Aging and hearing health: the life-course approach

Adrian Davis, Catherine M. McMahon, Kathleen M. Pichora-Fuller, Shirley Russ, Frank Lin, Bolajoko O. Olusanya, Shelly Chadha, Kelly L. Tremblay

Research output: Contribution to journalReview articleResearchpeer-review

Abstract

Sensory abilities decline with age. More than 5% of the world's population, approximately 360 million people, have disabling hearing loss. In adults, disabling hearing loss is defined by thresholds greater than 40 dBHL in the better hearing ear. Hearing disability is an important issue in geriatric medicine because it is associated with numerous health issues, including accelerated cognitive decline, depression, increased risk of dementia, poorer balance, falls, hospitalizations, and early mortality. There are also social implications, such as reduced communication function, social isolation, loss of autonomy, impaired driving ability, and financial decline. Furthermore, the onset of hearing loss is gradual and subtle, first affecting the detection of high-pitched sounds and with difficulty understanding speech in noisy but not in quiet environments. Consequently, delays in recognizing and seeking help for hearing difficulties are common. Age-related hearing loss has no known cure, and technologies (hearing AIDS, cochlear implants, and assistive devices) improve thresholds but do not restore hearing to normal. Therefore, health care for persons with hearing loss and people within their communication circles requires education and counseling (e.g., increasing knowledge, changing attitudes, and reducing stigma), behavior change (e.g., adapting communication strategies), and environmental modifications (e.g., reducing noise). In this article, we consider the causes, consequences, and magnitude of hearing loss from a life-course perspective. We examine the concept of "hearing health," how to achieve it, and implications for policy and practice.

LanguageEnglish
PagesS256-S267
Number of pages12
JournalGerontologist
Volume56
Issue numberS2
DOIs
Publication statusPublished - 1 Apr 2016

Fingerprint

Hearing Loss
Hearing
Health
Aptitude
Communication
Self-Help Devices
Social Isolation
Cochlear Implants
Geriatrics
Ear
Dementia
Noise
Counseling
Acquired Immunodeficiency Syndrome
Hospitalization
Medicine
Depression
Technology
Delivery of Health Care
Education

Keywords

  • Audiology
  • Geriatrics
  • Hearing AIDS
  • Hearing loss
  • Rehabilitation

Cite this

Davis, A., McMahon, C. M., Pichora-Fuller, K. M., Russ, S., Lin, F., Olusanya, B. O., ... Tremblay, K. L. (2016). Aging and hearing health: the life-course approach. Gerontologist, 56(S2), S256-S267. https://doi.org/10.1093/geront/gnw033
Davis, Adrian ; McMahon, Catherine M. ; Pichora-Fuller, Kathleen M. ; Russ, Shirley ; Lin, Frank ; Olusanya, Bolajoko O. ; Chadha, Shelly ; Tremblay, Kelly L. / Aging and hearing health : the life-course approach. In: Gerontologist. 2016 ; Vol. 56, No. S2. pp. S256-S267.
@article{832911aa2f3745d5a10448b7dab14125,
title = "Aging and hearing health: the life-course approach",
abstract = "Sensory abilities decline with age. More than 5{\%} of the world's population, approximately 360 million people, have disabling hearing loss. In adults, disabling hearing loss is defined by thresholds greater than 40 dBHL in the better hearing ear. Hearing disability is an important issue in geriatric medicine because it is associated with numerous health issues, including accelerated cognitive decline, depression, increased risk of dementia, poorer balance, falls, hospitalizations, and early mortality. There are also social implications, such as reduced communication function, social isolation, loss of autonomy, impaired driving ability, and financial decline. Furthermore, the onset of hearing loss is gradual and subtle, first affecting the detection of high-pitched sounds and with difficulty understanding speech in noisy but not in quiet environments. Consequently, delays in recognizing and seeking help for hearing difficulties are common. Age-related hearing loss has no known cure, and technologies (hearing AIDS, cochlear implants, and assistive devices) improve thresholds but do not restore hearing to normal. Therefore, health care for persons with hearing loss and people within their communication circles requires education and counseling (e.g., increasing knowledge, changing attitudes, and reducing stigma), behavior change (e.g., adapting communication strategies), and environmental modifications (e.g., reducing noise). In this article, we consider the causes, consequences, and magnitude of hearing loss from a life-course perspective. We examine the concept of {"}hearing health,{"} how to achieve it, and implications for policy and practice.",
keywords = "Audiology, Geriatrics, Hearing AIDS, Hearing loss, Rehabilitation",
author = "Adrian Davis and McMahon, {Catherine M.} and Pichora-Fuller, {Kathleen M.} and Shirley Russ and Frank Lin and Olusanya, {Bolajoko O.} and Shelly Chadha and Tremblay, {Kelly L.}",
year = "2016",
month = "4",
day = "1",
doi = "10.1093/geront/gnw033",
language = "English",
volume = "56",
pages = "S256--S267",
journal = "Gerontologist",
issn = "0016-9013",
publisher = "OXFORD UNIV PRESS INC",
number = "S2",

