Prevalence of hearing loss in infants 624,can an ear infection cause temporary tinnitus 2014,mild hearing loss high frequency letra,high blood pressure symptoms tinnitus oido - For Begninners

30.06.2015
EuroTrak I, which looks at consumers’ self-reported hearing loss and hearing aid use, reveals many correlates with the US MarkeTrak VIII data. The findings in the following article show many correlations between EuroTrak and MarkeTrak data.
Importantly, the study shows that hearing aid owners are highly satisfied with their hearing care professionals, and that those who own a newer hearing aid (<4 years of age) are significantly more satisfied with their devices. Nevertheless, the results also show challenges and opportunities for improvement in hearing aid design and delivery, particularly for improving performance in difficult listening situations. It is EHIMA’s intention to repeat the surveys in the three countries on a regular basis. A questionnaire was developed with the goal of compiling important data in the European countries, with maximum correlation to the North American MarkeTrak surveys. During June and July 2009 (Germany) and December 2009 (France and UK), a short survey was mailed to online panel members in the three countries. The reader should keep in mind that the data presented in this article are based on stated (self-reported) hearing loss, and thus will most likely differ from studies using objective measures of hearing loss. Figure 2 shows hearing aid adoption rates of the entire population, as well as based on people who say they have a hearing loss in one or both ears. EuroTrak indicates that one-half (47%) of hearing aid owners in the UK have binaural fittings, while 58% and 60% in France and Germany have binaural fittings, respectively (Figure 3). Figure 4 illustrates hearing aid adoption rates by age and country based on those who state they have a hearing loss.
A comparison of the European countries shows that adoption rates are highest in the UK for nearly all age groups. Table 2 presents hearing aid adoption rates in the first column (percentage hearing aid owners of all people with stated hearing loss) by different demographics. Table 2 also shows demography expressed as percentages for both the hearing aid owner and non-owner populations.
Table 3 shows the key reasons influencing the purchase of hearing aids, measured using a multi-response question (ie, the hearing aid owners were allowed to choose all options that applied to them). In the German and French surveys, hearing aid owners were asked whether their hearing aids were paid (fully or partly) by a third party (in Germany, by Krankenkasse, Invalidenversicherung oder Unfallversicherung; in France, assurance gouvernement, etc). Figure 5 shows that 52% in France and 79% in Germany of the respective hearing aid owners were aware that they received some third-party payment, while 74% in the UK received free-of-charge NHS instruments.
There is strong evidence for an information deficit relative to third-party payment for hearing aids: only 30% and 31% of non-owners with hearing impairment in Germany and the UK (respectively) were aware of possible third-party payment for hearing aids. Table 4 shows the overall satisfaction with hearing aids for the entire hearing aid population, as well as for hearing aids that were purchased within the last 4 years. It is also noteworthy that there are some differences across countries with regard to the level of overall satisfaction. Figure 6 shows detailed customer satisfaction ratings (percent satisfied) for different criteria by country. The differences across the countries correlate with the differences in overall satisfaction shown in Table 4. Non-adopters with an admitted hearing loss were presented with possible reasons for their decision not to use hearing aids.
When not using a hearing aid, how difficult is it for you to follow conversations in the presence of noise? The data show that people tend to believe that their hearing loss is too mild or that they would not benefit from hearing aids.
It is difficult to determine the origins of their belief that hearing aids won’t help them, but there is evidence that their beliefs about their hearing are influenced by medical advice.
Inversely, it is worth noting that, when people with self-reported hearing loss in Germany, France, and the UK seek professional advice from ENTs and GPs, they are advised to see a hearing care professional in 58% to 71% of the cases (depending on country and profession). In the United States, MarkeTrak reports that only 14% of those who visited their family doctor for a health check were offered a hearing screening test. To the authors’ knowledge, this is the first time that consumer survey data about hearing, hearing loss, and hearing aids from the major European markets were reported and compared with US market data. Binaural hearing aid use in Germany (60%), France (58%), and the UK (47%) is significantly lower than in the United States (74%). In all countries analyzed, the adoption rate (people with hearing aid divided by the people with stated hearing loss) is highest for people over age 74 and declines with younger age, but increases again for the youngest segments. The top reason for non-adoption in Germany and the UK is that people believe they can hear well enough, while in France the top reason relates to affordability.
About half (52%) of French hearing aid owners and four-fifths (79%) of German owners received some form of third-party payment assistance, compared to 39.7% of people in the US (2008 data, includes VA dispensing). Satisfaction is generally high with dispensing professionals, as well as with hearing aid use in easy listening situations.
