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CC BY-NC-ND 4.0 · Semin Hear 2022; 43(04): 324-338
DOI: 10.1055/s-0042-1758377
Review Article

Hearing Health Outcomes as a Function of Age, Gender, and Diversity

Antony R. Joseph
1   Hearing Loss Prevention Laboratory, Department of Communication Sciences and Disorders, Illinois State University, Normal, Illinois
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Abstract

The United States does not ensure equitable access to hearing health care for all age groups, largely because these services are costly and even unobtainable in some places. Barriers to care are discussed within a context of the social determinants of health, under-representativeness of hearing-care professionals from historically marginalized communities, older adults and age-related hearing loss, and associated health conditions. The MarkeTrak 2022 study generated a sample of 15,138 respondents with information on 43,597 individuals. Data analysis revealed that self-reported hearing difficulty appears to increase with age with a rate of 12.4% for adults 18 years of age and older. A substantial proportion of individuals with hearing difficulty assumed that their problem was age-related, followed by exposure to loud sound and noise. Individuals with hearing difficulty were nearly three to four times more likely to have tinnitus, cognitive problems, and issues with balance and falling than those with no hearing problems. Self-reported hearing difficulty was lower for historically marginalized groups (7%) than for the White population (12%). Recommendations are presented to reduce the burden of hearing difficulty and hearing aid deserts for rural and urban populations.

Keywords

social determinants of health - barriers to care - marginalized communities - comorbidities - age-related hearing loss - hearing aid desert