}

Davis, A, McMahon, CM, Pichora-Fuller, KM, Russ, S, Lin, F, Olusanya, BO, Chadha, S & Tremblay, KL 2016, 'Aging and hearing health: the life-course approach', Gerontologist, vol. 56, no. S2, pp. S256-S267. https://doi.org/10.1093/geront/gnw033

Aging and hearing health : the life-course approach. / Davis, Adrian; McMahon, Catherine M.; Pichora-Fuller, Kathleen M.; Russ, Shirley; Lin, Frank; Olusanya, Bolajoko O.; Chadha, Shelly; Tremblay, Kelly L.

In: Gerontologist, Vol. 56, No. S2, 01.04.2016, p. S256-S267.

Research output: Contribution to journalReview articleResearchpeer-review

TY - JOUR

T1 - Aging and hearing health

T2 - Gerontologist

AU - Davis, Adrian

AU - McMahon, Catherine M.

AU - Pichora-Fuller, Kathleen M.

AU - Russ, Shirley

AU - Lin, Frank

AU - Olusanya, Bolajoko O.

AU - Chadha, Shelly

AU - Tremblay, Kelly L.

PY - 2016/4/1

Y1 - 2016/4/1

N2 - Sensory abilities decline with age. More than 5% of the world's population, approximately 360 million people, have disabling hearing loss. In adults, disabling hearing loss is defined by thresholds greater than 40 dBHL in the better hearing ear. Hearing disability is an important issue in geriatric medicine because it is associated with numerous health issues, including accelerated cognitive decline, depression, increased risk of dementia, poorer balance, falls, hospitalizations, and early mortality. There are also social implications, such as reduced communication function, social isolation, loss of autonomy, impaired driving ability, and financial decline. Furthermore, the onset of hearing loss is gradual and subtle, first affecting the detection of high-pitched sounds and with difficulty understanding speech in noisy but not in quiet environments. Consequently, delays in recognizing and seeking help for hearing difficulties are common. Age-related hearing loss has no known cure, and technologies (hearing AIDS, cochlear implants, and assistive devices) improve thresholds but do not restore hearing to normal. Therefore, health care for persons with hearing loss and people within their communication circles requires education and counseling (e.g., increasing knowledge, changing attitudes, and reducing stigma), behavior change (e.g., adapting communication strategies), and environmental modifications (e.g., reducing noise). In this article, we consider the causes, consequences, and magnitude of hearing loss from a life-course perspective. We examine the concept of "hearing health," how to achieve it, and implications for policy and practice.

AB - Sensory abilities decline with age. More than 5% of the world's population, approximately 360 million people, have disabling hearing loss. In adults, disabling hearing loss is defined by thresholds greater than 40 dBHL in the better hearing ear. Hearing disability is an important issue in geriatric medicine because it is associated with numerous health issues, including accelerated cognitive decline, depression, increased risk of dementia, poorer balance, falls, hospitalizations, and early mortality. There are also social implications, such as reduced communication function, social isolation, loss of autonomy, impaired driving ability, and financial decline. Furthermore, the onset of hearing loss is gradual and subtle, first affecting the detection of high-pitched sounds and with difficulty understanding speech in noisy but not in quiet environments. Consequently, delays in recognizing and seeking help for hearing difficulties are common. Age-related hearing loss has no known cure, and technologies (hearing AIDS, cochlear implants, and assistive devices) improve thresholds but do not restore hearing to normal. Therefore, health care for persons with hearing loss and people within their communication circles requires education and counseling (e.g., increasing knowledge, changing attitudes, and reducing stigma), behavior change (e.g., adapting communication strategies), and environmental modifications (e.g., reducing noise). In this article, we consider the causes, consequences, and magnitude of hearing loss from a life-course perspective. We examine the concept of "hearing health," how to achieve it, and implications for policy and practice.

KW - Audiology

KW - Geriatrics

KW - Hearing AIDS

KW - Hearing loss

KW - Rehabilitation

UR - http://www.scopus.com/inward/record.url?scp=84964339354&partnerID=8YFLogxK

U2 - 10.1093/geront/gnw033

DO - 10.1093/geront/gnw033

M3 - Review article

VL - 56

SP - S256-S267

JO - Gerontologist

JF - Gerontologist

SN - 0016-9013

IS - S2

ER -

Davis A, McMahon CM, Pichora-Fuller KM, Russ S, Lin F, Olusanya BO et al. Aging and hearing health: the life-course approach. Gerontologist. 2016 Apr 1;56(S2):S256-S267. https://doi.org/10.1093/geront/gnw033