Hearing aid owners are more likely to have a bilateral loss than non-owners and are more likely to have a perceived severe-to-profound hearing loss. Non-adopters are significantly younger and more often employed compared to hearing aid owners who are more often retired. The authors thank Sergei Kochkin, PhD, executive director of the Better Hearing Institute, Washington, DC, for reviewing this article and consulting on the EuroTrak survey design and methodology. However, in the 1998 revised criteria for a recommended standard for occupational noise exposure, NIOSH researchers published risk estimates for hearing loss as a function of years of exposure and noise exposure level. Additionally, as part of the NIOSH Project SENSOR surveillance effort, a limited amount of data on other aspects of occupational hearing loss has also been gathered.
Of the 28,400 cases of occupational hearing loss recorded in 2004, the majority were from the manufacturing sector.


Additionally, it should be noted that hearing loss may not be well documented in the construction sector because these workers are not required to be given hearing tests.
Worldwide data show that hearing loss prevalence increases dramatically with age, affecting between 25% and 40% of adults over 65, 40% to 66% of adults over 75, and 80% of adults over 85 years (Pascolini and Smith, 2008).
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Nevertheless, demographic differences and divergent health care systems appear to impact hearing loss awareness, ownership of hearing aids (adoption), and other factors related to hearing aid use—including customer satisfaction. These improvements are evident for sound quality and signal processing criteria, and indicate that users benefit from new-generation hearing aid technology. This will deliver longitudinal data and the opportunity to study trends in the European markets—trends that can be compared with related US trends. This correlation allows us not only to study similarities and differences between the markets, but also to draw conclusions for European markets based on the more extensive survey material in MarkeTrak.
The samples were balanced based on census information with respect to age and gender, as well as region.
Notably, MarkeTrak relies on a mailed questionnaire, while EuroTrak relies on an online questionnaire. Hearing loss prevalence in percentage of the entire population and of the population 18 years or older. Hearing loss prevalence and hearing aid adoption rates, based on stated hearing loss on the screening survey.
While there are many potential reasons why stated hearing loss prevalence differs from one country to another (eg, different health care systems, cultural differences, etc), the structure of the aging population pyramid may best explain the higher figure for Germany. As perhaps expected, the UK has the highest percentage of hearing aid owners relative to those who report having a hearing loss (38.6%) due to the free provision of hearing aids by the National Health Service (NHS).
These rates are comparable to US MarkeTrak figures from the 1990s (51% in 1991, 52% in 1994, and 60% in 1997),1 but are significantly lower than the 74% binaural fittings measured in MarkeTrak VIII (2008).
Binaural hearing aid use, as found in EuroTrak 2009 (all owned hearing aids) and the US MarkeTrak VIII for 2008 (current year only).
Hearing aid adoption rates by age and country, based on stated hearing loss on screening surveys. Thus, in this case, one goal for US dispensers and related organizations might be a concerted push for parity with their European counterparts in this regard. While aggregate adoption rate in France is similar to that in Germany, there is a tendency of higher adoption rates within the older age groups in Germany relative to France, and vice versa for the younger segments.
Hearing loss population by ears impaired and perceived loss: hearing aid owners versus non-owners.
In all countries analyzed, hearing aid owners are more likely to have a bilateral loss than non-owners (eg, 75% versus 57% in Germany) and are more likely to have a perceived severe-to-profound hearing loss (eg, 64% versus 19% in Germany). In the United States, there are relatively more male hearing aid owners compared to the three European countries. Hearing aid adoption rates and populations by selected demography and countries, based on screening surveys.
Key reasons for purchasing a hearing aid, in descending order for the three European countries. One should be aware that the US MarkeTrak data isolate first-time purchasers only, while the EuroTrak data show the answers of all hearing aid owners. The role of the ENT or ear doctor seems to be less dominant in the UK and the US compared to Germany and France. In the UK study, they were asked if they bought their hearing aids in the private sector or they received free-of-charge NHS hearing aids. From MarkeTrak VIII, we know that third-party payment in the United States for 2008 (current year only) was 39.7%, including aids provided by the Department of Veterans Affairs (VA). Compared to the entire hearing aid owner population, the overall satisfaction for those who purchased their hearing aids within the last 4 years is higher (by 5 percentage points). The data demonstrate that there are more hearing aids in the drawer in the United States compared to Europe—an extremely interesting fact that warrants further investigation. Note that, while the European data refer to all hearing aid users, the US data (dotted line) refer to owners with hearing aids purchased within the last 4 years, and may therefore be biased toward better values (they are presented here only for interest, and cannot be assumed to be on par with the overall user populations in the European countries). The data show similar results on a lower level from the perspective of close relatives or housemates of these hearing aid owners.
Reasons why people with hearing loss do not use hearing aids; top 50% of hearing loss sorted by overall average rank across the European countries. For the following analysis of the reasons for non-adoption, only the second group of non-owners (top 50% of people with hearing loss) were included, as their perceived degree of hearing impairment was similar to that of hearing aid owners. This means that people with self-reported hearing loss will not be recommended to seek further assistance 42% to 29% of the time.
