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Quality of life in patients with untreated age-related hearing loss

Published online by Cambridge University Press:  20 April 2010

H S Chew  and
S Yeak
H S Chew*
Affiliation:
Yong Loo Ling School of Medicine, National University of Singapore, Singapore
S Yeak
Affiliation:
Department of Otorhinolaryngology, Tan Tock Seng Hospital, Singapore
*
Address for correspondence: Dr Chew Hui Sing, Department of ENT, 11 Jalan Tan Tock Seng, Singapore308433. Fax: (65) 6357 7749 E-mail: [email protected]
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Abstract

Background:

Hearing loss commonly affects quality of life in the elderly, yet is often neglected.

Objectives:

To investigate the impact of untreated age-related hearing loss on the quality of life of elderly individuals, and to assess the usefulness of quality of life questionnaires as screening tools for significant hearing loss.

Methods:

We recruited 80 patients aged 50 years or more with untreated hearing impairment. The Short Form 36 Health Survey and the Hearing Handicap Inventory for the Elderly Screening Version questionnaire were administered.

Results:

There was no significant association between severity of hearing impairment and Short Form 36 Health Survey scores. However, dose-graded correlation was observed between severity of hearing loss and Hearing Handicap Inventory for the Elderly Screening Version questionnaire scores (p < 0.001). A score for the latter questionnaire of more than 8 was 72.8 per cent sensitive and 71.4 per cent specific in detecting clinically significant hearing loss of at least 40 dB (receiver operating characteristic = 0.83).

Conclusion:

The Short Form 36 Health Survey, a generic measure, lacked specificity and sensitivity in detecting clinically significant hearing loss. However, significant hearing impairment was reflected in the Hearing Handicap Inventory for the Elderly Screening Version questionnaire scores, suggesting that this is a good, disease-specific screening tool. A combination of functional (i.e. the Hearing Handicap Inventory for the Elderly Screening Version questionnaire) and physiological (i.e. audiometric) assessment is recommended to investigate hearing loss in elderly individuals.

Keywords

Hearing LossElderlyQuality Of Life
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 8 , August 2010 , pp. 835 - 841
Copyright
Copyright © JLO (1984) Limited 2010

