{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T12:41:18Z","timestamp":1792500078547,"version":"4.5.0"},"reference-count":68,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T00:00:00Z","timestamp":1741564800000},"content-version":"unspecified","delay-in-days":68,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Prim Health Care Res Dev"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1463423625000246_as1\">\n\t    <jats:title>Aim:<\/jats:title>\n\t    <jats:p>To describe the prevalence and characteristics of hearing loss in a self-referred adult cohort in low-income South African communities and to evaluate the effectiveness of a cerumen management protocol within a community-based service setting.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423625000246_as2\">\n\t    <jats:title>Background:<\/jats:title>\n\t    <jats:p>Hearing loss affects 1.5 billion people globally, with a disproportionate impact on individuals in low- and middle-income countries (LMICs) and the elderly, often attributed to age-related factors and cerumen impaction. Despite the high prevalence, access to ear and hearing care remains challenging, particularly in LMICs, such as Africa.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423625000246_as3\">\n\t    <jats:title>Methods:<\/jats:title>\n\t    <jats:p>A total of 227 participants aged 43\u2013102 were recruited from two community centres in low-income South African communities for hearing evaluation and cerumen management for those with cerumen impaction. A cross-sectional, predominantly quantitative approach was used.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423625000246_as4\">\n\t    <jats:title>Findings:<\/jats:title>\n\t    <jats:p>Video otoscopy of 448 ears revealed normal findings in 57.9%, cerumen impaction in 29.1%, and other abnormalities in 1.3%. The prevalence of confirmed hearing loss was 97.8%, primarily mild (45.8%), and sensorineural hearing loss (SNHL) was the most common (55.3%). Cerumen impaction accompanied hearing loss in 28.4% of cases. Post-treatment, 50.9% of participants with cerumen impaction showed normal otoscopy results, with mean hearing improvements of 16.2 dB (\u00b117.9 <jats:sc>SD<\/jats:sc>) in the left ears and 15.8 dB (\u00b117.2 <jats:sc>SD<\/jats:sc>) in the right ears, though overall significance was limited.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1463423625000246_as5\">\n\t    <jats:title>Conclusion:<\/jats:title>\n\t    <jats:p>The high prevalence of hearing loss and cerumen impaction in low-income communities emphasizes the importance of ear care in primary healthcare (PHC) settings, especially for the elderly. Effective community-based cerumen management highlights the potential of integrating community resources and task-shifting strategies for cost-effective ear care in resource-limited settings.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s1463423625000246","type":"journal-article","created":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T09:58:18Z","timestamp":1741600698000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":7,"title":["Hearing loss characteristics and cerumen management efficacy in low-income South African communities: a cross-sectional study"],"prefix":"10.1017","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5722-2275","authenticated-orcid":false,"given":"Sello 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