{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T06:21:58Z","timestamp":1782282118010,"version":"3.54.5"},"reference-count":32,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T00:00:00Z","timestamp":1759104000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Hearing is often assessed clinically using pure-tone audiometry, while self-reported hearing measures are commonly employed in population-based studies. Discrepancies between self-reported hearing and audiometric thresholds have been frequently observed, necessitating an understanding of the prevalence and factors influencing these inconsistencies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To assess discrepancies between self-reported hearing with audiometric measurements and associated factors among adults in Ethiopia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted using data from the Ethiopian National Ear and Hearing Survey 2023. Data were collected from 5124 eligible participants using a data extraction template. Statistical analyses, including descriptive statistics and multinomial logistic regression, were performed using SPSS version 27.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result:<\/jats:title>\n                    <jats:p>Concordance between self-reported hearing and audiometric results was 86.3%. However, 11.1% underestimated their hearing impairment, while 2.5% overestimated it. Factors such as age (15-44\u2009years), higher education, history of tinnitus, history of ear discharge, and abnormal tympanic membranes were significantly associated with reduced odds of underestimating hearing impairment. Conversely, the presence of earwax increased the likelihood of underestimation. Overestimation of hearing impairment was significantly associated to age (45-60\u2009years), tinnitus, and earwax.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion and Recommendation:<\/jats:title>\n                    <jats:p>The study revealed significant discrepancies between self-reported and audiometric hearing assessments, although overall concordance was high. The findings emphasize the need for both subjective and objective assessments for accurate hearing diagnosis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00034894251372825","type":"journal-article","created":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T10:56:40Z","timestamp":1759143400000},"page":"115-124","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Discrepancies Between Self-Reported Measures of Hearing With an Audiometric Measurement of Hearing and Associated Factors in Ethiopia National Ear and Hearing Survey"],"prefix":"10.1177","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6956-8417","authenticated-orcid":false,"given":"Hailemariam Kassaye","family":"Alebie","sequence":"first","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, St. Paul\u2019s Hospital Millennium Medical College, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7756-1716","authenticated-orcid":false,"given":"Alene","family":"Meshesha","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, St. Paul\u2019s Hospital Millennium Medical College, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Addis","family":"Asfaw","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, St. Paul\u2019s Hospital Millennium Medical College, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frehiwot","family":"Worku","sequence":"additional","affiliation":[{"name":"School of Public Health, St. Paul\u2019s Hospital Millennium Medical College, Addis Ababa, Ethiopia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,9,29]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"World Health Organization. World Report on Hearing. 2021. Accessed April 13 2024. https:\/\/youtu.be\/EmXwAnP9puQ"},{"key":"e_1_3_2_3_2","unstructured":"World Health Organization. Primary ear and hearing care training manual. 2023. Accessed April 13 2024. https:\/\/www.who"},{"key":"e_1_3_2_4_2","unstructured":"Feder K Michaud D Ramage-Morin P Mcnamee J Beauregard Y. Prevalence of hearing loss among Canadians aged 20 to 79: Audiometric results from the 2012\/2013 Canadian Health Measures Survey. 2015;26:18-25. https:\/\/www.statcan.gc.ca; https:\/\/www.statcan.gc.ca\/pub\/82-003-x\/2015007\/article\/14206-eng.htm"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-031030"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1590\/S0034-89102011005000050"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2024-086288"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)00516-X"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1616601"},{"key":"e_1_3_2_10_2","unstructured":"Hearing Loss Facts and Statistics. Hearing Loss Association of America (HLAA). Hearing Loss Association of America; 2024."},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.17635"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2666-7568(23)00232-5"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2023.10.063"},{"key":"e_1_3_2_14_2","unstructured":"World Health Organization. Global costs of unaddressed hearing loss and cost-effectiveness of interventions: a WHO Report. World Health Organization; 2017."},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1080\/14992027.2021.1883197"},{"key":"e_1_3_2_16_2","unstructured":"World Health Organization. Addressing the rising prevalence of hearing loss. 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Hearing loss-numbers and costs: evaluation of the social and economic costs of hearing impairment.Hear-It AISBL; 2019. https:\/\/www.hear-it.org\/sites\/default\/files\/2021-01\/Hear"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.4021\/jocmr611w"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-7175-5"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1186\/1756-0500-7-361"},{"key":"e_1_3_2_25_2","doi-asserted-by":"crossref","unstructured":"Maria Valete-Rosalino C Rozenfeld S Oswaldo Cruz F. Master in Otorhinolaryngology; Ph.D. Studies in Public Health (Technologist\/ Professor)-Rev Bras Otorrinolaringol. 2005;71(2). https:\/\/www.rborl.org.br\/","DOI":"10.1590\/S0034-72992005000200013"},{"key":"e_1_3_2_26_2","unstructured":"National Institute for Health and Care Excellence (Great Britain) National Guideline Centre (Great Britain) Royal College of Physicians of London. Hearing loss in adults: assessment and management (NICE guideline NG98). National Institute for Health and Care Excellence; 2018. https:\/\/www.nice.org.uk\/guidance\/ng98"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-022440"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2019.1020"},{"key":"e_1_3_2_29_2","unstructured":"World Health Assembly 70. Prevention of deafness and hearing loss. 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