Prevalence and Characteristics of Veterans with Severe Hearing Loss: A Descriptive Study
Hearing loss is common among Veterans, and extensive hearing care resources are prioritized within the Veterans Administration (VA). Severe hearing loss poses unique communication challenges with speech understanding that may not be overcome with amplification. We analyzed data from the VA Audiometr...
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| Veröffentlicht in: | Trends in hearing 2024-01, Vol.28, p.23312165241273393 |
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| container_title | Trends in hearing |
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| creator | Friedmann, David R Nicholson, Andrew O'Brien-Russo, Colleen Sherman, Scott Chodosh, Joshua |
| description | Hearing loss is common among Veterans, and extensive hearing care resources are prioritized within the Veterans Administration (VA). Severe hearing loss poses unique communication challenges with speech understanding that may not be overcome with amplification. We analyzed data from the VA Audiometric Repository between 2005 and 2017 and the relationship between hearing loss severity with speech recognition scores. We hypothesized that a significant subset of Veterans with severe or worse hearing loss would have poor unaided speech perception outcomes even with adequate audibility. Sociodemographic characteristics and comorbidities were compiled using electronic medical records as was self-report measures of hearing disability. We identified a cohort of 137,500 unique Veterans with 232,789 audiograms demonstrating bilateral severe or worse hearing loss (four-frequency PTA > 70 dB HL). The median (IQR; range) age of Veterans at their first audiogram with severe or worse hearing loss was 81 years (74 to 87; 21-90+), and a majority were male (136,087 [99%]) and non-Hispanic white (107,798 [78.4%]). Among those with bilateral severe or worse hearing loss, 41,901 (30.5%) also had poor speech recognition scores ( |
| doi_str_mv | 10.1177/23312165241273393 |
| format | Article |
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Severe hearing loss poses unique communication challenges with speech understanding that may not be overcome with amplification. We analyzed data from the VA Audiometric Repository between 2005 and 2017 and the relationship between hearing loss severity with speech recognition scores. We hypothesized that a significant subset of Veterans with severe or worse hearing loss would have poor unaided speech perception outcomes even with adequate audibility. Sociodemographic characteristics and comorbidities were compiled using electronic medical records as was self-report measures of hearing disability. We identified a cohort of 137,500 unique Veterans with 232,789 audiograms demonstrating bilateral severe or worse hearing loss (four-frequency PTA > 70 dB HL). The median (IQR; range) age of Veterans at their first audiogram with severe or worse hearing loss was 81 years (74 to 87; 21-90+), and a majority were male (136,087 [99%]) and non-Hispanic white (107,798 [78.4%]). Among those with bilateral severe or worse hearing loss, 41,901 (30.5%) also had poor speech recognition scores (<50% words), with greater hearing loss severity correlating with worse speech perception. We observed variability in speech perception abilities in those with moderate-severe and greater levels of hearing loss who may derive limited benefit from amplification. 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Severe hearing loss poses unique communication challenges with speech understanding that may not be overcome with amplification. We analyzed data from the VA Audiometric Repository between 2005 and 2017 and the relationship between hearing loss severity with speech recognition scores. We hypothesized that a significant subset of Veterans with severe or worse hearing loss would have poor unaided speech perception outcomes even with adequate audibility. Sociodemographic characteristics and comorbidities were compiled using electronic medical records as was self-report measures of hearing disability. We identified a cohort of 137,500 unique Veterans with 232,789 audiograms demonstrating bilateral severe or worse hearing loss (four-frequency PTA > 70 dB HL). The median (IQR; range) age of Veterans at their first audiogram with severe or worse hearing loss was 81 years (74 to 87; 21-90+), and a majority were male (136,087 [99%]) and non-Hispanic white (107,798 [78.4%]). Among those with bilateral severe or worse hearing loss, 41,901 (30.5%) also had poor speech recognition scores (<50% words), with greater hearing loss severity correlating with worse speech perception. We observed variability in speech perception abilities in those with moderate-severe and greater levels of hearing loss who may derive limited benefit from amplification. Veterans with communication challenges may warrant alternative approaches and treatment strategies such as cochlear implants to support communication needs.