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References

1 Low, WK. Managing hearing loss in children and adults: Singapore context. Ann Acad Med Singapore 2005;34:295–300Google ScholarPubMed
2 Wu, HY, Chin, JJ, Tong, HM. Screening for hearing impairment in a cohort of elderly patients attending a hospital geriatric medicine service. Singapore Med J 2004;45:79–84Google Scholar
3 Brink, P, Stones, M. Examination of the relationship among hearing impairment, linguistic communication, mood, and social engagement of residents in complex continuing-care facilities. Gerontologist 2007;47:633–41CrossRefGoogle ScholarPubMed
4 Hallberg, LR, Hallberg, U, Kramer, SE. Self-reported hearing difficulties, communication strategies and psychological general well-being (quality of life) in patients with acquired hearing impairment. Disabil Rehabil 2008;30:203–12CrossRefGoogle ScholarPubMed
5 Tsuruoka, H, Masuda, S, Ukai, K, Sakakura, Y, Harada, T, Majima, Y. Hearing impairment and quality of life for the elderly in nursing homes. Auris Nasus Larynx 2001;28:45–54CrossRefGoogle ScholarPubMed
6 Strawbridge, WJ, Wallhagen, MI, Shema, SJ, Kaplan, GA. Negative consequences of hearing impairment in old age: a longitudinal analysis. Gerontologist 2000;40:320–6CrossRefGoogle ScholarPubMed
7 Fellinger, J, Holzinger, D, Dobner, U, Gerich, J, Lehner, R, Lenz, G et al. Mental stress and quality of life in a deaf population. Soc Psychiatry Psychiatr Epidemiol 2005;40:737–42CrossRefGoogle Scholar
8 Chia, EM, Wang, JJ, Rochtchina, E, Cumming, RR, Newall, P, Mitchell, P. Hearing impairment and health-related quality of life: the Blue Mountains Hearing Study. Ear Hear 2007;28:187–95CrossRefGoogle ScholarPubMed
9 Resnick, HE, Fries, BE, Verbrugge, LM. Windows to their world: the effect of sensory impairments on social engagement and activity time in nursing home residents. J Gerontol B Psychol Sci Soc Sci 1997;52:S135–44CrossRefGoogle ScholarPubMed
10 Weinstein, BE, Ventry, IM. Hearing impairment and social isolation in the elderly. J Speech Hear Res 1982;25:593–9CrossRefGoogle ScholarPubMed
11 Cacciatore, F, Napoli, C, Abete, P, Marciano, E, Triassi, M, Rengo, F. Quality of life determinants and hearing function in an elderly population: Osservatorio Geriatrico Campano Study Group. Gerontology 1999;45:323–8CrossRefGoogle Scholar
12 Burrows, AB, Morris, JN, Simon, SE, Hirdes, JP, Phillips, C. Development of a minimum data set-based depression rating scale for use in nursing homes. Age Ageing 2000;29:165–72CrossRefGoogle ScholarPubMed
13 Veras, RP, Mattos, LC. Audiology and aging: literature review and current horizons. Braz J Otorhinolaryngol 2007;73:122–8CrossRefGoogle ScholarPubMed
14 Herbst, KG, Humphrey, C. Hearing impairment and mental state in the elderly living at home. Br Med J 1980;281:903–5CrossRefGoogle Scholar
15 Jupiter, T, DiStasio, D. An evaluation of the HHIE-S as a screening tool for the elderly homebound population. JARA 1998;31:11–21Google Scholar
16 Yueh, B, Shapiro, N, MacLean, CH, Shekelle, PG. Screening and management of adult hearing loss in primary care: scientific review. JAMA 2003;289:1976–85CrossRefGoogle ScholarPubMed
17 The consequences of untreated hearing loss in older persons. ORL Head Neck Nurs 2000;18:12–16Google Scholar
18 Dalton, DS, Cruickshanks, KJ, Klein, BE, Klein, R, Wiley, TL, Nondahl, DM. The impact of hearing loss on quality of life in older adults. Gerontologist 2003;43:661–8CrossRefGoogle ScholarPubMed
19 Clark, JG. Uses and abuses of hearing loss classification. ASHA 1981;23:493–500Google ScholarPubMed
20 Lyons, RA, Perry, HM, Littlepage, BN. Evidence for the validity of the Short-Form 36 Questionnaire (SF-36) in an elderly population. Age Ageing 1994;23:182–4CrossRefGoogle Scholar
21 Jupiter, T, Palagonia, CL. The Hearing Handicap Inventory for the Elderly screening version adapted for use with elderly Chinese American individuals. Am J Audiol 2001;10:99–103CrossRefGoogle ScholarPubMed
22 Bess, FH, Lichtenstein, MJ, Logan, SA, Burger, MC. Comparing criteria of hearing impairment in the elderly: a functional approach. J Speech Hear Res 1989;32:795–802CrossRefGoogle ScholarPubMed
23 Helvik, AS, Jacobsen, G, Hallberg, LR. Psychological well-being of adults with acquired hearing impairment. Disabil Rehabil 2006;28:535–45CrossRefGoogle ScholarPubMed
24 Naess, SN. Quality of life Research. Concepts, Methods and Applications. Oslo: Institute of Applied Social Research, 1987Google Scholar
25 Nordenfelt, L. Quality of Life and Health, Theory and Critics. Stockholm (Swedish): Almquist & Wiksell, 1991Google Scholar
26 Bess, FH. The role of generic health-related quality of life measures in establishing audiological rehabilitation outcomes. Ear Hear 2000;21:74–79SCrossRefGoogle ScholarPubMed
27 Ringdahl, A, Grimby, A. Severe-profound hearing impairment and health-related quality of life among post-lingual deafened Swedish adults. Scand Audiol 2000;29:266–75CrossRefGoogle ScholarPubMed
28 Bess, FH, Lichtenstein, MJ, Logan, SA, Burger, MC, Nelson, E. Hearing impairment as a determinant of function in the elderly. J Am Geriatr Soc 1989;37:123–8CrossRefGoogle ScholarPubMed
29 Newman, CW, Jacobson, GP, Hug, GA, Sandridge, SA. Perceived hearing handicap of patients with unilateral or mild hearing loss. Ann Otol Rhinol Laryngol 1997;106:210–14CrossRefGoogle ScholarPubMed
30 Moum, TNS, Sørensen, T, Tambs, K, Holmen, J. Hypertension labelling, life events and psychological wellbeing. Psycholog Med 1990;20:635–46CrossRefGoogle Scholar
31 Campbell, VA, Crews, JE, Moriarty, DG, Zack, MM, Blackman, DK. Surveillance for sensory impairment, activity limitation, and health-related quality of life among older adults – United States, 1993–1997. MMWR CDC Surveill Summ 1999;48:131–56Google ScholarPubMed
32 Weinstein, BE. Age-related hearing loss: how to screen for it, and when to intervene. Geriatrics 1994;49:40–5Google ScholarPubMed
33 Ciurlia-Guy, E, Cashman, M, Lewsen, B. Identifying hearing loss and hearing handicap among chronic care elderly people. Gerontologist 1993;33:644–9CrossRefGoogle ScholarPubMed
34 Weinstein, BE, Ventry, IM. Audiometric correlates of the Hearing Handicap Inventory for the elderly. J Speech Hear Disord 1983;48:379–84CrossRefGoogle ScholarPubMed
35 Lichtenstein, MJ, Bess, FH, Logan, SA. Validation of screening tools for identifying hearing-impaired elderly in primary care. JAMA 1988;259:2875–8CrossRefGoogle ScholarPubMed
36 Lichtenstein, MJ, Bess, FH, Logan, SA. Diagnostic performance of the hearing handicap inventory for the elderly (screening version) against differing definitions of hearing loss. Ear Hear 1988;9:208–11CrossRefGoogle ScholarPubMed
37 McBride, WS, Mulrow, CD, Aguilar, C, Tuley, MR. Methods for screening for hearing loss in older adults. Am J Med Sci 1994;307:40–2CrossRefGoogle ScholarPubMed
38 Mulrow, CD, Tuley, MR, Aguilar, C. Discriminating and responsiveness abilities of two hearing handicap scales. Ear Hear 1990;11:176–80CrossRefGoogle ScholarPubMed
39 Hands, S. Hearing loss in over-65s: is routine questionnaire screening worthwhile? J Laryngol Otol 2000;114:661–6CrossRefGoogle ScholarPubMed
40 Garstecki, DC, Erler, SF. Older adult performance on the communication profile for the hearing impaired. J Speech Hear Res 1996;39:28–42CrossRefGoogle ScholarPubMed
41 Kriscos, PB. Audiologic rehabilitation for the elderly: a collaborative approach. Hear J 1997;50:10–19CrossRefGoogle Scholar