**USA**: Age-related hearing loss, or presbycusis, affects millions of older adults, yet many don’t seek help. Research shows untreated hearing loss can lead to dementia and depression. New over-the-counter hearing aids aim to improve accessibility, but consulting audiologists remains crucial for effective treatment.
Age-related hearing loss, known as presbycusis, is a significant public health issue that often goes unrecognised among older adults. It typically begins around the age of 50 and affects nearly 27 million Americans aged 50 and older. According to a recent survey, nearly two-thirds of adults aged 71 and older experience some degree of hearing loss, with figures nearing universal prevalence by age 90. Yet, only about 30 percent of these individuals utilise hearing aids, despite the implications of untreated hearing loss for both physical safety and cognitive health.
Ignoring hearing loss can lead to detrimental impacts beyond mere inconvenience. Research indicates a strong correlation between hearing impairment and the risk of dementia. A study conducted by researchers at Johns Hopkins over a span of nearly 12 years involved over 600 participants, revealing that mild hearing loss doubles the risk of developing dementia, moderate loss triples it, and severe impairment increases the likelihood fivefold.
Additionally, untreated hearing loss contributes to feelings of isolation and depression in older adults. Many individuals who struggle to hear often withdraw from social interactions, leading to misunderstandings where they may be perceived as confused or unresponsive. Dr. Frank Linn, a professor at Johns Hopkins and director of the Cochlear Center for Hearing and Public Health, emphasised the benefits associated with using hearing aids, stating, “They help most people who try them. And in those people, they can make all the difference in the world — allowing people to reengage with friends and family and to be more involved again,” as quoted in an online report from Johns Hopkins Medicine.
Despite the advantages of addressing hearing loss with hearing aids, many still hesitate to use them. Reasons cited by individuals include societal perceptions, belief that using a hearing aid signifies ageing, concerns about efficacy based on anecdotal experiences, and scepticism regarding the costs associated with hearing aids.
Advancements have been made to increase accessibility to hearing aids. Since October 17, 2022, the FDA has created a new category for over-the-counter (OTC) hearing aids, available for adults 18 years and older with perceived mild to moderate hearing loss. These OTC options are designed to be more affordable and accessible, purchasable in large retailers such as Costco or through online platforms.
While OTC hearing aids provide a more accessible route, experts recommend consulting with audiologists. They possess the expertise to evaluate, diagnose, and manage hearing loss and related disorders effectively. Individuals experiencing signs such as difficulty understanding conversations, particularly amid background noise, or challenges hearing high-pitched sounds, are encouraged to seek a hearing evaluation.
The effects of hearing loss extend beyond the individual, influencing mental health and cognitive function, and emphasising the importance of proactive measures to address this prevalent issue among the ageing population.
Source: Noah Wire Services
