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. 2014 May-Jun;35(3):e44-51.
doi: 10.1097/AUD.0000000000000010.

Hearing in middle age: a population snapshot of 40- to 69-year olds in the United Kingdom

Piers Dawes  1 , Heather Fortnum, David R Moore, Richard Emsley, Paul Norman, Karen Cruickshanks, Adrian Davis, Mark Edmondson-Jones, Abby McCormack, Mark Lutman, Kevin Munro
Affiliations

Hearing in middle age: a population snapshot of 40- to 69-year olds in the United Kingdom

Piers Dawes et al. Ear Hear. 2014 May-Jun.

Abstract

Objectives: To report population-based prevalence of hearing impairment based on speech recognition in noise testing in a large and inclusive sample of U.K. adults aged 40 to 69 years. The present study is the first to report such data. Prevalence of tinnitus and use of hearing aids is also reported.

Design: The research was conducted using the UK Biobank resource. The better-ear unaided speech reception threshold was measured adaptively using the Digit Triplet Test (n = 164,770). Self-report data on tinnitus, hearing aid use, noise exposure, as well as demographic variables were collected.

Results: Overall, 10.7% of adults (95% confidence interval [CI] 10.5-10.9%) had significant hearing impairment. Prevalence of tinnitus was 16.9% (95%CI 16.6-17.1%) and hearing aid use was 2.0% (95%CI 1.9-2.1%). Odds of hearing impairment increased with age, with a history of work- and music-related noise exposure, for lower socioeconomic background and for ethnic minority backgrounds. Males were at no higher risk of hearing impairment than females.

Conclusions: Around 1 in 10 adults aged 40 to 69 years have substantial hearing impairment. The reasons for excess risk of hearing impairment particularly for those from low socioeconomic and ethnic minority backgrounds require identification, as this represents a serious health inequality. The underuse of hearing aids has altered little since the 1980s, and is a major cause for concern.

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Figures

Fig. 1
Fig. 1
Prevalence (%) of hearing disability based on Digit Triplet Test performance in the better ear by age group. Error bars show the 95% confidence interval for performance outside the normal range (insufficient/poor).
Fig. 2
Fig. 2
Prevalence (%) of self-reported tinnitus by age group. Tinnitus identification was based on self-report of ringing or buzzing in the head or one or both ears that lasts for more than five minutes at a time and is currently experienced at least some of the time. Error bars show the 95% confidence interval.
Fig. 3
Fig. 3
Prevalence (%) of self-reported hearing aid use by age group. Error bars show the 95% confidence interval.
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References

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