{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,26]],"date-time":"2026-04-26T07:52:27Z","timestamp":1777189947849,"version":"3.51.4"},"reference-count":40,"publisher":"American Public Health Association","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2011,8]]},"abstract":"<jats:p> Objectives. We determined factors associated with hearing aid acquisition in older adults. <\/jats:p><jats:p> Methods. We conducted a population-based, prospective study that used information from 3 examinations performed on study participants as part of the Epidemiology of Hearing Loss Study (1993\u20132005). We included participants (n\u200a=\u200a718; mean age\u200a=\u200a70.5 years) who exhibited hearing loss at baseline or the first follow-up and had no prior history of hearing aid use. We defined hearing loss as a pure tone threshold average (PTA) at 0.5, 1, 2, and 4 kilohertz in the better ear of greater than 25 decibels Hearing Level. <\/jats:p><jats:p> Results. The 10-year cumulative incidence of hearing aid acquisition was 35.7%. Associated factors included education (college graduate vs all others: hazard ratio [HR]\u200a=\u200a2.5; 95% confidence interval [CI]\u200a=\u200a1.5, 4.1), self-perception of hearing (poor vs good or better: HR\u200a=\u200a2.5; 95% CI\u200a=\u200a1.3, 5.0), score on a perceived hearing handicap inventory (+\u200a1 difference: HR\u200a=\u200a1.1; 95% CI\u200a=\u200a1.0, 1.1), and PTA (+\u200a5 dB difference: HR\u200a=\u200a1.4; 95% CI\u200a=\u200a1.2, 1.6). <\/jats:p><jats:p> Conclusions. The low rate of hearing aid ownership among older adults is a problem that still needs to be addressed. <\/jats:p>","DOI":"10.2105\/ajph.2010.300078","type":"journal-article","created":{"date-parts":[[2011,6,17]],"date-time":"2011-06-17T23:30:19Z","timestamp":1308353419000},"page":"1449-1455","source":"Crossref","is-referenced-by-count":97,"title":["Determinants of Hearing Aid Acquisition in Older Adults"],"prefix":"10.2105","volume":"101","author":[{"given":"Mary E.","family":"Fischer","sequence":"first","affiliation":[{"name":"Mary E. Fischer, Karen J. Cruickshanks, Barbara E.K. Klein, Ronald Klein, and Ted S. Tweed are with the Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison. Terry L. Wiley is with the Department of Communicative Disorders, University of Wisconsin."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen J.","family":"Cruickshanks","sequence":"additional","affiliation":[{"name":"Mary E. Fischer, Karen J. Cruickshanks, Barbara E.K. Klein, Ronald Klein, and Ted S. Tweed are with the Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison. Terry L. Wiley is with the Department of Communicative Disorders, University of Wisconsin."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Terry L.","family":"Wiley","sequence":"additional","affiliation":[{"name":"Mary E. Fischer, Karen J. Cruickshanks, Barbara E.K. Klein, Ronald Klein, and Ted S. Tweed are with the Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison. Terry L. Wiley is with the Department of Communicative Disorders, University of Wisconsin."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara E.\u200aK.","family":"Klein","sequence":"additional","affiliation":[{"name":"Mary E. Fischer, Karen J. Cruickshanks, Barbara E.K. Klein, Ronald Klein, and Ted S. 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