Lauren K Dillard, Judy R Dubno, Erin R Nelson-Bakkum, Amy Schultz
{"title":"在修订的听力障碍量表中与自我报告的听力困难相关的因素及其与助听器使用的关系:来自威斯康星州健康人群调查的结果","authors":"Lauren K Dillard, Judy R Dubno, Erin R Nelson-Bakkum, Amy Schultz","doi":"10.1044/2025_JSLHR-25-00407","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to determine the (a) factors associated with self-reported hearing difficulty and (b) relationship of self-reported hearing difficulty with hearing aid use.</p><p><strong>Method: </strong>This cross-sectional study was conducted among participants of the population-based Survey of the Health of Wisconsin cohort who self-reported hearing loss. Among those participants, self-reported hearing difficulty was measured using the Revised Hearing Handicap Inventory, screening version (RHHI-S). We used age- and sex-adjusted linear and logistic regression models, respectively, to evaluate associations of (a) demographic, hearing- and health-related factors with RHHI-S scores, and (b) RHHI-S scores with self-reported hearing aid use. Results are presented as regression coefficients or odds ratios (<i>OR</i>s) with 95% confidence intervals (CIs).</p><p><strong>Results: </strong>This study included 137 participants, with a mean age of 63.7 (<i>SD</i> = 12.1) years, 48.2% male, and 24.3% Black race. Participants' mean RHHI-S score was 11.0 (<i>SD</i> = 10.9) points. Factors associated with higher RHHI-S scores included male sex (among participants ≥ 65 years), younger age of self-reported hearing loss onset, high school/GED education or less (among participants < 65 years), marital status (never married), tinnitus, history of dizziness or balance problems, and occupational noise exposure. The prevalence of hearing aid use was 23.2%. Every +2-point increase on the RHHI-S was associated with approximately 25% higher odds (<i>OR</i> = 1.25, 95% CI [1.12, 1.39]) of hearing aid use.</p><p><strong>Conclusions: </strong>Demographic, hearing-, and health-related factors were associated with RHHI-S scores, and higher RHHI-S scores were strongly associated with hearing aid use. Findings could inform the implementation of self-reported hearing difficulty tools in clinical and research settings.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.30140890.</p>","PeriodicalId":520690,"journal":{"name":"Journal of speech, language, and hearing research : JSLHR","volume":" ","pages":"1-12"},"PeriodicalIF":2.2000,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Factors Associated With Self-Reported Hearing Difficulty on the Revised Hearing Handicap Inventory and Its Relationship With Hearing Aid Use: Findings From the Population-Based Survey of the Health of Wisconsin.\",\"authors\":\"Lauren K Dillard, Judy R Dubno, Erin R Nelson-Bakkum, Amy Schultz\",\"doi\":\"10.1044/2025_JSLHR-25-00407\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>This study aims to determine the (a) factors associated with self-reported hearing difficulty and (b) relationship of self-reported hearing difficulty with hearing aid use.</p><p><strong>Method: </strong>This cross-sectional study was conducted among participants of the population-based Survey of the Health of Wisconsin cohort who self-reported hearing loss. Among those participants, self-reported hearing difficulty was measured using the Revised Hearing Handicap Inventory, screening version (RHHI-S). We used age- and sex-adjusted linear and logistic regression models, respectively, to evaluate associations of (a) demographic, hearing- and health-related factors with RHHI-S scores, and (b) RHHI-S scores with self-reported hearing aid use. Results are presented as regression coefficients or odds ratios (<i>OR</i>s) with 95% confidence intervals (CIs).</p><p><strong>Results: </strong>This study included 137 participants, with a mean age of 63.7 (<i>SD</i> = 12.1) years, 48.2% male, and 24.3% Black race. Participants' mean RHHI-S score was 11.0 (<i>SD</i> = 10.9) points. Factors associated with higher RHHI-S scores included male sex (among participants ≥ 65 years), younger age of self-reported hearing loss onset, high school/GED education or less (among participants < 65 years), marital status (never married), tinnitus, history of dizziness or balance problems, and occupational noise exposure. The prevalence of hearing aid use was 23.2%. Every +2-point increase on the RHHI-S was associated with approximately 25% higher odds (<i>OR</i> = 1.25, 95% CI [1.12, 1.39]) of hearing aid use.</p><p><strong>Conclusions: </strong>Demographic, hearing-, and health-related factors were associated with RHHI-S scores, and higher RHHI-S scores were strongly associated with hearing aid use. Findings could inform the implementation of self-reported hearing difficulty tools in clinical and research settings.</p><p><strong>Supplemental material: </strong>https://doi.org/10.23641/asha.30140890.</p>\",\"PeriodicalId\":520690,\"journal\":{\"name\":\"Journal of speech, language, and hearing research : JSLHR\",\"volume\":\" \",\"pages\":\"1-12\"},\"PeriodicalIF\":2.2000,\"publicationDate\":\"2025-09-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of speech, language, and hearing research : JSLHR\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1044/2025_JSLHR-25-00407\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of speech, language, and hearing research : JSLHR","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1044/2025_JSLHR-25-00407","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Factors Associated With Self-Reported Hearing Difficulty on the Revised Hearing Handicap Inventory and Its Relationship With Hearing Aid Use: Findings From the Population-Based Survey of the Health of Wisconsin.
Purpose: This study aims to determine the (a) factors associated with self-reported hearing difficulty and (b) relationship of self-reported hearing difficulty with hearing aid use.
Method: This cross-sectional study was conducted among participants of the population-based Survey of the Health of Wisconsin cohort who self-reported hearing loss. Among those participants, self-reported hearing difficulty was measured using the Revised Hearing Handicap Inventory, screening version (RHHI-S). We used age- and sex-adjusted linear and logistic regression models, respectively, to evaluate associations of (a) demographic, hearing- and health-related factors with RHHI-S scores, and (b) RHHI-S scores with self-reported hearing aid use. Results are presented as regression coefficients or odds ratios (ORs) with 95% confidence intervals (CIs).
Results: This study included 137 participants, with a mean age of 63.7 (SD = 12.1) years, 48.2% male, and 24.3% Black race. Participants' mean RHHI-S score was 11.0 (SD = 10.9) points. Factors associated with higher RHHI-S scores included male sex (among participants ≥ 65 years), younger age of self-reported hearing loss onset, high school/GED education or less (among participants < 65 years), marital status (never married), tinnitus, history of dizziness or balance problems, and occupational noise exposure. The prevalence of hearing aid use was 23.2%. Every +2-point increase on the RHHI-S was associated with approximately 25% higher odds (OR = 1.25, 95% CI [1.12, 1.39]) of hearing aid use.
Conclusions: Demographic, hearing-, and health-related factors were associated with RHHI-S scores, and higher RHHI-S scores were strongly associated with hearing aid use. Findings could inform the implementation of self-reported hearing difficulty tools in clinical and research settings.