Publication History

Article published online:
01 December 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Sindhusake D, Mitchell P, Smith W. et al. Validation of self-reported hearing loss. The Blue Mountains Hearing Study. Int J Epidemiol 2001; 30 (06) 1371-1378
    CrossrefPubMedGoogle Scholar
  • 2 Louw C, Swanepoel W, Eikelboom RH. Self-reported hearing loss and pure tone audiometry for screening in primary health care clinics. J Prim Care Community Health 2018; 9: 2150132718803156
    CrossrefPubMedGoogle Scholar
  • 3 WHO. Action on the Social Determinants of Health: Learning from Previous Experiences. WHO; 2010
    Google Scholar
  • 4 WHO. COVID-19 and the Social Determinants of Health and Health Equity: Evidence Brief. IRIS; 2021
    Google Scholar
  • 5 Healthy People 2020, An Opportunity to Address Societal Determinants of Health in the United States, U.S.D.o.H.a.H.S. Office of Disease Prevention and Health Promotion; 2010. Secretary's Advisory Committee on National Health Promotion and Disease Prevention Objectives for 2020 (Healthy People 2020). Accessed October 16, 2022 at: https://www.healthypeople.gov/2010/hp2020/advisory/SocietalDeterminantsHealth.htm
    PubMedGoogle Scholar
  • 6 Connolly, Carron JD, Roark SD. Universal newborn hearing screening: are we achieving the Joint Committee on Infant Hearing (JCIH) objectives?. The Laryngoscope 2005;115(02): https://doi.org/info:doi/
    CrossrefPubMedGoogle Scholar
  • 7 Centers for Disease Control and Prevention (CDC). Cochlear Center for Hearing and Public Health. John's Hopkins University; 2018. . Hearing Loss Screening: Recommendations and Guidelines. Accessed October 24, 2022 at: https://www.cdc.gov/ncbddd/hearingloss/recommendations.html
    Google Scholar
  • 8 OSHA, Occupational Noise Exposure, Hearing Conservation Amendment. Final Rule, in 29 CFR, Occupational Safety and Health Administration. 1983: 9738-9785
    Google Scholar
  • 9 U.S. Preventive Services Task Force. Universal screening for hearing loss in newborns: recommendation statement. Am Fam Physician 2010; 81 (02) 185
    PubMedGoogle Scholar
  • 10 ASHA. Preferred Practice Patterns for the Profession of Audiology [Preferred Practice Patterns]. ASHA. 2006
    PubMedGoogle Scholar
  • 11 Rigters SC, van der Schroeff MP, Papageorgiou G, Baatenburg de Jong RJ, Goedegebure A. Progression of hearing loss in the aging population: repeated auditory measurements in the Rotterdam Study. Audiol Neurotol 2018; 23 (05) 290-297
    CrossrefPubMedGoogle Scholar
  • 12 NIDCD. National Health and Nutrition Examination Survey (NHANES) and National Health Interview Survey (NHIS), Epidemiology and Statistics Program, NIH. 2014
    Google Scholar
  • 13 Popelka MM, Cruickshanks KJ, Wiley TL, Tweed TS, Klein BE, Klein R. Low prevalence of hearing aid use among older adults with hearing loss: the Epidemiology of Hearing Loss Study. J Am Geriatr Soc 1998; 46 (09) 1075-1078
    CrossrefPubMedGoogle Scholar
  • 14 Weinstein BE. The demography and epidemiology of aging. In: Geriatric Audiology. New York: Thieme Publishers; 2012: 376
    Google Scholar
  • 15 Goman A, Liao M. How Many People Have Hearing Loss in the United States?. 2022 . Accessed October 24, 2022 at: Johns Hopkins Bloomberg School of Public Health https://www.jhucochlearcenter.org/how-many-people-have-hearing-loss-united-states.html
    PubMedGoogle Scholar
  • 16 Glazer G, Danek J, Michaels J. et al. Holistic Admissions in the Health Professions: Findings from a National Survey. Urban Universities for HEALTH; 2014
    Google Scholar
  • 17 U.S. Census Bureau: Quick Facts. U.S. Census Bureau; 2022
    Google Scholar
  • 18 American Speech-Language-Hearing Association (ASHA). 2021 Member and Affiliate Profile. ASHA; 2022
    PubMedGoogle Scholar
  • 19 ZIPPIA. Hearing Aid Specialist Demographics and Statistics in the US. 2022
    PubMedGoogle Scholar
  • 20 Savastano M. Tinnitus with or without hearing loss: are its characteristics different?. Eur Arch Otorhinolaryngol 2008; 265 (11) 1295-1300
    CrossrefPubMedGoogle Scholar
  • 21 Dawes P, Emsley R, Cruickshanks KJ. et al. Hearing loss and cognition: the role of hearing AIDS, social isolation and depression. PLoS One 2015; 10 (03) e0119616
    CrossrefPubMedGoogle Scholar
  • 22 Jiam NT, Li C, Agrawal Y. Hearing loss and falls: a systematic review and meta-analysis. Laryngoscope 2016; 126 (11) 2587-2596
