Functional status of elderly people with hearing loss

Primary Care Head Office. Marqués de Villores 6, 02001 Albacete, Spain.
Archives of gerontology and geriatrics (Impact Factor: 1.53). 07/2008; 49(1):88-92. DOI: 10.1016/j.archger.2008.05.006
Source: PubMed

ABSTRACT The objective is to determine the prevalence of hearing loss in people over 65 years of age, to describe the functional status of people with hearing loss and to identify the need for hearing aid use. In a cross-sectional study, a random sample of 1387 people aged 65 years and over was selected. The primary study variables were: hearing level by audiometric assessment, self-perceived hearing loss, screening for hypoacusia using the Hearing Handicap Inventory for the Elderly-Screening (HHIE-S) and physical, cognitive and emotional functional status. Using the HHIE-S it was determined that 11.3% of the subjects had severe hearing handicap. According to the Ventry/Weinstein criteria 43.6% had hearing handicap. When asked about the use of hearing aids, 4.5% of the study subjects said they used them, although 41.9% had hearing loss of 35 dB or more in their better ear. The variables associated with the need for a hearing aid were age >75 years (odds ratio=OR=3.2), ADL dependence (OR=2.7), cognitive impairment (OR=2.0), multiple health problems (OR=1.8), male sex (OR=1.6) and single/widowed (OR=1.5). In conclusion, there is a high prevalence of hearing loss associated with other functional limitations. Of those people who would benefit from a hearing aid (more than a third of people over 65 years old), 89.3% do not own one. The screening of hearing loss needs to be improved.

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    • "However, the widespread use of audiometric tests involves some operational constraints, especially among some population groups with " special needs " or disabilities. In addition, in recent years, data from selfassessment questionnaires have been used to determine the prevalence of certain chronic diseases such as damage or hearing loss (HHIE-S, SAC, QDS) [12]. However, the results of these tests may have limitations in certain populations because of different factors such as the cultural level, lifestyle or cognitive state. "
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    ABSTRACT: This paper provides a methodology for the measure of the patient’s reaction times to auditory stimuli during the performance of an audiometry. An audiometry is the standard way of analyzing the hearing of a patient in order to diagnose hearing loss. From a video sequence recorded during this test, the method will be able to detect the instants when the expert is sending the auditory stimulus and when the patient responds consciously to it by raising his hand, being able, this way, to measure its reaction time. The proposed method was tested on several video sequences from different individuals yielding highly accurate results. The possibility of quantitative measure the reaction times will allow the experts to conduct several studies and to further complete the evaluation of their patients.
    4th International Symposium on Applied Sciences in Biomedical and Communication Technologies (ISABEL 2011), Barcelona, Spain; 10/2011
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    ABSTRACT: When screening participants for speech perception experiments, formal audiometric screens are often not an option, especially when studies are conducted over the Internet. We investigated whether a brief standardized self-report questionnaire, the screening version of the Hearing Handicap Inventory for Adults (HHIA-S), could be used to approximate the results of audiometric screening. Our results suggest that while the HHIA-S is useful, it needs to be used with extremely strict cut-off values that could exclude around 25% of people with no hearing impairment who are interested in participating. Well constructed, standardized single questions might be a good alternative for web experiments.
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