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.

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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: Dillard, Lauren K.1 dillalau@musc.edu, Dubno, Judy R.1, Nelson-Bakkum, Erin R.2, Schultz, Amy2
Source: Journal of Speech, Language & Hearing Research. Nov2025, Vol. 68 Issue 11, p5570-5581. 12p.
Subject Terms: *Auditory perception testing, *Self-evaluation, *Disability determination, *Audiometry, *Hearing disorders, Risk assessment, Research funding, Health status indicators, Hearing aids, Socioeconomic factors, Logistic regression analysis, Sex distribution, Questionnaires, Descriptive statistics, Age distribution, Odds ratio, Race, Tinnitus, Psychometrics, Marital status, Confidence intervals, Health outcome assessment, Disease risk factors
Geographic Terms: Wisconsin
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Speech, Language & Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: 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.
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  Data: 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&#39; mean RHHI-S score was 11.0 (SD = 10.9) points. Factors associated with higher RHHI-S scores included male sex (among participants &gt; 65 years), younger age of self-reported hearing loss onset, high school/GED education or less (among participants &lt; 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. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of Speech, Language &amp; Hearing Research is the property of American Speech-Language-Hearing Association and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1044/2025_JSLHR-25-00407
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        Text: English
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      – SubjectFull: Auditory perception testing
        Type: general
      – SubjectFull: Self-evaluation
        Type: general
      – SubjectFull: Disability determination
        Type: general
      – SubjectFull: Audiometry
        Type: general
      – SubjectFull: Hearing disorders
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      – SubjectFull: Risk assessment
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      – SubjectFull: Research funding
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      – SubjectFull: Health status indicators
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      – SubjectFull: Hearing aids
        Type: general
      – SubjectFull: Socioeconomic factors
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      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Sex distribution
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      – SubjectFull: Questionnaires
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Age distribution
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      – SubjectFull: Odds ratio
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      – SubjectFull: Marital status
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      – SubjectFull: Confidence intervals
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      – SubjectFull: Health outcome assessment
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      – SubjectFull: Disease risk factors
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      – SubjectFull: Wisconsin
        Type: general
    Titles:
      – TitleFull: 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.
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              Text: Nov2025
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