    CrossrefPubMedGoogle Scholar
  • 23 Viljanen A, Kaprio J, Pyykkö I. et al. Hearing as a predictor of falls and postural balance in older female twins. J Gerontol A Biol Sci Med Sci 2009; 64 (02) 312-317
    CrossrefPubMedGoogle Scholar
  • 24 Berge JE, Nordahl SHG, Aarstad HJ, Goplen FK. Hearing as an independent predictor of postural balance in 1075 patients evaluated for dizziness. Otolaryngol Head Neck Surg 2019; 161 (03) 478-484
    CrossrefPubMedGoogle Scholar
  • 25 Hallam R, Ashton P, Sherbourne K, Gailey L. Acquired profound hearing loss: mental health and other characteristics of a large sample. Int J Audiol 2006; 45 (12) 715-723
    CrossrefPubMedGoogle Scholar
  • 26 Kowalewski V, Patterson R, Hartos J, Bugnariu N. Hearing loss contributes to balance difficulties in both younger and older adults. J Prev Med (Wilmington) 2018; 3 (02) 12
    PubMedGoogle Scholar
  • 27 Williger B, Lang FR. Managing age-related hearing loss: how to use hearing aids efficiently - a mini-review. Gerontology 2014; 60 (05) 440-447
    CrossrefPubMedGoogle Scholar
  • 28 Cohen SM, Labadie RF, Haynes DS. Primary care approach to hearing loss: the hidden disability. Ear Nose Throat J 2005; 84 (01) 26 , 29–31, 44
    CrossrefPubMedGoogle Scholar
  • 29 Jafari Z, Kolb BE, Mohajerani MH. Age-related hearing loss and tinnitus, dementia risk, and auditory amplification outcomes. Ageing Res Rev 2019; 56: 100963
    CrossrefPubMedGoogle Scholar
  • 30 Abyad A. In-office screening for age-related hearing and vision loss. Geriatrics 1997; 52 (06) 45-46 , 51–54, 57
    PubMedGoogle Scholar
  • 31 Bowl MR, Dawson SJ. Age-related hearing loss. Cold Spring Harb Perspect Med 2019; 9 (08) a033217
    CrossrefPubMedGoogle Scholar
  • 32 Dobie RA. The burdens of age-related and occupational noise-induced hearing loss in the United States. Ear Hear 2008; 29 (04) 565-577
    CrossrefPubMedGoogle Scholar
  • 33 Timmer BH, Hickson L, Launer S. Adults with mild hearing impairment: Are we meeting the challenge?. Int J Audiol 2015; 54 (11) 786-795
    CrossrefPubMedGoogle Scholar
  • 34 Gopinath B, Schneider J, McMahon CM, Teber E, Leeder SR, Mitchell P. Severity of age-related hearing loss is associated with impaired activities of daily living. Age Ageing 2012; 41 (02) 195-200
    CrossrefPubMedGoogle Scholar
  • 35 Nirmalasari O, Mamo SK, Nieman CL. et al. Age-related hearing loss in older adults with cognitive impairment. Int Psychogeriatr 2017; 29 (01) 115-121
    CrossrefPubMedGoogle Scholar
  • 36 Brewster KK, Ciarleglio A, Brown PJ. et al. Age-related hearing loss and its association with depression in later life. Am J Geriatr Psychiatry 2018; 26 (07) 788-796
    CrossrefPubMedGoogle Scholar
  • 37 Brewster KK, Hu MC, Zilcha-Mano S. et al. Age-related hearing loss, late-life depression, and risk for incident dementia in older adults. J Gerontol A Biol Sci Med Sci 2021; 76 (05) 827-834
    CrossrefPubMedGoogle Scholar
  • 38 Golub JS, Brewster KK, Brickman AM. et al. Association of audiometric age-related hearing loss with depressive symptoms among Hispanic individuals. JAMA Otolaryngol Head Neck Surg 2019; 145 (02) 132-139
    CrossrefPubMedGoogle Scholar
  • 39 Chern A, Irace AL, Golub JS. The laterality of age-related hearing loss and depression. Otol Neurotol 2022; 43 (06) 625-631
    CrossrefPubMedGoogle Scholar
  • 40 Saunders GH, Oliver F. Impact of hearing loss on communication during remote health care encounters. Telemed J E Health 2022; 28 (09) 1350-1358
    CrossrefPubMedGoogle Scholar
  • 41 Powell W, Jacobs JA, Noble W, Bush ML, Snell-Rood C. Rural adult perspectives on impact of hearing loss and barriers to care. J Community Health 2019; 44 (04) 668-674
    CrossrefPubMedGoogle Scholar
  • 42 Nieman CL, Marrone N, Szanton SL, Thorpe Jr RJ, Lin FR. Racial/Ethnic and socioeconomic disparities in hearing health care among older Americans. J Aging Health 2016; 28 (01) 68-94
    CrossrefPubMedGoogle Scholar
  • 43 Pittman CA, Willink A, Nieman CL. Hearing loss and home health: an unmet need and an opportunity for action. Home Healthc Now 2021; 39 (02) 72-80
    CrossrefPubMedGoogle Scholar
  • 44 Wallhagen MI. Access to care for hearing loss: policies and stakeholders. J Gerontol Nurs 2014; 40 (03) 15-19
    CrossrefPubMedGoogle Scholar