dc.contributor.author |
Brennan-Jones, Christopher G.
|
|
dc.contributor.author |
Taljaard, Dunay Schmulian
|
|
dc.contributor.author |
Brennan-Jones, Sophie E.F.
|
|
dc.contributor.author |
Bennett, Rebecca J.
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|
dc.contributor.author |
Swanepoel, De Wet
|
|
dc.contributor.author |
Eikelboom, Robert H.
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|
dc.date.accessioned |
2016-06-24T06:04:16Z |
|
dc.date.issued |
2016-04 |
|
dc.description.abstract |
OBJECTIVE : To examine whether self-reported hearing difficulty is an accurate measure of hearing loss compared with standard hearing screening with pure tone audiometry in rural and urban communities. DESIGN : Convenience sampling. SETTING : Urban and rural areas of Western Australia. PARTICIPANTS : A total of 2090 participants (923 men; 1165 women; 2 unknown) aged 20-100 years presenting for community-based hearing screening in urban (982) and rural (1090) areas. INTERVENTIONS : Self-reported hearing difficulty assessed with the Hearing Handicap Inventory for the Elderly - Screening questionnaire. Hearing loss defined as average hearing thresholds >25 dB in the better ear using screening audiometry conducted at 500, 1000, 2000 and 4000 Hz. MAIN OUTCOME MEASURES : Nil. RESULTS : The Hearing Handicap Inventory for the Elderly - Screening was sensitive (≥60 years = 76.69%; <60 years = 71.67%) but not specific (≥60 years = 45.15%; <60 years = 49.63%) for identifying hearing loss. The <60 age group had a hearing loss prevalence of 25.6%, and a false-positive rate of 67.12% compared with a prevalence of 69.12% and false-positive rate of 29.77% for the ≥60 age group. For all ages, rural participants were more likely to have a disabling hearing loss (odds ratio 2.04 (95% confidence interval, 1.55-2.67); χ(2) (1) = 27.28; P < 0.001), but there were no significant differences in hearing aid uptake. CONCLUSIONS :
Patients in rural areas presenting for hearing screenings are more likely to suffer hearing loss than adults in urban areas. We suggest rural health practitioners incorporate a self-reported hearing loss questionnaire into health check-ups for adults, particularly patients aged ≥60 years due to the high prevalence of hearing loss in this group. |
en_ZA |
dc.description.department |
Speech-Language Pathology and Audiology |
en_ZA |
dc.description.embargo |
2017-04-30 |
|
dc.description.librarian |
hb2016 |
en_ZA |
dc.description.sponsorship |
Lions Hearing Foundation (WA). |
en_ZA |
dc.description.uri |
http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1440-1584 |
en_ZA |
dc.identifier.citation |
Brennan-Jones, CG, Taljaard, DS, Brennan-Jones, SEF, Bennett, RJ, Swanepoel, D & Eikelboom, RH 2016, 'Self-reported hearing loss and manual audiometry : a rural versus urban comparison', Australian Journal of Rural Health, vol. 24, no. 2, pp. 130-135 |
en_ZA |
dc.identifier.issn |
1038-5282 (print) |
|
dc.identifier.issn |
1440-1584 (online) |
|
dc.identifier.other |
10.1111/ajr.12227 |
|
dc.identifier.uri |
http://hdl.handle.net/2263/53379 |
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dc.language.iso |
en |
en_ZA |
dc.publisher |
Wiley |
en_ZA |
dc.rights |
© National Rural Health Alliance Inc. This is the pre-peer reviewed version of the following article : Self-reported hearing loss and manual audiometry : a rural versus urban comparison, Australian Journal of Rural Health, vol. 24, no. 2, pp. 130-135, 2016. doi : 10.1111/ajr.12227. The definite version is available at : http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1440-1584. |
en_ZA |
dc.subject |
Hearing loss |
en_ZA |
dc.subject |
Hearing screening |
en_ZA |
dc.subject |
Primary health |
en_ZA |
dc.subject |
Rural health |
en_ZA |
dc.subject |
Self-report |
en_ZA |
dc.title |
Self-reported hearing loss and manual audiometry : a rural versus urban comparison |
en_ZA |
dc.type |
Postprint Article |
en_ZA |