Self-Perceived Hearing Loss, Hearing-Help Seeking and Hearing Aid Adoption Among Older Adults in Malaysia

Mukari, Siti Zamratol Mai Sarah; Hashim, Wan Fazlina Wan

doi:10.1177/0003489418795982

Cited by 12 publications

(12 citation statements)

References 28 publications

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“… 1 This lack of screening programs 9 excludes the early detection and treatment of patients with gradually progressive HL, 5 and the annual cost of unaddressed HL exceeds $750 billion globally. 8 Moreover, in the absence of HL screening programs that could identify those who are unaware that they have HL (ie, unacknowledged HL), 10 hearing help-seeking depends on self-recognition of hearing difficulties 9 as a crucial step for the initiation of contact with a health care professional in primary health care settings 11 and consequently the referral to ear specialists and hearing aid provision (D.T. et al, unpublished data, 2020).…”

Section: Introductionmentioning

confidence: 99%

Comparison of Self-reported Measures of Hearing With an Objective Audiometric Measure in Adults in the English Longitudinal Study of Ageing

et al. 2020

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Key Points Questions Among middled-aged adults, are self-reported measures of hearing concordant with audiometry findings, and is potential discordance associated with age or lifestyle factors? Findings In this cross-sectional study of 9666 participants in the English Longitudinal Study of Ageing, self-report measures of hearing had limited accuracy and were not sufficiently sensitive to detect hearing loss. Hearing loss went undetected by the self-reported measures. Meaning These findings may inform public health policies relevant to selection of appropriate and validated tools for detecting hearing problems among middle-aged and older adults.

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Section: Introductionmentioning

confidence: 99%

Comparison of Self-reported Measures of Hearing With an Objective Audiometric Measure in Adults in the English Longitudinal Study of Ageing

et al. 2020

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“…The diagnostic value of the A Single Question survey has been reported to range from 48-90% for sensitivity and 50-91% for specificity [22,23,26,27,30,32,44,[52][53][54]. For the TSQ, we obtained a sensitivity of 88.73% and a specificity of 55.93% for detecting moderate hearing loss and a sensitivity of 95.56% and a specificity of 41.81% for screening for severe hearing loss.…”

Section: Discussionmentioning

confidence: 84%

The effective screening tools for detecting hearing loss in elderly population: HHIE-ST Versus TSQ

et al. 2021

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Background Globally increasing number of elders is concerned. Hearing loss process in older adults cannot be avoided. An effective screening tool for hearing loss is essential for proper diagnosis and rehabilitation, which can improve QOL in older adults. Methods This prospective-diagnostic test study evaluates the diagnostic value of Thai version of the Hearing Handicap Inventory for Elderly Screening (HHIE-ST) and the Thai Single Question (TSQ) surveys in screening hearing disability in 1109 Thai participants aged 60 years and older in communities in four provinces in Thailand. The HHIE-ST consisted of 10 selected questions from the validated HHIE-Thai version. A TSQ survey was developed to have the same meaning as an English Single Question survey. The participants answered both questionnaires, and a standard audiometry test assessed with air conduction from 250 to 8000 Hz was included as a gold standard. Results The prevalence of hearing disability was 38.34%. The HHIE-ST achieved a sensitivity of 88.96% (95% CI 85.77–91.64) and specificity of 52.19% (95% CI 48.24–56.13) for diagnosis hearing disability in Thai older adults, whereas the TSQ yielded a sensitivity of 88.73% and a specificity of 55.93%. A combined test including the HHIE-ST and TSQ achieved better performance with sensitivity of 85.29% and specificity of 60.13%. Conclusions Either the HHIE-ST or the TSQ is a sensitive and useful tool for screening hearing disability in Thai older adults. Using the HHIE-ST together with the TSQ resulted in a better screening tool for detecting moderate hearing loss older adults who will benefit and recommended for hearing rehabilitation. Trial registration The study is registered with the following number in the Thai Clinical Trials Registry: TCTR20151015003. Date of registration October 14, 2015.

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Section: Discussionmentioning

confidence: 92%

“…The diagnostic value of the A Single Question survey has been reported to range from 48-90% for sensitivity and 50-91% for speci city. (22,23,26,27,30,32,44,(52)(53)(54) For the TSQ, we obtained a sensitivity of 88.73% and a speci city of 55.93% for detecting moderate hearing loss and a sensitivity of 95.56% and a speci city of 41.81% for screening for severe hearing loss. This result is similar to that found in a Japanese study (27) and the Blue Mountain study (32), which screened for moderate hearing loss; both of these studies also included more than one thousand participants, similar to our study.…”

Section: Discussionmentioning

confidence: 94%

The Effective Screening Tools for Detecting Hearing Loss in Elderly Population: HHIE-ST Versus TSQ

Chayaopas

Kasemsiri²,

Thanawirattananit

et al. 2021

Preprint

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Background: Globally increasing number of elders is concerned. Hearing loss process in older adults cannot be avoided. An effective screening tool for hearing loss is essential for proper diagnosis and rehabilitation, which can improve QOL in older adults. Methods: This prospective-diagnostic test study evaluates the diagnostic value of Thai version of the Hearing Handicap Inventory for Elderly Screening (HHIE-ST) and the Thai Single Question (TSQ) surveys in screening hearing disability in 1109 Thai participants aged 60 years and older in communities in four provinces in Thailand. The HHIE-ST consisted of 10 selected questions from the validated HHIE-Thai version. A TSQ survey was developed to have the same meaning as an English Single Question survey. The participants answered both questionnaires, and a standard audiometry test assessed with air conduction from 250 to 8000 Hz was included as a gold standard. Results: The prevalence of hearing disability was 38.34%. The HHIE-ST achieved a sensitivity of 88.96% (95% CI 85.77-91.64) and specificity of 52.19% (95% CI 48.24-56.13) for diagnosis hearing disability in Thai older adults, whereas the TSQ yielded a sensitivity of 88.73% and a specificity of 55.93%. A combined test including the HHIE-ST and TSQ achieved better performance with sensitivity of 85.29% and specificity of 60.13%. Conclusions: Either the HHIE-ST or the TSQ is a sensitive and useful tool for screening hearing disability in Thai older adults. Using the HHIE-ST together with the TSQ resulted in a better screening tool for detecting moderate hearing loss older adults who will benefit and recommended for hearing rehabilitation.

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Self-Perceived Hearing Loss, Hearing-Help Seeking and Hearing Aid Adoption Among Older Adults in Malaysia

Abstract: The underestimation of hearing loss in the majority of older adults in this study poses a potential barrier to hearing loss intervention.

Cited by 12 publications

References 28 publications

Comparison of Self-reported Measures of Hearing With an Objective Audiometric Measure in Adults in the English Longitudinal Study of Ageing

Comparison of Self-reported Measures of Hearing With an Objective Audiometric Measure in Adults in the English Longitudinal Study of Ageing

The effective screening tools for detecting hearing loss in elderly population: HHIE-ST Versus TSQ

The Effective Screening Tools for Detecting Hearing Loss in Elderly Population: HHIE-ST Versus TSQ

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