Self-reported hearing loss in baby boomers from the Busselton Healthy Ageing Study: Audiometric correspondence and predictive value

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

Background: The baby boomer population will become high users of the health-care system in coming years. Self-report of hearing loss at a primary health-care visit may offer timely referrals to audiological services, but there has been no population-based study of self-reported hearing loss in the baby boomer generation. Purpose: To determine the clinical value and audiometric correspondence of self-reported hearing loss as a screening tool for the baby boomer population. Research Design: A population-based study, Busselton Healthy Ageing Study (BHAS), surveying baby boomers born between 1946 and 1964 from the shire of Busselton, Western Australia. Study Sample: A randomized sample of noninstitutionalized baby-boomers listed on the electoral roll (n = 6690) and resident in the shire are eligible to participate. This study reports on data from the first 1004 attendees (53.5% female) with a mean age of 56.23 (SD = 5.43). Data Collection and Analysis: Data from a self-report questionon hearing loss and diagnostic pure tone audiometry was utilized for this study. Analysis included screening performance measures of self-report compared to audiometric cut-offs, receiver operator curve (ROC) to determine optimal level, analysis of variance to compare hearing status to self-report, and binary logistic regression to determine best audiometric predictors. Results: Of the sample, 16% self-reported hearing loss (72.1% males). Logistic regression indicated 4000 Hz as the most important individual frequency related to self-report while the four-frequency average (500, 1000, 2000, and 4000 Hz) >25 dB in the worse ear was the most significant averaged cutoff with 68% sensitivity and 87% specificity. Ofthose who self-reported a hearing loss, 80% had either a fourfrequency average hearing loss >25 dBin the worse ear or a high-frequency average (4000 and 8000 Hz) hearing loss greater than 35 dB in the worse ear. Conclusions: Baby boomer adults who self-report hearing impairment on direct inquiry are most likely to have a hearing loss. A simple question at a primary health care visit may facilitate a timely referral for audiological services in a baby boomer adult, who may be more amenable to rehabilitation.
Original languageEnglish
Pages (from-to)514-521
JournalJournal of the American Academy of Audiology
Volume24
Issue number6
DOIs
Publication statusPublished - 2013

Fingerprint

Hearing Loss
Self Report
Ear
Population
Primary Health Care
Referral and Consultation
Logistic Models
Pure-Tone Audiometry
Western Australia
Hearing
Analysis of Variance
Research Design
Rehabilitation
Delivery of Health Care
Sensitivity and Specificity

Cite this

@article{d194a0d5b04649b8a97c48296ae2f78a,
title = "Self-reported hearing loss in baby boomers from the Busselton Healthy Ageing Study: Audiometric correspondence and predictive value",
abstract = "Background: The baby boomer population will become high users of the health-care system in coming years. Self-report of hearing loss at a primary health-care visit may offer timely referrals to audiological services, but there has been no population-based study of self-reported hearing loss in the baby boomer generation. Purpose: To determine the clinical value and audiometric correspondence of self-reported hearing loss as a screening tool for the baby boomer population. Research Design: A population-based study, Busselton Healthy Ageing Study (BHAS), surveying baby boomers born between 1946 and 1964 from the shire of Busselton, Western Australia. Study Sample: A randomized sample of noninstitutionalized baby-boomers listed on the electoral roll (n = 6690) and resident in the shire are eligible to participate. This study reports on data from the first 1004 attendees (53.5{\%} female) with a mean age of 56.23 (SD = 5.43). Data Collection and Analysis: Data from a self-report questionon hearing loss and diagnostic pure tone audiometry was utilized for this study. Analysis included screening performance measures of self-report compared to audiometric cut-offs, receiver operator curve (ROC) to determine optimal level, analysis of variance to compare hearing status to self-report, and binary logistic regression to determine best audiometric predictors. Results: Of the sample, 16{\%} self-reported hearing loss (72.1{\%} males). Logistic regression indicated 4000 Hz as the most important individual frequency related to self-report while the four-frequency average (500, 1000, 2000, and 4000 Hz) >25 dB in the worse ear was the most significant averaged cutoff with 68{\%} sensitivity and 87{\%} specificity. Ofthose who self-reported a hearing loss, 80{\%} had either a fourfrequency average hearing loss >25 dBin the worse ear or a high-frequency average (4000 and 8000 Hz) hearing loss greater than 35 dB in the worse ear. Conclusions: Baby boomer adults who self-report hearing impairment on direct inquiry are most likely to have a hearing loss. A simple question at a primary health care visit may facilitate a timely referral for audiological services in a baby boomer adult, who may be more amenable to rehabilitation.",
author = "Swanepoel, {De Wet} and Robert Eikelboom and Michael Hunter and Peter Friedland and Marcus Atlas",
year = "2013",
doi = "10.3766/jaaa.24.6.7",
language = "English",
volume = "24",
pages = "514--521",
journal = "Journal of the American Academy of Audiology",
issn = "1050-0545",
publisher = "American Academy of Audiology",
number = "6",

