{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T02:03:23Z","timestamp":1786759403632,"version":"build-2736575974"},"reference-count":33,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,3,23]],"date-time":"2021-03-23T00:00:00Z","timestamp":1616457600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the factors associated with unilateral hearing loss (UHL) and its impact on communication in US adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Cross\u2010sectional study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Nationally representative sample of US adults.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed data from the 2011\u20102012 and 2015\u20102016\u00a0National Health and Nutritional Examination Survey, in which participants aged 20 to 69 years completed an audiometric evaluation (n = 8138). UHL was defined as a speech frequency pure\u2010tone average \u226525\u00a0dB in the worse hearing ear and &lt;25\u00a0dB in the better hearing ear. Logistic regression was used to examine the association between UHL and relevant factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of UHL was 8.1% (95% CI, 7.3%\u20109.0%) in US adults. Factors associated with UHL included older age, male sex, white race, lower level of education, diabetes, cardiovascular disease, and off\u2010work noise exposure. Among adults with UHL, 40% (95% CI, 32%\u201048%) reported subjective trouble with hearing, a rate higher than the 12% (95% CI, 11%\u201014%) among normal\u2010hearing adults. After adjusting for relevant factors, adults with UHL were more likely to report difficulties with following conversations with noise (odds ratio [OR], 1.7; 95% CI, 1.2\u20102.5) and frustration when talking to family and friends (OR, 3.0; 95% CI, 1.9\u20104.6). Higher levels of communication difficulties were observed with worsening level of UHL.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Adults with UHL report significant communication difficulties in comparison to normal\u2010hearing adults. Further research is needed to understand the psychosocial impact of UHL on adults and ways to improve communication support for adults with UHL.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599821995485","type":"journal-article","created":{"date-parts":[[2021,3,23]],"date-time":"2021-03-23T04:01:23Z","timestamp":1616472083000},"page":"868-875","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Factors Associated With Unilateral Hearing Loss and Impact on Communication in US Adults"],"prefix":"10.1002","volume":"165","author":[{"given":"Janet S.","family":"Choi","sequence":"first","affiliation":[{"name":"Caruso Department of Otolaryngology\u2013Head &amp; Neck Surgery Keck School of Medicine of the University of Southern California Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franklin","family":"Wu","sequence":"additional","affiliation":[{"name":"Keck School of Medicine of the University of Southern California Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soyun","family":"Park","sequence":"additional","affiliation":[{"name":"Keck School of Medicine of the University of Southern California Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rick A.","family":"Friedman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery University of California San Diego La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elina","family":"Kari","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head &amp; Neck Surgery University of California San Diego La Jolla California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Courtney C. J.","family":"Volker","sequence":"additional","affiliation":[{"name":"Caruso Department of Otolaryngology\u2013Head &amp; Neck Surgery Keck School of Medicine of the University of Southern California Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,3,23]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27017"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0b013e3181bb69db"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0232112"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40136-018-0185-5"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25524"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/14992027.2017.1398420"},{"issue":"4","key":"e_1_2_9_8_1","first-page":"10","article-title":"The impact of unilateral hearing loss on adult life","volume":"26","author":"Galloway J","year":"2019","journal-title":"The Hearing Review"},{"key":"e_1_2_9_9_1","unstructured":"Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey (NHANES) Audiometry Procedures Manual.2016. Accessed January 3 2020.https:\/\/wwwn.cdc.gov\/nchs\/data\/nhanes\/2015\u20102016\/manuals\/2016_Audiometry_Procedures_Manual.pdf"},{"key":"e_1_2_9_10_1","unstructured":"Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey (NHANES) audiometry procedures manual.2011. Accessed January 3 2020.https:\/\/wwwn.cdc.gov\/nchs\/data\/nhanes\/2011\u20102012\/manuals\/Audiometry_Procedures_Manual.pdf"},{"key":"e_1_2_9_11_1","unstructured":"Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey: 2011\u20102012 data documentation codebook and frequencies audiometry (AUQ_G).2013. Accessed January 3 2020.https:\/\/wwwn.cdc.gov\/nchs\/nhanes\/2011\u20102012\/AUQ_G.htm"},{"key":"e_1_2_9_12_1","unstructured":"Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey: 2015\u20102016 data documentation codebook and frequencies audiometry (AUQ_I).2018. Accessed January 3 2020.https:\/\/wwwn.cdc.gov\/Nchs\/Nhanes\/2015\u20102016\/AUQ_I.htm"},{"issue":"7","key":"e_1_2_9_13_1","first-page":"493","article-title":"Uses and abuses of hearing loss classification","volume":"23","author":"Clark JG","year":"1981","journal-title":"ASHA"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2005.07.003"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_2_9_16_1","unstructured":"Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey (NHANES) survey methods and analytic guidelines. Accessed April 17 2019.https:\/\/wwwn.cdc.gov\/nchs\/nhanes\/analyticguidelines.aspx."},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0b013e318192483c"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2011.506"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0b013e31803126b6"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/glr002"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000000611"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348941112000705"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.25568"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26337"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1044\/2019_LSHSS-OCHL-19-0017"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2013.1868"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)31363-6"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000313"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26337"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1075826"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000951"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1179\/146701011X13001035752336"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000000681"},{"issue":"11","key":"e_1_2_9_34_1","first-page":"772","article-title":"Unilateral deafness in adults: effects on communication and social interaction","volume":"119","author":"Wie OB","year":"2010","journal-title":"Ann Otol Rhinol Laryngol"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599821995485","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599821995485","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599821995485","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T14:17:52Z","timestamp":1760969872000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599821995485"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,23]]},"references-count":33,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["10.1177\/0194599821995485"],"URL":"https:\/\/doi.org\/10.1177\/0194599821995485","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,3,23]]},"assertion":[{"value":"2020-10-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-01-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-03-23","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}