This percentage has been relatively static, despite a law passed in 2003 that encouraged doctors to include hearing screening in their health checks. In light of the proven benefits of binaural amplification, this appears to be an issue that should be addressed by European dispensers and third-party payors. Of every 100 people with stated hearing loss in these countries, 39 to 45 do not get positive medical advice relative to hearing aids.
Another generally important reason for non-adoption is that people believe hearing aids are uncomfortable.
In all countries, hearing aid owners who own a new-generation hearing aid are significantly more satisfied compared to the overall hearing aid population. Depending on the definition of exposure and impairment, NIOSH estimates that there are between 5 and 30 million workers in the U.S.


As shown in Table 1, the 1997 NIOSH analysis of those frequencies likely to be affected by noise (1, 2, 3, and 4 kHz; see highlighted column) demonstrates 1 in 4 workers (25%) will become hearing impaired at exposures to 90 dBA.
However, in response to NIOSH recommendations, OSHA updated requirements in 2003 for recording occupational illness and injury. The number of recorded cases of hearing loss is likely to be an underestimate of work-related hearing loss cases for several reasons. Finally, only the small number of workers in the mining sector who are covered by OSHA (rather than MSHA) would have qualifying hearing losses recorded on an OSHA Log 300.
1 in 10 Canadians are living with some degree of hearing loss, and between 20 and 40% of adults over 65 report a significant hearing loss. However, hearing loss does not just affect older people; in the United States, 65% of people with a hearing loss are younger than 65 (Kochkin, 2005). Europeans’ overall satisfaction with hearing aids is relatively high (72% to 86%, depending on country) and comparable to figures in North America (74%).
It is the ambition to develop EuroTrak to become a point of reference for different stakeholders. In Europe, the relative proportion of elderly people is highest in Germany, and much has been made of that country’s zero or even negative population growth. The benefits of binaural amplification have been proven in myriad studies, and EuroTrak data demonstrate that one goal for European dispensers might be a concerted push for parity in this regard. It declines with decreasing age, but increases again for the younger segments, especially in Europe.
Hearing-impaired non-owners were asked related questions to get an indication of their knowledge about the possibility of third-party payment. For comparison, MarkeTrak VIII1 shows that 40% of US hearing aid purchases involved some form of third-party payment (including VA). Nevertheless, the spread of the values across the countries gets higher for the difficult listening situations and sound-quality criteria.
Strikingly, only a slight increase in screenings occurred in individuals age 65+ following this stipulation. EuroTrak points to a remarkable information deficit among hearing-impaired non-owners concerning the third-party payment available to them. Satisfaction for hearing aids that were purchased 4 years ago or less ranges from 77% to 91%. By comparison, 1 in 12 workers (8%) are at risk of becoming hearing impaired at exposures to 85 dBA. A new regulation (29 CFR 1910.04 mandated that beginning in 2004 occupational hearing loss must be recorded on the OSHA Log 300. First, the OSHA criteria for a significant decrease in hearing from a workera€™s baseline hearing test, a standard threshold shift (STS), is much lower than the criteria needed to record changes on an OSHA Log 300. Nevertheless, the new requirement to record work-related hearing loss is a major improvement in our ability to monitor the incidence of occupational hearing loss. In Canada, hearing loss is the 3rd most common chronic condition behind arthritis and high blood pressure (Statistics Canada, 2002). Overall satisfaction with newer generation devices (77% to 91%) is even higher, and hearing aids are shown to have a positive impact on the quality of life of hearing-impaired individuals.
However, it is the authors’ belief that the general conclusions, based on the comparison of the studies, remain unaffected. Since hearing loss is associated with aging (presbycusis), a higher prevalence of hearing loss would be expected there. As might be expected, retired people have the highest adoption rate, which is doubtlessly correlated with their age (for a comparison of age groups, see the above discussion relating to Figure 4). Additionally, any of these factors are potentially influenced by the existing reimbursement schemes in each country. It has been shown that these tend to be the criteria where the biggest improvements for new hearing aid generations can be observed. For the European countries, it was shown that hearing aids have a positive impact on quality of life.
In November of 2005 the Bureau of Labor Statistics reported the results for this first year of recording occupational hearing loss (Figure 3). Furthermore, non-owners are more often employed compared to hearing aid owners, who are more often retired.
Another important reason for non-adoption is that people believe hearing aids are uncomfortable.
There is little data regarding details associated with the number of workers with occupational hearing loss. This is because there has been no requirement, and hence no mechanism, for recording such data. There are numerous cases of hearing loss in children - hearing loss affects all age groups. Since most people with hearing impairments hear well in a quiet environment like a doctor's office, it can be virtually impossible for your physician to recognize the extent of your problem.
Without special training, and an understanding of the nature of hearing loss, it may be difficult for your doctor to even realize that you have a hearing problem.



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