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<p>Hearing impairment remains an under-recognised and under-rehabilitated condition despite the availability of hearing aids. Although hearing aids are programmed based on audiometric thresholds, the individual perception of disability often differs from the audiometric hearing impairment. Hearing aid acceptance and usage are influenced by subjective factors. The present study aimed to evaluate the perceived hearing handicap using the hearing handicap inventory for the elderly (HHIE) and to examine its relationship with hearing impairment and hearing aid acceptance among elderly patients. A hospital-based cross-sectional study was conducted from July 2022 to June 2023. Adults aged ≥ 55 years with audiometrically confirmed hearing loss were included. Perceived hearing handicap was assessed using the HHIE questionnaire, and percentage of hearing impairment was calculated according to American Medical Association guidelines. Associations between hearing impairment, HHIE scores, and hearing aid acceptance were analysed using Spearman correlation, Regression analysis, and Chi-square tests. Audiometric and HHIE data from 105 participants were analysed. The HHIE demonstrated excellent internal consistency (Cronbach’s alpha = 0.95). A statistically significant moderate positive correlation was observed between total HHIE score and percentage hearing impairment (ρ = 0.51, <i>p</i> &lt; 0.001). The social subscale showed the strongest association with impairment (ρ = 0.55, <i>p</i> &lt; 0.001), followed by the emotional subscale (ρ = 0.44, <i>p</i> &lt; 0.001). Perceived handicap severity increased significantly with worsening audiometric hearing loss (χ² = 19.85, <i>p</i> = 0.011). However, hearing aid acceptance did not differ significantly across perceived handicap categories (<i>p</i> = 0.135) or audiometric severity groups (<i>p</i> = 0.479). Perceived hearing handicap correlates moderately with audiometrically calculated hearing impairment. However, hearing aid acceptance is determined by a multi-factorial influence of psychosocial and behavioural factors. Incorporating the HHIE as an adjunct to audiometric assessment may help identify individuals requiring targeted counselling to improve rehabilitation outcomes.</p>

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Association of Perceived Hearing Handicap with Hearing Aid Acceptance in Older Adults: A Cross-Sectional Study

  • 期刊论文

  • 发表日期：

    2026年6月17日

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  • Kamal Deep Joshi,
  • Anubhav Singh,
  • Manoj Kumar Kanzhuly,
  • Hari Kumar,
  • Dharamendra Kumar Singh,
  • Amit Sood,
  • Manish Gupta,
  • Manpreet Kaur

摘要

Hearing impairment remains an under-recognised and under-rehabilitated condition despite the availability of hearing aids. Although hearing aids are programmed based on audiometric thresholds, the individual perception of disability often differs from the audiometric hearing impairment. Hearing aid acceptance and usage are influenced by subjective factors. The present study aimed to evaluate the perceived hearing handicap using the hearing handicap inventory for the elderly (HHIE) and to examine its relationship with hearing impairment and hearing aid acceptance among elderly patients. A hospital-based cross-sectional study was conducted from July 2022 to June 2023. Adults aged ≥ 55 years with audiometrically confirmed hearing loss were included. Perceived hearing handicap was assessed using the HHIE questionnaire, and percentage of hearing impairment was calculated according to American Medical Association guidelines. Associations between hearing impairment, HHIE scores, and hearing aid acceptance were analysed using Spearman correlation, Regression analysis, and Chi-square tests. Audiometric and HHIE data from 105 participants were analysed. The HHIE demonstrated excellent internal consistency (Cronbach’s alpha = 0.95). A statistically significant moderate positive correlation was observed between total HHIE score and percentage hearing impairment (ρ = 0.51, p < 0.001). The social subscale showed the strongest association with impairment (ρ = 0.55, p < 0.001), followed by the emotional subscale (ρ = 0.44, p < 0.001). Perceived handicap severity increased significantly with worsening audiometric hearing loss (χ² = 19.85, p = 0.011). However, hearing aid acceptance did not differ significantly across perceived handicap categories (p = 0.135) or audiometric severity groups (p = 0.479). Perceived hearing handicap correlates moderately with audiometrically calculated hearing impairment. However, hearing aid acceptance is determined by a multi-factorial influence of psychosocial and behavioural factors. Incorporating the HHIE as an adjunct to audiometric assessment may help identify individuals requiring targeted counselling to improve rehabilitation outcomes.