[Use of hearing aids five years after issue].
BACKGROUND
With an annual issue of 100,000 hearing aids in Denmark it is of interest to quantify their use and non-use.


METHODS
Adult reapplicants (n = 1003) with five-year-old hearing aids (median) were interviewed about their hearing aid use, and those possessing unused aids (n = 182) were contacted a year later with a postal questionnaire. The data were compared with 683 returned International Outcome Inventory - Hearing Aid (IOI-HA) questionnaires from a national quality control project conducted in the same period which had been mailed to 1125 of our patients from a central site.


RESULTS
Of the 1003 hearing-aid users, 83% wore an aid for at least 3-4 hours daily while 13% never wore any. In the IOI-HA-survey, non-use was reported by only 2%. Among the 182 who were contacted a year later, the proportion of users tripled to 67%. Non-use was predominantly (70%) due to unpleasant sound quality, lack of benefit, or a poorly fitting ear mould/shell. Hearing aid usage increased with increasing hearing loss and with the patients' level of experience. Conversely, non-use seemed to increase with the length of the observation period.


CONCLUSIONS
Although only 13% had stopped using their aids after five years, this represents a considerable loss which can be reduced through active follow up. The reported that the 2% non-use rate in the IOI-HA-clientele can be ascribed to the fact that the survey took place only 2-3 months post issue, but it may also reflect a non-response bias.
Gimsing
Steen
S
Høreklinikken, Vejle Sygehus, DK-7100 Vejle. juul_gimsing@dadlnet.dk
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006310:Hearing Aids / Q000706:statistics & numerical data; D034381:Hearing Loss / Q000534:rehabilitation; D006801:Humans; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010349:Patient Compliance; D017060:Patient Satisfaction; D019986:Persons with Hearing Disabilities / Q000523:psychology; D011795:Surveys and Questionnaires