Validation of Self-Reported Hearing Loss Among Multi-Ethnic Community Dwelling older Adults in Malaysia

Ishak, Wan Syafira; Mukari, Siti Zamratol Mai Sarah; Maamor, Nashrah; Hashim, Wan Fazlina Wan

doi:10.7860/jcdr/2017/28144.10756

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“…Although the use of the self-reported hearing questionnaire is of notable advantages over the PTA assessment in terms of cost and ease of administration, biases may occur due to the inter-individual variability of perception and belief on hearing impairments, resulting in underestimation or overestimation of HL. 13 , 14 The accuracy of self-reported HL is also subjected to various factors such as the degree of HL, demographic, socioeconomic and psychological factors. 15 Besides, the prevalence of HFAHL (83.0%) is slightly higher than PTAHL (75.5%).…”

Section: Discussionmentioning

confidence: 99%

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Multidimensional Risk Factors of Age-Related Hearing Loss Among Malaysian Community‐Dwelling Older Adults

Ooi

Ishak

Sharif

et al. 2021

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Purpose: This study evaluates the prevalence of and the multidimensional risk factors associated with age-related hearing loss (ARHL) among community-dwelling older adults in Malaysia. Patients and Methods: A total of 253 participants aged 60 years and above participated in this cross-sectional study. The participants were subjected to pure tone audiometric assessment. The hearing threshold was calculated for the better ear and classified into pure-tone average (PTA) for the octave frequencies from 0.5 to 4 kHz and high-frequency pure-tone average (HFA) for the octave from 2 to 8kHz. Then, the risk factors associated with PTA hearing loss (HL) and HFAHL were identified by using multivariate logistic regression analysis. Results:The prevalence of ARHL based on PTA and HFA among the community-dwelling older adults was 75.5% and 83.0%, respectively. Following multifactorial adjustments, being older (OR: 1.239; 95% CI: 1.062-1.445), having higher waist circumference (OR: 1.158; 95% CI: 1.015-1.322), lower intake of niacin (OR: 0.909; 95% CI: 0.831-0.988) and potassium (OR: 0.998; 95% CI: 0.996-1.000), and scoring lower in RAVLT T5 (OR: 0.905; 95% CI: 0.838-0.978) were identified as the risk factors of PTAHL. Meanwhile, being older (OR: 1.117; 95% CI: 1.003-1.244), higher intake of carbohydrate (OR: 1.018; 95% CI: 1.006-1.030), lower intake of potassium (OR: 0.998; 95% CI: 0.997-0.999), and lower scores on the RAVLT T5 (OR: 0.922; 95% CI: 0.874-0.973) were associated with increased risk of having HFAHL. Conclusion: Increasing age, having higher waist circumference, lower intake of niacin and potassium, higher intake of carbohydrates and having lower RAVLT T5 score were associated with increased risk of ARHL. Modifying these risk factors may be beneficial in preventive and management strategies of ARHL among older persons.

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Section: Discussionmentioning

confidence: 99%

“…Although the use of the selfreported hearing questionnaire is of notable advantages over the PTA assessment in terms of cost and ease of administration, biases may occur due to the interindividual variability of perception and belief on hearing impairments, resulting in underestimation or overestimation of HL. 13,14 The accuracy of self-reported HL is also…”

mentioning

confidence: 99%