1.4 per 5 dB PTA increase; 95% CI = 1.2, 1.6) also increased the rate of acquisition.

Cite This Study

Fischer et al. (2011) studied this question.

synapsesocial.com/papers/6a8a9d16d88561daf2cc224dhttps://doi.org/10.2105/ajph.2010.300078
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Prevalence of Hearing Loss in Older Adults in Beaver Dam, Wisconsin: The Epidemiology of Hearing Loss Study1998 · 1,159 citations
  2. 2Self-Perception of Hearing Ability as a Strong Predictor of Hearing Aid Purchase2009 · 53 citations
  3. 3Quality-of-Life Changes and Hearing Impairment1990 · 630 citations
  4. 4Who prompts patients to consult about hearing loss?1996 · 53 citations
  5. 5The Impact of Hearing Loss on Quality of Life in Older Adults2003 · 1,189 citations