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After excluding incomplete data, 2961 participants aged 40\u201369 were analyzed. Logistic regression models, restricted cubic splines (RCS), and subgroup analyses assessed the association between hearing thresholds and dizziness. Univariate and multivariate logistic models and LASSO regression identified risk factors related to HL\u2010SD. Propensity score matching (PSM) evaluated the correlation between hearing loss and dizziness treatment efficacy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among participants, 28.67% had hearing loss, and 22.99% reported dizziness, with 8.00% experiencing both. Increased hearing thresholds were significantly associated with a higher risk of dizziness, with each 1\u2009dB increase in speech\u2010frequency PTA increasing dizziness risk by 1.6%. Various factors, including gender, income, arthritis, and diabetes, were linked to the comorbidity of HL\u2010SD. However, hearing loss did not significantly affect dizziness treatment outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Hearing loss is significantly associated with an increased risk of symptomatic dizziness in middle\u2010aged and older adults, influenced by various factors. However, it does not appear to affect dizziness treatment efficacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjo2.70078","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T05:44:10Z","timestamp":1773380650000},"page":"389-400","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comorbidity Patterns Between Hearing Loss and Symptomatic Dizziness in Middle\u2010Aged and Older Adults"],"prefix":"10.1002","volume":"12","author":[{"given":"Chun\u2010Yan","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Audio\u2010Vestibular Medicine, Senior Department of Otolaryngology\u2010Head and Neck Surgery, the Sixth Medical Center of Chinese PLA General Hospital Medical School of Chinese PLA Beijing China"},{"name":"State Key Laboratory of Hearing and Balance Science Beijing China"},{"name":"School of Medicine Nankai University Tianjin 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