scholarly journals Hearing Loss in the Elderly: Is the Hearing Handicap Inventory for the Elderly - Screening Version Effective in Diagnosis When Compared to the Audiometric Test?

2017 ◽  
Vol 22 (01) ◽  
pp. 001-008 ◽  
Author(s):  
Alexandre Servidoni ◽  
Lucieni Conterno

Introduction Hearing losses inherent to the natural process of aging represent today a major public health issue, despite the little attention that their adequate care still receives. Early recognition and proper management of these shortcomings can significantly improve hearing, as well as the patient's general quality of life, reducing the overall impact of this important and prevalent condition of the aging process. Objective The aim of this research was to evaluate the accuracy of the Hearing Handicap Inventory for the Elderly - Screening Version (HHIE-S) in the diagnosis of hearing loss in the elderly when compared with the audiometric test. Methods Through a cross-sectional study, our target population was composed of 138 individuals, aged over 60 and with any otorhinolaryngological complaints, recruited at the Clinic of Otorhinolaryngology and Speech Therapy of the Faculdade de Medicina de Marília (Famema), in the city of Marília, SP, Brazil. Patients already in the process of auditory rehabilitation were excluded, as well as those who did not demonstrate the minimum level of oral understanding necessary to allow the interview. Results The prevalence of hearing loss according to the questionnaire was of 76.1%, while audiometry showed 79.7%. We found the diagnostic accuracy of the instrument to be of 86.2%, with a sensitivity of 89.1% and a specificity of 75.0%, regardless of gender. Conclusion Thereby, we conclude that the standardized questionnaire under rating is suitable for the screening of hearing loss in the elderly, given its high accuracy and user-friendly quality.

2021 ◽  
Author(s):  
Leila Behboodi ◽  
Vijay Kumar Chattu ◽  
Fatemeh Adelirad ◽  
Heleh Heizomi ◽  
Mohammad Asghari-Jafarabadi ◽  
...  

Abstract Background: There is a great need for a valid hearing loss measurement tool in the Persian language to help identify hearing handicap and potential communicational difficulties among Persian speaking older adults. The present study was aimed to validate and adapt the original English version of Hearing Handicap Inventory for the Elderly (HHIE) into Persian language.Methods: A cross-sectional study was designed and data was collected from August to November 2019 in Tabriz, Iran among the older adults aged 60 years and above whose hearing loss had been confirmed by audiometry. Self-reporting and face-to-face interviews were the data collection methods in this study. The statistical analysis was performed using SPSS 26.0 (SPSS and STATA 14).Results: An exploratory factor analysis of data resulted in two factors, which included 9 of the 10 items and accounted for 87.00% of the variance. Cronbach’s alpha coefficient (0.85) and the test–retest reliability score (0.73) indicated good internal consistency.Conclusions: The results showed that HHIE-S is a valid and reliable tool for assessing hearing handicap among Persian speaking and Iranian older adults.


2020 ◽  
Author(s):  
Leila Behboudi ◽  
Vijay Kumar Chattu ◽  
Haleh Heizomi ◽  
Fatemeh Adelirad ◽  
Mohammad Asghari Jafarabadi ◽  
...  

Abstract Background: there is a great need for a valid hearing loss measurement tool in the Persian language to help identify hearing handicap and potential communicational difficulties among Persian speaking older adults.Objectives: The present study was aimed to validate and adapt the original English version of Hearing Handicap Inventory for the Elderly (HHIE) into Persian language.Methods:A cross-sectional study was designed and data was collected from August to November 2019 in Tabriz, Iran among the older adults aged 60 years and above whose hearing loss had been confirmed by audiometry. Self-reporting and face-to-face interviews were the data collection methods in this study. The statistical analysis was performed using SPSS 26.0 (SPSS and STATA 14).Results: An exploratory factor analysis of data resulted in two factors, which included 9 of the 10 items and accounted for 87.00% of the variance. Cronbach’s alpha coefficient (0.85) and the test–retest reliability score (0.73) indicated good internal consistency.Conclusion : The results showed that HHIE-S is a valid and reliable tool for assessing hearing handicap among Persian speaking and Iranian older adults.


Author(s):  
Tzong-Hann Yang ◽  
Yuan-Chia Chu ◽  
Yu-Fu Chen ◽  
Meng-Yu Chen ◽  
Yen-Fu Cheng ◽  
...  

