{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T22:15:07Z","timestamp":1787004907537,"version":"build-2736575974"},"reference-count":30,"publisher":"American Academy of Audiology","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["j am acad audiol"],"published-print":{"date-parts":[[2022,2,1]]},"abstract":"<jats:p>\n                    <jats:bold>Abstract<\/jats:bold>\n                    <jats:bold>Background<\/jats:bold>\n                    \u2003The United States Preventative Service Taskforce recently determined that there was insufficient evidence to recommend hearing screening in adults.\n                    <jats:bold>Purpose<\/jats:bold>\n                    \u2003To determine the age to screen adults in the U.S. for hearing loss\n and identify factors related to increased odds of hearing loss.\n                    <jats:bold>Research Design<\/jats:bold>\n                    \u2003Epidemiological Cross-Sectional Study.\n                    <jats:bold>Study Sample<\/jats:bold>\n                    \u2003Data from 3,409 individuals aged 20\u201069 years(y) were analyzed from the 1999\u20102000 and 2000\u20102002 cycles of\n the National Health and Nutrition Examination Survey (NHANES).\n                    <jats:bold>Data Collection and Analysis<\/jats:bold>\n                    \u2003Hearing sensitivity from 0.5\u20108\u2009kHz was assessed and hearing loss was defined as pure tone average 0.5, 1, 2, 4\u2009kHz (PTA4) &gt;\u200915\u2009dBHL for the worse\n ear. Thresholds were examined separately for men and women in 2-year intervals. A multivariate ordinal regression model adjusting for age, sex, race\/ethnicity, and education was used to examine relationship to determinants.\n                    <jats:bold>Results<\/jats:bold>\n                    \u2003Slight (&gt;15\u2009dBHL) hearing loss based\n on threshold at a single audiometric frequency was first evident in males aged 28\u201029y. For females, this occurred at age 34\u201035y. The age at which average PTA4 increased above 15\u2009dBHL (slight hearing loss) was 46\u201047y for males and 56\u201057y for females. Multivariate\n ordinal regression revealed the following \u201chigh risk\u201d factors: increased age, male sex, tinnitus, perceived hearing loss, and diabetes.\n                    <jats:bold>Conclusions<\/jats:bold>\n                    \u2003For the function of primary prevention, these data suggest screening should initiate at \u223c30y for males and 35y\n for females, the ages when average hearing thresholds at a single frequency can be classified as slight hearing loss. For secondary prevention, the recommended screening ages are higher \u2010 45y for males and 55y for females. Hearing screening is recommended for asymptomatic adults, especially\n those with high risk factors. Our results also highlight the limitations of PTA4 in identifying early indices of hearing loss.\n                  <\/jats:p>","DOI":"10.1055\/s-0041-1735520","type":"journal-article","created":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T19:40:51Z","timestamp":1662061251000},"page":"58-65","source":"Crossref","is-referenced-by-count":5,"title":["Hearing Screening Age Considerations for Adults: National Health and Nutrition Examination Survey"],"prefix":"10.3766","volume":"33","author":[{"given":"Jaxon","family":"Jordan","sequence":"first","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, University of Mississippi Medical Center, Jackson, Mississippi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachael R.","family":"Baiduc","sequence":"additional","affiliation":[{"name":"Department of Speech, Language, and Hearing Sciences, University of Colorado Boulder, Boulder, 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