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Self-Reported Hearing Problems among Older Adults: Prevalence and Comparison to Measured Hearing Impairment
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- Hannula, Samuli (author)
- Department of Clinical Medicine, Otorhinolaryngology, University of Oulu, Oulu, Finland
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- Bloigu, Risto (author)
- Medical Informatics Group, University of Oulu, Oulu, Finland
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- Majamaa, Kari (author)
- Linköpings universitet,Teknisk audiologi,Hälsouniversitetet,Department of Clinical Medicine, Neurology, University of Oulu, Oulu, Finland
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- (creator_code:org_t)
- 2020-08-06
- 2011
- English.
- In: JOURNAL OF THE AMERICAN ACADEMY OF AUDIOLOGY. - : American Academy of Audiology. - 1050-0545 .- 2157-3107. ; 22:8, s. 550-559
- Journal article (peer-reviewed)
Abstract
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- Background: There are not many population-based epidemiological studies on the association between self-reported hearing problems and measured hearing thresholds in older adults. Previous studies have shown that the relationship between self-reported hearing difficulties and measured hearing thresholds is unclear and, according to our knowledge, there are no previous population-based studies reporting hearing thresholds among subjects with hyperacusis. less thanbrgreater than less thanbrgreater thanPurpose: The aim was to investigate the prevalence of self-reported hearing problems, that is, hearing difficulties, difficulties in following a conversation in noise, tinnitus, and hyperacusis, and to compare the results with measured hearing thresholds in older adults. less thanbrgreater than less thanbrgreater thanResearch Design: Cross-sectional, population-based, and unscreened. less thanbrgreater than less thanbrgreater thanStudy Sample: Random sample of subjects (n = 850) aged 54-66 yr living in the city of Oulu (Finland) and the surrounding areas. less thanbrgreater than less thanbrgreater thanData Collection and Analysis: Otological examination, pure tone audiometry, questionnaire survey less thanbrgreater than less thanbrgreater thanResults: The prevalence of self-reported hearing problems was 37.1% for hearing difficulties, 43.3% for difficulties in following a conversation in noise, 29.2% for tinnitus, and 17.2% for hyperacusis. More than half of the subjects had no hearing impairment, or HI (BEHL[better ear hearing level](0.5-4 kHz) andlt; 20 dB HL) even though they reported hearing problems. Subjects with self-reported hearing problems, including tinnitus and hyperacusis, had significantly poorer hearing thresholds than those who did not report hearing problems. Self-reported hearing difficulties predicted hearing impairment in the pure-tone average at 4, 6, and 8 kHz, and at the single frequency of 4 kHz. less thanbrgreater than less thanbrgreater thanConclusions: The results indicate that self-reported hearing difficulties are more frequent than hearing impairment defined by audiometric measurement. Furthermore, self-reported hearing difficulties seem to predict hearing impairment at high frequencies (4-8 kHz) rather than at the frequencies of 0.5-4 kHz, which are commonly used to define the degree of hearing impairment in medical and legal issues.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Oto-rhino-laryngologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Otorhinolaryngology (hsv//eng)
Keyword
- Adult
- hearing
- hyperacusis
- self-reported
- tinnitus
- MEDICINE
- MEDICIN
Publication and Content Type
- ref (subject category)
- art (subject category)
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