Screening for hearing impairment among the elderly using hearing handicap inventory for the elderly- Screening (HHIE-S)

Research output: Contribution to journalArticle

Abstract

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: A total of lllelderly completed both the questionnaire and audiometry testing. The prevalence of hearing impairment using HHIE-S is 19.8% whilst PTA assessment recorded prevalence of 36.9%. The HHIE-S questionnaire yielded a sensitivity of 31.7% at pure tone audiometry cut off level of 25dBHL and improved to 60.0% at 40dHBL, however the Positive Predictive Value (PPV) and Negative Predictive Value (NPV) reduced from 59% to 13.4% and 68.5% to 63% respectively. 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 HHIE-S is a relatively good screening tool for moderate hearing impairment. However, it may not be a better alternative to PTA especially in detecting the mild hearing loss.

Original languageEnglish
Pages (from-to)68-72
Number of pages5
JournalNew Iraqi Journal of Medicine
Volume7
Issue number3
Publication statusPublished - Dec 2011

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Pure-Tone Audiometry
Hearing Loss
Hearing
Equipment and Supplies
Gold
Audiometry
Mass Screening
Cross-Sectional Studies
Costs and Cost Analysis

Keywords

  • Audiometry
  • Hearing loss
  • Mass screening
  • Pure tone

ASJC Scopus subject areas

  • Medicine(all)

Cite this

@article{52813fd885414c6fa13cff98f82f09a6,
title = "Screening for hearing impairment among the elderly using hearing handicap inventory for the elderly- Screening (HHIE-S)",
abstract = "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: A total of lllelderly completed both the questionnaire and audiometry testing. The prevalence of hearing impairment using HHIE-S is 19.8{\%} whilst PTA assessment recorded prevalence of 36.9{\%}. The HHIE-S questionnaire yielded a sensitivity of 31.7{\%} at pure tone audiometry cut off level of 25dBHL and improved to 60.0{\%} at 40dHBL, however the Positive Predictive Value (PPV) and Negative Predictive Value (NPV) reduced from 59{\%} to 13.4{\%} and 68.5{\%} to 63{\%} respectively. 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 HHIE-S is a relatively good screening tool for moderate hearing impairment. However, it may not be a better alternative to PTA especially in detecting the mild hearing loss.",
keywords = "Audiometry, Hearing loss, Mass screening, Pure tone",
author = "Rosdina, {A. K.} and Leelavathi Muthupalani and Muhammad, {Noor Azimah} and {Abd Aziz}, Noorazah",
year = "2011",
month = "12",
language = "English",
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pages = "68--72",
journal = "New Iraqi Journal of Medicine",
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AU - Rosdina, A. K.

AU - Muthupalani, Leelavathi

AU - Muhammad, Noor Azimah

AU - Abd Aziz, Noorazah

PY - 2011/12

Y1 - 2011/12

N2 - 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: A total of lllelderly completed both the questionnaire and audiometry testing. The prevalence of hearing impairment using HHIE-S is 19.8% whilst PTA assessment recorded prevalence of 36.9%. The HHIE-S questionnaire yielded a sensitivity of 31.7% at pure tone audiometry cut off level of 25dBHL and improved to 60.0% at 40dHBL, however the Positive Predictive Value (PPV) and Negative Predictive Value (NPV) reduced from 59% to 13.4% and 68.5% to 63% respectively. 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 HHIE-S is a relatively good screening tool for moderate hearing impairment. However, it may not be a better alternative to PTA especially in detecting the mild hearing loss.

AB - 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: A total of lllelderly completed both the questionnaire and audiometry testing. The prevalence of hearing impairment using HHIE-S is 19.8% whilst PTA assessment recorded prevalence of 36.9%. The HHIE-S questionnaire yielded a sensitivity of 31.7% at pure tone audiometry cut off level of 25dBHL and improved to 60.0% at 40dHBL, however the Positive Predictive Value (PPV) and Negative Predictive Value (NPV) reduced from 59% to 13.4% and 68.5% to 63% respectively. 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 HHIE-S is a relatively good screening tool for moderate hearing impairment. However, it may not be a better alternative to PTA especially in detecting the mild hearing loss.

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