{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T13:55:10Z","timestamp":1790690110057,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:00:00Z","timestamp":1790640000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["KL2TR001854"],"award-info":[{"award-number":["KL2TR001854"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1TR001855"],"award-info":[{"award-number":["UL1TR001855"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To estimate the prevalence of hearing loss among US adults based on a hearing screening device (HearCheck) in the Health and Retirement Study (HRS), and to compare these estimates with prevalence from the National Health and Nutrition Examination Survey (NHANES) based on pure\u2010tone audiometry.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Cross\u2010sectional.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>HRS 2016 to 2018 and NHANES 2015 to 2020.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Study cohort included HRS participants aged \u226555 years who completed HearCheck hearing screening (n\u2009=\u200912,756). Hearing loss was defined using a device score&lt;6 in the better hearing ear. For NHANES audiometry data (n\u2009=\u20092552), hearing loss was defined using pre\u2010defined cut\u2010offs of the speech\u2010frequency pure\u2010tone average (PTA). Prevalence was estimated using survey weights, and the estimates were compared based on two\u2010proportion\n                      <jats:italic>z<\/jats:italic>\n                      \u2010tests.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among adults aged \u226555 years, the prevalence of hearing loss in HRS was 54.8% (95% CI, 53.7%\u201056.0%), which closely matched the estimated prevalence in NHANES at 54.5% (51.1%\u201057.8%) when hearing loss was defined as PTA\u2009\u2265\u200920dBHL (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.82). Further comparing the estimates, the prevalence of mild hearing difficulties (HearCheck score 3\u20105) in HRS at 48.8% (47.6%\u201049.9%) matched with the prevalence of mild to moderate hearing loss (20\u201049dBHL) at 48.2% (45.4%\u201051.1%) in NHANES (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.70). The prevalence of moderate to severe difficulties (HearCheck score 0\u20102) at 6.1% (5.6%\u20106.5%) in HRS matched with the prevalence of moderately severe or worse hearing loss (\u226550dBHL) in NHANES at 6.2% (4.8%\u20108.0%) (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.82).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Hearing loss prevalence estimates derived from a hearing screening device in HRS closely matched those obtained from audiometry in NHANES. While standardized audiometry is preferred, hearing screening tools offer a useful alternative for objectively assessing hearing in large\u2010scale population studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.70451","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T12:56:04Z","timestamp":1790686564000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hearing Loss Prevalence Among Older US Adults: HRS 2016 to 2018 Hearing Screener Data"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8840-9411","authenticated-orcid":false,"given":"Janet S.","family":"Choi","sequence":"first","affiliation":[{"name":"Caruso Department of Otolaryngology\u2013Head and Neck Surgery Keck Medicine of USC Los Angeles California 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