Agreement between audiometric hearing loss and self-reported hearing difficulty on the Revised Hearing Handicap Inventory differs by demographic factors

BackgroundNew standardised measures of self-reported hearing difficulty can be validated against audiometric hearing loss. This study reports the influence of demographic factors (age, sex, race and socioeconomic position (SEP)) on the agreement between audiometric hearing loss and self-reported hea...

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Bibliographic Details
Published in:Journal of epidemiology and community health (1979) 2024-08, Vol.78 (8), p.529-535
Main Authors: Dillard, Lauren K, Matthews, Lois J, Dubno, Judy R
Format: Article
Language:English
Subjects:
Accuracy
Adult
Age
Aged
Aged, 80 and over
AGING
Agreements
Audiometry
Audiometry, Pure-Tone
CHRONIC DI
Clinical outcomes
Cohort analysis
COHORT STUDIES
Demography
Disability Evaluation
EPIDEMIOLOGIC MEASUREMENTS
Female
Hearing aids
Hearing loss
Hearing Loss - diagnosis
Hearing Loss - epidemiology
Hearing protection
Humans
Longitudinal Studies
Male
Middle Aged
Original research
Questionnaires
Race
Self Report
Sensitivity and Specificity
Sex
Socioeconomic Factors
South Carolina - epidemiology
Statistical power
Surveys and Questionnaires
TREATMENT OUTCOME
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Summary:BackgroundNew standardised measures of self-reported hearing difficulty can be validated against audiometric hearing loss. This study reports the influence of demographic factors (age, sex, race and socioeconomic position (SEP)) on the agreement between audiometric hearing loss and self-reported hearing difficulty.MethodsParticipants were 1558 adults (56.9% female; 20.0% racial minority; mean age 63.7 (SD 14.1) years) from the Medical University of South Carolina Longitudinal Cohort Study of Age-Related Hearing Loss (1988–current). Audiometric hearing loss was defined as the average of pure-tone thresholds at frequencies 0.5, 1.0, 2.0 and 4.0 kHz >25 dB HL in the worse ear. Self-reported hearing difficulty was defined as ≥6 points on the Revised Hearing Handicap Inventory (RHHI) or RHHI screening version (RHHI-S). We report agreement between audiometric hearing loss and the RHHI(-S), defined by sensitivity, specificity, accuracy, positive predictive value, negative predictive value and observed minus predicted prevalence. Estimates were stratified to age group, sex, race and SEP proxy.ResultsThe prevalence of audiometric hearing loss and self-reported hearing difficulty were 49.0% and 48.8%, respectively. Accuracy was highest among participants aged
ISSN:0143-005X
1470-2738
1470-2738
DOI:10.1136/jech-2024-222143