Key Points: Question: Can the traditional Chinese version of the hearing handicap inventory for elderly screening (HHIE-S) checklist screen for age-related hearing loss (ARHL) in elderly individuals? Findings: In this cross-sectional study of 1696 Taiwanese patients who underwent annual government-funded geriatric health checkups, the Chinese version of the HHIE-S had a sensitivity of 76.9% and a specificity of 79.8% with a cutoff score greater than 6 for identifying patients with disabled hearing loss (defined as a PTA > 40 dB). Meaning: The traditional Chinese version of the HHIE-S is an effective test to detect ARHL and can improve the feasibility of large-scale hearing screening among elderly individuals. Purpose: The traditional Chinese version of the hearing handicap inventory for elderly screening (TC-HHIE-S) was translated from English and is intended for use with people whose native language is traditional Chinese, but its effectiveness and diagnostic performance are still unclear. The purpose of this study was to evaluate the validity and reliability of the traditional Chinese version of the HHIE-S for screening for age-related hearing loss (ARHL). Methods: A total of 1696 elderly people underwent the government’s annual geriatric medical examination at community hospitals. In this cross-sectional study, we recorded average conducted pure-tone averages (PTA) (0.5 kHz, 1 kHz, 2 kHz, 4 kHz), age, sex, and HHIE-S data. Receiver operating characteristic (ROC) curve analysis was used to identify the best critical point for detecting hearing impairment, and the validity of the structure was verified by the agreement between the TC-HHIE-S and PTA results. Results: The HHIE-S scores were correlated with the better-ear pure-tone threshold averages (PTAs) at 0.5–4 kHz (correlation coefficient r = 0.45). The internal consistency of the total HHIE-S score was excellent (Cronbach’s alpha = 0.901), and the test-retest reliability was also excellent (Spearman’s correlation coefficient = 0.60, intraclass correlation coefficient = 0.75). In detecting disabled hearing loss (i.e., PTA at 0.5–4 kHz > 40 dB), the HHIE-S cutoff score of > 6 had a sensitivity of 76.9% and a specificity of 79.8%. Conclusions: The traditional Chinese version of the HHIE-S is a valid, reliable, and efficient tool for large-scale screening for ARHL.


Author(s):  
Sneha Soni ◽  
Manish Kumar ◽  
Mukesh Shukla

<p class="abstract"><strong>Background:</strong> India is passing through a major demographic and epidemiological transition there by leading to increasing geriatric problems as burning public health issue within the nation. The present cross-sectional study was undertaken to study health consciousness among the elderly in a rural population of Katihar.</p><p class="abstract"><strong>Methods:</strong> The present study was conducted in rural field practice area of Katihar medical college and a total 450 elderly persons were interviewed using pre-designed, pre-tested semi structured questionnaire regarding their health consciousness and health seeking behavior during the study period of one year, from Jan 2013 to Dec 2013. Data was entered in Microsoft excel and analyzed by using frequency and proportion.</p><p class="abstract"><strong>Results:</strong> Majority (69.7%) of the elderly were conscious about health, followed by reluctant group (16.6%), while 13.5% were not conscious about their health. Factors like gender (p=0.00), marital status (p=0.02), social category (p=0.00), educational status (p=0.00), occupation (p=0.00) and financial dependency (p=0.04) were found to be significantly associated with health consciousness among elderly.</p><p class="Default"><strong>Conclusions:</strong> On the basis of these findings, it can be recommended that there is a need not only to develop comprehensive geriatric health-care services, but community based intervention are also needed to increase the overall knowledge and consciousness towards health so as to improve their health seeking behaviour.</p>


2013 ◽  
Vol 40 (2) ◽  
Author(s):  
Suprapto Wibowo ◽  
Melania Soedarmi ◽  
Lukmantya

