{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T16:25:14Z","timestamp":1774542314060,"version":"3.50.1"},"reference-count":43,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,9]],"date-time":"2025-01-09T00:00:00Z","timestamp":1736380800000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["OTO Open"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>We investigated use of hearing care among US veterans and explore motivations, barriers, and adherence to hearing healthcare.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Cross\u2010sectional online survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>US Veterans.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This cross\u2010sectional, online survey\u2010based study included 287 respondents who identified themselves as veterans on ResearchMatch (NIH\u2010sponsored national registry of research volunteers). Questions regarding hearing loss, tinnitus, use of hearing care, and facilitators\/barriers to hearing care were asked. Descriptive statistics were utilized for data analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In this cohort, the rate of self\u2010reported hearing loss and tinnitus were 61.0% and 74.2%, respectively. Among these, 66.9% of those with hearing loss and 36.2% of those with tinnitus reported seeking hearing care. Most important motivators of seeking hearing care (average on 1\u20105 Likert scale) included personal importance of hearing (4.0; SD\u2009=\u20091.1), difficulty hearing others (3.6; SD\u2009=\u20091.1), and degree of hearing loss (3.3; SD\u2009=\u20091.1). Most common barriers included uncertainty regarding who to reach out to for hearing care (42.9%), inability to get time off work (34.3%), and nervousness about seeing a provider (28.6%). Common reasons to decline hearing aids reporting that hearing was not bad enough for hearing aids (72.2%) and included inability to afford hearing aid (55.6%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In this cohort, many US veterans sought care for hearing loss, though barriers still exist, including uncertainty regarding how to access appropriate care, being too far from a provider, and challenges with cost. Future studies should investigate methods to alleviate these internal and external barriers to hearing care and emphasize the importance of motivators for seeking care.<\/jats:p><\/jats:sec>","DOI":"10.1002\/oto2.70055","type":"journal-article","created":{"date-parts":[[2025,1,9]],"date-time":"2025-01-09T06:28:34Z","timestamp":1736404114000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Access to Hearing Healthcare and Barriers Among United States Veterans: A Survey\u2010Based Study"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7153-7989","authenticated-orcid":false,"given":"Tyler J.","family":"Gallagher","sequence":"first","affiliation":[{"name":"Keck School of Medicine of the University of Southern California Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaitlin","family":"Hori","sequence":"additional","affiliation":[{"name":"Keck School of Medicine of the University of Southern California Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8840-9411","authenticated-orcid":false,"given":"Janet S.","family":"Choi","sequence":"additional","affiliation":[{"name":"Caruso Department of Otolaryngology\u2013Head and Neck Surgery Keck School of Medicine of the University of Southern California Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,1,9]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"United States Census Bureau: Quickfacts. 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