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Gender and hearing aids: patterns of use and determinants of nonregular use.
Ear Hear. 2011 Nov-Dec; 32(6):e26-37.EH

Abstract

OBJECTIVE

Research addressing gender and hearing has focused mainly on differences in the auditory systems of men and women, communication, and psychological issues. Differences between men and women in the use of hearing aids are less clear. To date, no study has examined the effects of gender on hearing aid use as a primary aim. However, use patterns and underlying reasons for not using hearing aids may differ between men and women, or there might be a gender difference in the impact of some determinants on hearing aid use. A consideration of such factors could increase hearing aid use. Therefore, the aim of the present investigation was to provide information about gender-related influences on hearing aid use by examining differences in usage patterns and determinants of nonregular use.

DESIGN

This study used cross-sectional survey data from 4979 adult male and 3410 adult female hearing aid owners in Switzerland in 2005. The survey data, including self-reported hearing aid use, were matched to the hearing loss data and the hearing aid technical information. Descriptive analyses were performed for the use patterns, age at first fitting, and audiogram slope. The determinants of nonregular use were examined using logistic regression models that were stratified by gender.

RESULTS

Compared with men, women reported a higher prevalence of daily and regular use and a longer daily duration of use of hearing aids. Men more commonly indicated a limited benefit as a reason for nonregular use. The multivariate analyses showed that nonregular use was significantly less likely in women. The audiogram slope strongly contributed to this difference. Stratified analyses showed that for both men and women, poor handling and low satisfaction were associated with a higher likelihood for nonregular hearing aid use. Associations were discrepant for asymmetric hearing loss, which was a risk factor in women but a protective factor in men. Higher risks of nonregular use were found in men with steeper audiogram slopes and longer durations of ownership of their current aids, in women fitted with their first aid in the previous 2 to 5 yr, and in women older than 65 yr.

CONCLUSIONS

Overall, the present study provides evidence of gender-specific factors that influence hearing aid use patterns in men and women and of groups at higher risk for nonregular hearing aid use. Men with steeper audiogram slopes and the other subgroups of men and women with an increased risk for nonregular use should given particular attention when fitting their aids. As common risk factors for nonregular use, poor handling and low satisfaction should be addressed during the fitting process for all users. Further research is needed to clarify the differential influence of asymmetric hearing loss on hearing aid use in men and women. This information could improve hearing aid use and should be incorporated into daily clinical practice.

Authors+Show Affiliations

Swiss Tropical and Public Health Institute, Department of Epidemiology and Public Health, University Hospital Zurich, Switzerland. katharina.staehelin@unibas.chNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21795978

Citation

Staehelin, Katharina, et al. "Gender and Hearing Aids: Patterns of Use and Determinants of Nonregular Use." Ear and Hearing, vol. 32, no. 6, 2011, pp. e26-37.
Staehelin K, Bertoli S, Probst R, et al. Gender and hearing aids: patterns of use and determinants of nonregular use. Ear Hear. 2011;32(6):e26-37.
Staehelin, K., Bertoli, S., Probst, R., Schindler, C., Dratva, J., & Stutz, E. Z. (2011). Gender and hearing aids: patterns of use and determinants of nonregular use. Ear and Hearing, 32(6), e26-37. https://doi.org/10.1097/AUD.0b013e3182291f94
Staehelin K, et al. Gender and Hearing Aids: Patterns of Use and Determinants of Nonregular Use. Ear Hear. 2011 Nov-Dec;32(6):e26-37. PubMed PMID: 21795978.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Gender and hearing aids: patterns of use and determinants of nonregular use. AU - Staehelin,Katharina, AU - Bertoli,Sibylle, AU - Probst,Rudolf, AU - Schindler,Christian, AU - Dratva,Julia, AU - Stutz,Elisabeth Zemp, PY - 2011/7/29/entrez PY - 2011/7/29/pubmed PY - 2012/3/1/medline SP - e26 EP - 37 JF - Ear and hearing JO - Ear Hear VL - 32 IS - 6 N2 - OBJECTIVE: Research addressing gender and hearing has focused mainly on differences in the auditory systems of men and women, communication, and psychological issues. Differences between men and women in the use of hearing aids are less clear. To date, no study has examined the effects of gender on hearing aid use as a primary aim. However, use patterns and underlying reasons for not using hearing aids may differ between men and women, or there might be a gender difference in the impact of some determinants on hearing aid use. A consideration of such factors could increase hearing aid use. Therefore, the aim of the present investigation was to provide information about gender-related influences on hearing aid use by examining differences in usage patterns and determinants of nonregular use. DESIGN: This study used cross-sectional survey data from 4979 adult male and 3410 adult female hearing aid owners in Switzerland in 2005. The survey data, including self-reported hearing aid use, were matched to the hearing loss data and the hearing aid technical information. Descriptive analyses were performed for the use patterns, age at first fitting, and audiogram slope. The determinants of nonregular use were examined using logistic regression models that were stratified by gender. RESULTS: Compared with men, women reported a higher prevalence of daily and regular use and a longer daily duration of use of hearing aids. Men more commonly indicated a limited benefit as a reason for nonregular use. The multivariate analyses showed that nonregular use was significantly less likely in women. The audiogram slope strongly contributed to this difference. Stratified analyses showed that for both men and women, poor handling and low satisfaction were associated with a higher likelihood for nonregular hearing aid use. Associations were discrepant for asymmetric hearing loss, which was a risk factor in women but a protective factor in men. Higher risks of nonregular use were found in men with steeper audiogram slopes and longer durations of ownership of their current aids, in women fitted with their first aid in the previous 2 to 5 yr, and in women older than 65 yr. CONCLUSIONS: Overall, the present study provides evidence of gender-specific factors that influence hearing aid use patterns in men and women and of groups at higher risk for nonregular hearing aid use. Men with steeper audiogram slopes and the other subgroups of men and women with an increased risk for nonregular use should given particular attention when fitting their aids. As common risk factors for nonregular use, poor handling and low satisfaction should be addressed during the fitting process for all users. Further research is needed to clarify the differential influence of asymmetric hearing loss on hearing aid use in men and women. This information could improve hearing aid use and should be incorporated into daily clinical practice. SN - 1538-4667 UR - https://www.unboundmedicine.com/medline/citation/21795978/Gender_and_hearing_aids:_patterns_of_use_and_determinants_of_nonregular_use_ L2 - https://doi.org/10.1097/AUD.0b013e3182291f94 DB - PRIME DP - Unbound Medicine ER -