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Why More People Should Be Wearing Hearing Aids (And Why They Choose Not To)

Hearing aid technology has seen miraculous advancements since their bulky predecessors of the 1970s, with new devices performing more like supercomputers than listening devices. Utilizing artificial intelligence, smartphone capability, and even reading your brain activity, some hearing aids are truly out of this world, helping millions across the globe bring sound back into their lives. Though the technology is impressive, studies continue to show that many choose to forgo hearing aids altogether, even when they can directly benefit. Whether you have obvious hearing loss or still aren’t sure, health experts are indicating that more Americans should be wearing hearing aids.

Hearing Loss is Extremely Common

Whether it is profound or mild, many Americans have hearing loss; 48 million in fact! Hearing loss is not an adult-only problem either, as every 2 to 3 children out of 1000 are born with a detectable level of hearing loss. Unfortunately, the estimates continue to grow. According to the World Health Organization (WHO), over 900 million people may suffer from hearing loss by 2050 across the globe. This is an alarming statistic, as hearing loss comes with many challenges, risks, and quality of life issues for those affected. Untreated hearing loss has been linked to increased risk of dementia, accidental falls, depression, and hospitalizations, making this common impairment a public health concern.

Why Some Decide Against Hearing Aids

Though technology and treatment options have become more advanced, a big percentage of hearing loss cases still go untreated. Various surveys have found that many struggling with hearing loss will wait years before purchasing hearing aids even though their hearing loss is known, some as long as 15 years! Why is this? Unfortunately, there is no simple answer.
Research indicates that stigma plays a large role in the decision-making process of whether to wear hearing aids. A 2009 study published by Dr. Margaret Wallhagen of the University of California San Francisco found that many patients associated hearing loss with aging or being handicapped. “Some people feared that wearing a hearing aid would make them appear unattractive.” explains Dr. Wallhagen, “They worried about the technology drawing attention to their ears and emphasizing their hearing loss.”
Cost is another worry for many. Though most indicate satisfaction with their device after purchasing, many patients believe they may not be worth the price before making the commitment.

What Experts Are Saying

Using hearing aids has been proven to minimize the risks involved with hearing loss and can truly improve the lives of patients. “Instead of worrying about ‘looking old,’ realize that hearing aids are a gift for you, your family, your friends, and everyone else you interact with,” says Dr. Steven Rauch, an otologist with Harvard-affiliated Massachusetts Eye and Ear, “They make everyone’s lives better.”
If you are struggling with hearing loss and have concerns, speak to a hearing health professional to learn about affordable and effective treatment options. Hearing aids will not only protect your health in the long term but will allow you to hear the things that matter to you today.

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The Importance of Child Hearing Screenings and Their Impact on Hearing Loss

Hearing loss is the number one congenital disability in the United States. Whether the hearing loss is congenital or an acquired hearing loss, the consequences of hearing loss can be devastating if left untreated. Even a slight hearing loss can cause speech and language delays that are considered to be educationally significant. These children can have emotional difficulties, perform poorly in school and can suffer from personal-social maladjustments. A child hearing screening is an essential tool in dealing with the loss of hearing. The school hearing screening’s impact on hearing loss is the subject of a new study.

The Problem

Children in North Carolina receive screenings only before the beginning of public school. This practice goes against the recommendations of several organizations guidelines that suggest testing throughout multiple grades. Because of this, hearing loss may go untreated in many children. Because of the potential negative impact of hearing loss on auditory learning and communication, researchers are looking at the effects that screening procedures have on outcomes.

Study Methods

1.181 children in grades kindergarten through ninth grade received a screening at a charter school during the fall of 2016. Two years after this, 862 children in grades kindergarten through eighth grade underwent testing to replicate the previous study findings and to collect additional data if possible. Two hearing healthcare professionals, two speech-language pathologists, and a large group of graduate students took part. The protocol for the screening includes:

  • All children in the study receive a screening at 1, 2, 4, and 6 kHz at 20 dB HL with a minimum of two stimuli before recording a response or no response to the stimuli.
  • The children who fail at least one frequency receive rescreening at 20 dB as a check for reliability. The examiners remove the headphones and reinstruct the child.
  • Any failure to respond at one or more frequencies in either ear is a failure at 25 dB HL.
  • A rescreening of children within three weeks by a clinician who is not familiar with the initial results will need scheduling and a referral for a diagnostic evaluation if they do not pass the rescreening is also a possibility.
  • A hearing healthcare professional will administer otoscopy and tympanometry on all children who fail the initial screening.

Results

According to the conclusions of the study, a comparable number of children failed the screenings for pure tone in 2016 and 2018. This finding suggests that the results are replicable. All of the children failing the rescreening were part of distribution across grades with the majority of failures concentrated in third grade in 2016 and fifth grade in 2018. The otoscopy and tympanometry findings were abnormal in four percent of the children in the 2016 screening and three percent in the 2018 testing. Those students passing the pure tone rescreening at 25 dB received a referral for medical intervention. The results indicate that the screening criterion increases the failure rate of the initial screening.

Indications

The study indicates that a school-wide hearing screening can identify more children with potential hearing loss. More research should take place to recommend universal screening criteria. Although the authors recommend diagnostic testing following a screening, the study indicates that parents are not prone to follow up even when the testing is free. These and other barriers to compliance must receive exposure.