Original Research Self-reported hearing loss and manual audiometry: A rural versus urban comparison (original) (raw)
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Validation of self-reported hearing loss. The Blue Mountains Hearing Study
International Journal of Epidemiology, 2001
Hearing loss has been identified as one of the most frequent chronic conditions affecting older populations, with a reported prevalence between 30% and 46% of older adults in various populations. 1-3 Hearing loss can result in frustration, social isolation, increasing dependency and need for support services, hospital care and potentially earlier nursing home placement. Survey data indicate that hearing loss is strongly age-related. The Epidemiology of Hearing Loss Study (EHLS) 3 recently reported an increased prevalence of measured hearing loss from 21% of people aged 48-59 years to 90% of those aged у80 years.
Hearing screening techniques for referral purposes: Our experience from a rural setting
Annals of Tropical Medicine and Public Health, 2013
Background: Two thirds of the burden of hearing loss is predominantly in low-and middle-income countries. The World Health Organization estimated about 642 million (10.6%) of the world's population has any level of hearing impairment in 2005. It becomes, therefore, imperative to gather data for the purpose of planning prevention strategies for hearing impairment and for monitoring and evaluation of these programs at primary and national levels. Aim: The aim of this study was to determine the prevalence of hearing impairment and report our findings on hearing screening in a rural setting. Materials and Methods: A total of 37 persons with hearing impairment were identified out of 650 seen with ages ranging from 3 to 60 years in a rural setting. They all had full clinical examination, tuning fork, and voice tests to assess hearing levels and otoscopy. Results: An overall hearing loss prevalence of 5.7% was observed, with commonest causes of hearing loss identified as febrile illness 48.6%, ear infections 32.4%, congenital and meningitis 8.1% each, and measles 2.7%. Conclusion: Prevalence studies and hearing screening programs are necessary to help formulate policies geared toward primary ear and hearing care. This will help reduce the burden of hearing loss as well as help to provide cheap and affordable hearing aids to the needy.
Accuracy of Remote Hearing Assessment in a Rural Community
Background: This study determined the accuracy of pure tone air conduction (AC) thresholds obtained using a synchronous telemedicine approach without a sound booth in a rural South African community. The global need for increased hearing healthcare currently far exceeds the capacity for delivering these services, especially in developing countries. A tele-audiology approach using a portable diagnostic audiometer could provide the solution, enabling hearing assessments to be conducted remotely and without a sound booth. Materials and Methods: Hearing thresholds in a sound booth and natural environment were obtained from an initial sample of 20 adults (age range, 19-63 years; mean age, 50 -13 years; 55% female), recruited from a rural agricultural community. A subgroup of 10 adults (20 ears) volunteered for the telemedicine threshold testing. AC thresholds (250-8,000 Hz) were determined and subsequently compared in these environments. Typical threshold variability was determined using test-retest correspondence as a reference for the threshold correspondence using a telemedicine mode. Results: Test-retest threshold correspondence in the booth and natural environments was within -5 dB in 96.7% and 97.5% of comparisons, respectively. No significant differences were obtained in AC hearing thresholds determined in the telemedicine configuration compared with those recorded in the gold standard booth environment. Threshold correspondence between the telemedicine compared with booth and natural environments were within -5 dB in 82% and 85% of comparisons, respectively. Conclusions: The current study demonstrates the validity of using synchronous telemedicine for conducting hearing assessments in a remote rural agricultural community without a sound booth.
An Audit on Hearing Loss in a Rural Tertiary Care Hospital
IOSR Journals , 2019
Objectives: To audit retrospectively the data of our patients, who presented with hearing loss in our department. Materials and Methods: Retrospective descriptive study over a period of 2 years (April, 2016 to March, 2018), Total no of patients included into this study were 5478 who were assessed demographically and audiologically in the department of ENT , Burdwan Medical College, Burdwan. Results: 5478 patients attended our ENT OPD for audiological assessment of hearing from April 2016 to March 2018. 2786 patients found to have normal hearing. 2692 (49.14%) patients had hearing loss. 1445 (53.67%) patient out of 2692 had conductive hearing loss. Conclusion : It is very much essential to continuously monitor the prevalence of hearing loss, early identification of hearing loss , early intervention and proper rehabilitation in the community so that steps can be taken to reduce the can reduce the burden of this disability in our community.
The Importance of Screening for Hearing Loss in the Elderly
Otolaryngologia Polska
Aim: The aim was to compare hearing loss between men and women over 65 in pure tone audiometry and to evaluate the sensitivity of the abbreviated version of the Hearing Handicap Inventory (HHIE-S). This questionnaire highlights hearing handicaps in understanding speech. Materials and Methods: The data was collected in the years 2011–2015 from respondents above 18 years of age using a standar-dized HHIE-S questionnaire and specialized tests. The cohort was divided into groups based on the severity of hearing loss in the better ear according to the World Health Organization (WHO) as measured by tone threshold audiometry at 500 Hertz (Hz), 1000 Hz, 2000 Hz and 4000 Hz. Results: Of the 7070 people (61.8% female and 38.2% male), 68.93% had hearing impairment. Most people had a slight he-aring loss. Based on HHIE-S, 56.94% reported impaired hearing. A statistically significant difference was found between the genders, but according to HHIE-S, females with impaired hearing were not statist...
Background: Pure Tone Audiometry (PTA) is the gold-standard to measure hearing impairment however; it is less suitable for mass-screening due to lack of availability and cost. The aim of this study was to detect the prevalence of hearing impairment using Hearing Handicap Inventory for the Elderly-Screening (HHIE-S) and comparing its precision to Pure Tone Audiometry (PTA). Patient and method: A cross sectional study was done among elderly patients using the Hearing Handicap Inventory for the Elderly-Screening (HHIE-S) and followed by Pure Tone Audiometry (PTA) test. Results: The prevalence of hearing impairment using HHIE-PTA assessment recorded prevalence of -S questionnaire Conclusions: The prevalence of self reported hearing impairment using HHIE-S is lower compared to the gold-standard PTA. The results show that HHIE-S has a tendency to under-detect hearing impairment. Hearing impairment may be under-reported due to the acceptance that it is the normal process of ageing. The HHI...