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Auditory Threshold</subject><subject>Female</subject><subject>Hearing Aids</subject><subject>Hearing Loss - diagnosis</subject><subject>Hearing Loss - epidemiology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Persons With Hearing Impairments - psychology</subject><subject>Prevalence</subject><subject>Severity of Illness Index</subject><subject>Speech Perception</subject><subject>United States - epidemiology</subject><subject>United States Department of Veterans Affairs</subject><subject>Veterans</subject><subject>Veterans Health</subject><subject>Young Adult</subject><issn>2331-2165</issn><issn>2331-2165</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNplkE9Lw0AQxRdRbKn9AF5kj16iOzvJJvFW6p8KBYWqeAu7m4mNpEndTSr99qZURfA0M4_3HsOPsVMQFwBxfCkRQYKKZAgyRkzxgA13WrATD__sAzb2_l0IATKKYiWP2QBTAFShGrLXR0cbXVFties659Oldtq25ErfltbzpuAv1J-69vyzbJd8QRtyxGekXVm_8Xnj_RWf8Gvy1pXrttwQX7Rdvj1hR4WuPI2_54g93948TWfB_OHufjqZBxYSbINEpajRYB6CQYpTi5DnGIYyT1OdCGMMGBHbSKhU28RIKFSuNKEJlYihj47Y-b537ZqPjnybrUpvqap0TU3nMxSpUBiqJOmtsLda13_tqMjWrlxpt81AZDum2T-mfebsu74zK8p_Ez8E8Qs_7XBF</recordid><startdate>202401</startdate><enddate>202401</enddate><creator>Friedmann, David R</creator><creator>Nicholson, Andrew</creator><creator>O'Brien-Russo, Colleen</creator><creator>Sherman, Scott</creator><creator>Chodosh, Joshua</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9136-6483</orcidid></search><sort><creationdate>202401</creationdate><title>Prevalence and Characteristics of Veterans with Severe Hearing Loss: A Descriptive Study</title><author>Friedmann, David R ; Nicholson, Andrew ; O'Brien-Russo, Colleen ; Sherman, Scott ; Chodosh, Joshua</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c183t-8693a3b3d41b3e79c31dd3442d99a80bbb1b07c5069ac8b21f6d6ae3b460713a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Auditory Threshold</topic><topic>Female</topic><topic>Hearing Aids</topic><topic>Hearing Loss - diagnosis</topic><topic>Hearing Loss - epidemiology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Persons With Hearing Impairments - psychology</topic><topic>Prevalence</topic><topic>Severity of Illness Index</topic><topic>Speech Perception</topic><topic>United States - epidemiology</topic><topic>United States Department of Veterans Affairs</topic><topic>Veterans</topic><topic>Veterans Health</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Friedmann, David R</creatorcontrib><creatorcontrib>Nicholson, Andrew</creatorcontrib><creatorcontrib>O'Brien-Russo, Colleen</creatorcontrib><creatorcontrib>Sherman, Scott</creatorcontrib><creatorcontrib>Chodosh, Joshua</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Trends in hearing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Friedmann, David R</au><au>Nicholson, Andrew</au><au>O'Brien-Russo, Colleen</au><au>Sherman, Scott</au><au>Chodosh, Joshua</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and Characteristics of Veterans with Severe Hearing Loss: A Descriptive Study</atitle><jtitle>Trends in hearing</jtitle><addtitle>Trends Hear</addtitle><date>2024-01</date><risdate>2024</risdate><volume>28</volume><spage>23312165241273393</spage><pages>23312165241273393-</pages><issn>2331-2165</issn><eissn>2331-2165</eissn><abstract>Hearing loss is common among Veterans, and extensive hearing care resources are prioritized within the Veterans Administration (VA). Severe hearing loss poses unique communication challenges with speech understanding that may not be overcome with amplification. We analyzed data from the VA Audiometric Repository between 2005 and 2017 and the relationship between hearing loss severity with speech recognition scores. We hypothesized that a significant subset of Veterans with severe or worse hearing loss would have poor unaided speech perception outcomes even with adequate audibility. Sociodemographic characteristics and comorbidities were compiled using electronic medical records as was self-report measures of hearing disability. We identified a cohort of 137,500 unique Veterans with 232,789 audiograms demonstrating bilateral severe or worse hearing loss (four-frequency PTA > 70 dB HL). The median (IQR; range) age of Veterans at their first audiogram with severe or worse hearing loss was 81 years (74 to 87; 21-90+), and a majority were male (136,087 [99%]) and non-Hispanic white (107,798 [78.4%]). Among those with bilateral severe or worse hearing loss, 41,901 (30.5%) also had poor speech recognition scores (<50% words), with greater hearing loss severity correlating with worse speech perception. We observed variability in speech perception abilities in those with moderate-severe and greater levels of hearing loss who may derive limited benefit from amplification. Veterans with communication challenges may warrant alternative approaches and treatment strategies such as cochlear implants to support communication needs.</abstract><cop>United States</cop><pmid>39113646</pmid><doi>10.1177/23312165241273393</doi><orcidid>https://orcid.org/0000-0002-9136-6483</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Trends in hearing, 2024-01, Vol.28, p.23312165241273393 |
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| source | MEDLINE; Sage Journals GOLD Open Access 2024; PubMed Central |
| subjects | Adult Aged Aged, 80 and over Auditory Threshold Female Hearing Aids Hearing Loss - diagnosis Hearing Loss - epidemiology Humans Male Middle Aged Persons With Hearing Impairments - psychology Prevalence Severity of Illness Index Speech Perception United States - epidemiology United States Department of Veterans Affairs Veterans Veterans Health Young Adult |
| title | Prevalence and Characteristics of Veterans with Severe Hearing Loss: A Descriptive Study |
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