Background: Hearing impairment in elderly people will reduce their communication ability andimpact their quality of life.Purpose: To know the correlation between hearing threshold with the resultsof hearing handicap using hearing handicap inventory for the elderly-creening (HHIE-S) on presbycusispatients.Method: A cross sectional study of patient with presbycusis at Saiful Anwar Hospital that metthe research criteria, on period March–April 2010. Results: The distribution of presbycusis patients included in this study was 9 persons (37.5%) without handicap, 10 persons (41.7%) with mild-moderate handicap, and 5 persons (20.8%) with severe handicap. Measurement results from two main variables,hearing threshold and hearing handicap was analyzed with Spearman rank correlation. Calculationresults of coefficient Spearman rank correlation was 0.937 with p value = 0.000. Conclusion: There isa significant correlation between hearing threshold with the results of hearing handicap on presbycusispatients.Key words: presbycusis, hearing threshold, hearing handicap inventory for the elderly-screening. Abstrak : Latar belakang: Gangguan pendengaran yang terjadi pada usia lanjut menyebabkan gangguankomunikasi dan berdampak pada kualitas hidup penderita. Tujuan: Mengetahui adanya hubungan ambangdengar dengan hasil penilaian hearing handicap dengan menggunakan hearing handicap inventory for theelderly-screening (HHIE-S) pada penderita presbikusis.Metode: Sebuahstudi cross sectional. Sampeladalah semua penderita yang didiagnosis presbikusis di poliklinik neurotologi THT RS Dr. Saiful AnwarMalang, dan memenuhi kriteria penelitian dengan teknik consecutive sampling mulai Maret–April 2010.Hasil: Pasien presbikusis yang terlibat dalam penelitian ini terdistribusi sebanyak 9 orang (37,5%) tanpahandicap, 10 orang (41,7%) handicap ringan–sedang, dan 5 orang (20,8%) termasuk handicap berat. Hasilpengukuran dari dua variabel utama, yaitu ambang dengar dan hearing handicap dianalisis menggunakankorelasi Spearman rank. Hasil perhitungan koefisien korelasi Spearman rank adalah 0,937 dengan p-value= 0,000. Kesimpulan: Terdapat hubungan yang signifikan antara ambang dengar dengan hasil penilaianhearing handicap pada penderita presbikusis.Kata kunci: presbikusis, ambang dengar, hearing handicap inventory for the elderly-screening.


2020 ◽  
Author(s):  
Tadao Yoshida ◽  
Tsutomu Nakashima ◽  
Naomi Katayama ◽  
Takafumi Nakada ◽  
Anna Yoshihara ◽  
...  

Abstract Background: Tinnitus is an unpleasant symptom, and its prevalence among the elderly is very high. We conducted annual examinations of people in a community using a health survey with an additional item on tinnitus to investigate the risk factors within this community.Methods: We conducted a cross-sectional study of 510 Japanese citizens (215 men, 295 women) who attended a health examination. A self-report questionnaire including items on tinnitus and a hearing test were administered. For the examination, body weight, body mass index, body fat percentage, and systolic and diastolic blood pressure were measured. A blood examination included counts of red and white blood cells as well as platelets, and measures of hemoglobin, total protein, total cholesterol, creatinine, blood urea nitrogen, uric acid, and serum calcium.Results: A logistic regression analysis revealed that subjective hearing loss, vertigo, and a high level of serum calcium were associated with tinnitus after adjustment for age and sex. There was a significant correlation between subjective hearing loss and pure tone audiogram results.Conclusions: Hearing loss, vertigo, and serum calcium level are independently associated with subjective tinnitus.


Vaccines ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1222
Author(s):  
Francesca Gallè ◽  
Elita Anna Sabella ◽  
Paolo Roma ◽  
Giovanna Da Molin ◽  
Giusy Diella ◽  
...  

In Italy, at the end of 2020, a voluntary immunization plan against COVID-19 was introduced, involving elderly among the first target categories. The aim of this study was to assess, through an online questionnaire, the acceptance of COVID-19 vaccination in a sample of older adults from southern Italy. Of a total of 1041 respondents (41.7% males, mean age 76.6 ± 6.5), 965 (92.7%) were vaccinated or willing to be vaccinated against COVID-19, although less than half of the sample was favorable to vaccinations and agreed with mandatory immunization. Acceptance of COVID-19 vaccination was found to be positively related with higher educational level (OR = 1.875, CI95% = 1.113–3.161; p = 0.018) and having social/mass media as a main source of information (OR = 2.415 CI95% = 1.358–4.296, p = 0.003). On the contrary, an inverse relationship was found between acceptance of COVID-19 vaccination and having fulfilled the questionnaire after the introduction of green pass (OR = 0.218, CI95% = 0.129–0.369; p < 0.001). Therefore, although this evidence needs to be further confirmed, it is possible to agree with previous studies reporting that compulsory measures, such as green pass implementation, must be accompanied by effective education and information strategies of the target population.


