title: [Perception of hearing problems in the older population].
abstract: BACKGROUND
  Age-related hearing loss is one of the most common chronic sensory impairments in the older population. This chronic condition is associated with bio-psychosocial consequences such as cognitive decline, depression, withdrawal, isolation, and reduced wellbeing.
  
  
  OBJECTIVE
  This study aimed to investigate the perception of hearing problems among older women and men (≥55 years) with age-related hearing loss. Furthermore, the association between functional hearing loss and perceived hearing problems was examined. Lastly, this study undertook a detailed investigation of subjective experiences in order to better understand the consequences of age-related hearing loss for daily life.
  
  
  METHODS
  With the aid of mixed methods, quantitative data were gathered from 65 participants with age-related hearing impairment in Austria using the Hearing Handicap Inventory for the Elderly (HHIE). Moreover, qualitative data regarding experiences with hearing problems were collected by performing semi-structured problem-centered interviews and analyzing the results of a further 14 older adults with hearing loss.
  
  
  RESULTS
  On average, participants assessed their hearing handicap as mild and perceived consequences on emotional, social, and communication levels. Moreover, feelings of insecurity were evident. In addition, the findings indicate a relationship but also a discrepancy between hearing loss and hearing handicap, i. e., not all participants perceived a hearing handicap.
  
  
  CONCLUSIONS
  Patient-centered care encompassing (1) objective and self-report measures for assessing hearing problems, (2) involvement of family members and significant others, (3) counseling and exchange of information, and (4) a shared decision-making approach could enhance quality of life and quality of care.
authors.affiliation: Institut für Sozialmedizin und Epidemiologie, Medizinische Universität Graz, Universitätsstraße 6/I, 8010, Graz, Österreich. sarah.moser@fhv.at.
authors.forename: S
authors.initials: S
authors.lastname: Moser
authors.affiliation: Universitätsklinik für Medizinische Psychologie und Psychotherapie, Medizinische Universität Graz, Auenbruggerplatz 2/8, 8036, Graz, Österreich.
authors.forename: W
authors.initials: W
authors.lastname: Luxenberger
authors.affiliation: Institut für Sozialmedizin und Epidemiologie, Medizinische Universität Graz, Universitätsstraße 6/I, 8010, Graz, Österreich.
authors.forename: W
authors.initials: W
authors.lastname: Freidl
mesh_terms: D000368:Aged; D001317:Austria; D005260:Female; D006310:Hearing Aids; D034381:Hearing Loss; D006320:Hearing Tests; D006801:Humans; D008297:Male; D011788:Quality of Life; D011795:Surveys and Questionnaires
keywords: Elderly; Hearing impaired persons; Hearing loss; Questionnaires; Self-perception