Comparing Criteria of Hearing Impairment in the Elderly A Functional Approach Research Article
Research Article  |   December 01, 1989
Comparing Criteria of Hearing Impairment in the Elderly
 
Author Affiliations & Notes
  • Fred H. Bess
    Vanderbilt University School of Medicine and Bill Wilkerson Hearing and Speech Center
  • Michael J. Lichtenstein
    Division of General Internal Medicine, Vanderbilt University School of Medicine
  • Susan A. Logan
    Vanderbilt University School of Medicine and Bill Wilkerson Hearing and Speech Center
  • M. Candice Burger
    Division of General Internal Medicine, Vanderbilt University School of Medicine
Article Information
Research Articles
Research Article   |   December 01, 1989
Comparing Criteria of Hearing Impairment in the Elderly
Journal of Speech, Language, and Hearing Research, December 1989, Vol. 32, 795-802. doi:10.1044/jshr.3204.795
History: Received December 8, 1988 , Accepted April 13, 1989
 
Journal of Speech, Language, and Hearing Research, December 1989, Vol. 32, 795-802. doi:10.1044/jshr.3204.795
History: Received December 8, 1988; Accepted April 13, 1989

We determined and compared the associations of four commonly used audiometric criteria of hearing impairment with two functional outcome measures in 152 aged persons screened in primary care medicine practices. The outcome measures were the Sickness Impact Profile (SIP, a measure of global function), and the Hearing Handicap Inventory for the Elderly-Screening Version (HHIE-S, a communication-specific measure of functional impairment).

There were five main findings. (1) The four criteria of hearing loss were not independent. (2) The criterion of loss chosen depends on the functional measure of impairment. (3) Functional hearing impairment may also be classified by the number of criteria met. (4) A large subset (21%) of aged persons met one criterion but had little in the way of communicative or global dysfunction. (5) Hearing handicap as measured by the HHIE-S was directly associated with global dysfunction as measured by the SIP.

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