{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:59Z","timestamp":1788220859262,"version":"build-2803163510"},"reference-count":36,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2018,8,23]],"date-time":"2018-08-23T00:00:00Z","timestamp":1534982400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"This study was funded by a Malaysian Ministry of Education research grant","award":["(LRGS\/BU\/2012\/UKM-UKM\/K\/02)"],"award-info":[{"award-number":["(LRGS\/BU\/2012\/UKM-UKM\/K\/02)"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The aims of this study were to examine the validity of self-perceived hearing loss in detecting hearing loss and factors associated with self-perceived hearing loss and hearing-help seeking and to report hearing aid adoption among a group of community-dwelling older adults in Malaysia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 301 older adults (\u2a7e60 years of age) participating in a study on aging had their hearing tested using pure-tone audiometry. Self-perceived hearing loss was assessed using a single question. Sociodemographic profile, otologic history, and general cognitive status were also obtained.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A single question had low sensitivity in detecting actual hearing loss: 31.3% for 4-frequency average &gt; 25 dBHL and 48.8% for 4-frequency average &gt; 40 dBHL. Besides hearing level, history of otorrhea and tinnitus were factors that were associated with self-perceived hearing loss among older adults with at least mild hearing loss. Hearing-help-seeking behavior was not associated with any of the tested variables. The hearing aid adoption rate was 2.7% and 7.3% among participants with 4-frequency averages &gt; 25 dBHL and &gt; 40 dBHL, respectively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The underestimation of hearing loss in the majority of older adults in this study poses a potential barrier to hearing loss intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0003489418795982","type":"journal-article","created":{"date-parts":[[2018,8,24]],"date-time":"2018-08-24T01:33:41Z","timestamp":1535074421000},"page":"798-805","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Self-Perceived Hearing Loss, Hearing-Help Seeking and Hearing Aid Adoption Among Older Adults in Malaysia"],"prefix":"10.1177","volume":"127","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5749-8928","authenticated-orcid":false,"given":"Siti Zamratol Mai Sarah","family":"Mukari","sequence":"first","affiliation":[{"name":"Institute of Ear, Hearing & Speech, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wan Fazlina","family":"Wan Hashim","sequence":"additional","affiliation":[{"name":"Hospital Canselor Tuanku Muhriz, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,8,23]]},"reference":[{"key":"bibr1-0003489418795982","unstructured":"World Health Organization. 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