}

TY - JOUR

T1 - Self-reported hearing loss in baby boomers from the Busselton Healthy Ageing Study: Audiometric correspondence and predictive value

AU - Swanepoel, De Wet

AU - Eikelboom, Robert

AU - Hunter, Michael

AU - Friedland, Peter

AU - Atlas, Marcus

PY - 2013

Y1 - 2013

N2 - Background: The baby boomer population will become high users of the health-care system in coming years. Self-report of hearing loss at a primary health-care visit may offer timely referrals to audiological services, but there has been no population-based study of self-reported hearing loss in the baby boomer generation. Purpose: To determine the clinical value and audiometric correspondence of self-reported hearing loss as a screening tool for the baby boomer population. Research Design: A population-based study, Busselton Healthy Ageing Study (BHAS), surveying baby boomers born between 1946 and 1964 from the shire of Busselton, Western Australia. Study Sample: A randomized sample of noninstitutionalized baby-boomers listed on the electoral roll (n = 6690) and resident in the shire are eligible to participate. This study reports on data from the first 1004 attendees (53.5% female) with a mean age of 56.23 (SD = 5.43). Data Collection and Analysis: Data from a self-report questionon hearing loss and diagnostic pure tone audiometry was utilized for this study. Analysis included screening performance measures of self-report compared to audiometric cut-offs, receiver operator curve (ROC) to determine optimal level, analysis of variance to compare hearing status to self-report, and binary logistic regression to determine best audiometric predictors. Results: Of the sample, 16% self-reported hearing loss (72.1% males). Logistic regression indicated 4000 Hz as the most important individual frequency related to self-report while the four-frequency average (500, 1000, 2000, and 4000 Hz) >25 dB in the worse ear was the most significant averaged cutoff with 68% sensitivity and 87% specificity. Ofthose who self-reported a hearing loss, 80% had either a fourfrequency average hearing loss >25 dBin the worse ear or a high-frequency average (4000 and 8000 Hz) hearing loss greater than 35 dB in the worse ear. Conclusions: Baby boomer adults who self-report hearing impairment on direct inquiry are most likely to have a hearing loss. A simple question at a primary health care visit may facilitate a timely referral for audiological services in a baby boomer adult, who may be more amenable to rehabilitation.

AB - Background: The baby boomer population will become high users of the health-care system in coming years. Self-report of hearing loss at a primary health-care visit may offer timely referrals to audiological services, but there has been no population-based study of self-reported hearing loss in the baby boomer generation. Purpose: To determine the clinical value and audiometric correspondence of self-reported hearing loss as a screening tool for the baby boomer population. Research Design: A population-based study, Busselton Healthy Ageing Study (BHAS), surveying baby boomers born between 1946 and 1964 from the shire of Busselton, Western Australia. Study Sample: A randomized sample of noninstitutionalized baby-boomers listed on the electoral roll (n = 6690) and resident in the shire are eligible to participate. This study reports on data from the first 1004 attendees (53.5% female) with a mean age of 56.23 (SD = 5.43). Data Collection and Analysis: Data from a self-report questionon hearing loss and diagnostic pure tone audiometry was utilized for this study. Analysis included screening performance measures of self-report compared to audiometric cut-offs, receiver operator curve (ROC) to determine optimal level, analysis of variance to compare hearing status to self-report, and binary logistic regression to determine best audiometric predictors. Results: Of the sample, 16% self-reported hearing loss (72.1% males). Logistic regression indicated 4000 Hz as the most important individual frequency related to self-report while the four-frequency average (500, 1000, 2000, and 4000 Hz) >25 dB in the worse ear was the most significant averaged cutoff with 68% sensitivity and 87% specificity. Ofthose who self-reported a hearing loss, 80% had either a fourfrequency average hearing loss >25 dBin the worse ear or a high-frequency average (4000 and 8000 Hz) hearing loss greater than 35 dB in the worse ear. Conclusions: Baby boomer adults who self-report hearing impairment on direct inquiry are most likely to have a hearing loss. A simple question at a primary health care visit may facilitate a timely referral for audiological services in a baby boomer adult, who may be more amenable to rehabilitation.

U2 - 10.3766/jaaa.24.6.7

DO - 10.3766/jaaa.24.6.7

M3 - Article

VL - 24

SP - 514

EP - 521

JO - Journal of the American Academy of Audiology

JF - Journal of the American Academy of Audiology

SN - 1050-0545

IS - 6

ER -