2020 ◽  
Vol 7 (2) ◽  
pp. 47-57
Author(s):  
Refad A. Azeez

Age related hearing loss is one of the most common chronic health conditions affecting the elderly people. With aging, risk of Presbycusis and hyperlipidemia increases. Although most studies do reach some sort of agreement, the evidence supporting a relationship between presbycusis and hyperlipidemia remains questionable. The objective of this study is to determine the association between age related hearing loss and hyperlipidemia and assess the severity of hearing loss in hyperlipidemic patients. This cross sectional analytic study was carried out at ENT Out Patient Clinic at Al Sader teaching Hospital from March 2019 to December 2019. A cross‑sectional study on 52 patients with Hyperlipidemia and 42 non Hyperlipidemic patients was carried out during March 2019 to December 2019. All patients were evaluated for hearing loss by subjecting to pure tone audiometry, blood investigations were done in form of lipid profile, blood sugars, thyroid function test, blood urea and serum creatinine levels. Group A consisted of 22 (42.3%) males and 30 (57.7%) female while group B consisted of 23 (54.8%) male and 19 (45.2%) female individuals. Audiological assessment by PTA was show that the prevalence of presbycusis among hyperlipidemic group more than non hyperlipidemic with significant statistical difference (P value <0.05). Prevalence was 76.9%. In conclusion; there is statistically significant association between presbycusis and hyperlipidemia especially those with hyercholestrolemia.


2020 ◽  
Vol 7 (2) ◽  
pp. 49-57
Author(s):  
Refad Abdul Azeez ◽  
Ahmed Al Ansary ◽  
BThenoon Yasin

"Age related hearing loss is one of the most common chronic health conditions affecting the elderly people. With aging, risk of Presbycusis and hyperlipidemia increases. Although most studies do reach some sort of agreement, the evidence supporting a relationship between presbycusis and hyperlipidemia remains questionable. The objective of this study is to determine the association between age related hearing loss and hyperlipidemia and assess the severity of hearing loss in hyperlipidemic patients. This cross sectional analytic study was carried out at ENT Out Patient Clinic at Al Sader teaching Hospital from March 2019 to December 2019. A cross‑sectional study on 52 patients with Hyperlipidemia and 42 non Hyperlipidemic patients was carried out during March 2019 to December 2019. All patients were evaluated for hearing loss by subjecting to pure tone audiometry, blood investigations were done in form of lipid profile, blood sugars, thyroid function test, blood urea and serum creatinine levels. Group A consisted of 22 (42.3%) males and 30 (57.7%) female while group B consisted of 23 (54.8%) male and 19 (45.2%) female individuals. Audiological assessment by PTA was show that the prevalence of presbycusis among hyperlipidemic group more than non hyperlipidemic with significant statistical difference (P value <0.05). Prevalence was 76.9%. In conclusion; there is statistically significant association between presbycusis and hyperlipidemia especially those with hyercholestrolemia.


Author(s):  
Samson Jamesdaniel ◽  
Kareem G. Elhage ◽  
Rita Rosati ◽  
Samiran Ghosh ◽  
Bengt Arnetz ◽  
...  

Firefighters are susceptible to auditory dysfunction due to long-term exposure to noise from sirens, air horns, equipment, and tools used in forcible entry, ventilation, and extrication. In addition, they are exposed to ototoxic chemicals, particularly, during overhaul operations. Studies indicate that 40% of firefighters have hearing loss in the noise-sensitive frequencies of 4 and 6 kHz. Noise-induced hearing loss (NIHL) is often accompanied by tinnitus, which is characterized by ringing noise in the ears. The presence of phantom sounds can adversely affect the performance of firefighters. However, there has been limited research conducted on the prevalence of tinnitus in firefighters. We enrolled firefighters from Michigan, with at least 5 years of continuous service. The hearing handicap inventory for adults (HHIA) was used to determine the difficulty in hearing perceived by the firefighters and the tinnitus functional index (TFI) was used to determine the severity of tinnitus. Self-perceived hearing handicap was reported by 36% of the participants, while tinnitus was reported by 48% of the participants. The TFI survey indicated that 31% perceived tinnitus as a problem. More importantly, self-perceived hearing handicap was significantly associated with the incidence of tinnitus in firefighters, suggesting a potential link between occupational exposure to ototraumatic agents and tinnitus in firefighters.


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