Sensitivity and specificity of hearing tests for screening hearing loss in older adults  

作　　者：Hsin-Chen Ting Yung-Yao Huang 

机构地区：[1]PSA Charitable Foundation,New Taipei City,Taiwan,China [2]Department of Audiology and Speech-Language Pathology,MacKay Medical College,New Taipei City,Taiwan,China

出　　处：《Journal of Otology》2023年第1期1-6,共6页中华耳科学杂志（英文版）

摘　　要：Objectives: The study aimed to determine the most appropriate hearing screening test to identify disabling hearing loss for adults aged 65 years or older.Methods: This study included 577 older adults. Four hearing screening tests were considered in the study, including the Hearing Handicap Inventory for Elderly Screening(HHIE-s), three single question tests, the whisper test, and the finger rub test. The sensitivity and specificity of these tests referenced to the hearing threshold of disabling hearing loss were estimated.Results: Among all tests, only the single self-perception question(0.7064 for sensitivity;0.7225 for specificity) and whisper test(0.7833 for sensitivity;0.7708 for specificity) could obtain both sensitivity and specificity higher than 70% for adults aged ≥65 years.Conclusion: Overall, we suggest using the whisper test to identify disabling hearing loss(>40 dB HL at the better ear) for adults aged 65 years or older. However, if the conditions do not permit, the single selfperception question is also acceptable. Moreover, HHIE-s might not be a good test to detect disabling hearing loss for adults aged 80 years or older.

关 键 词：Sensitivity and specificity Hearing screening QUESTIONNAIRE Whisper test Finger rub test 

分 类 号：R764.04[医药卫生—耳鼻咽喉科]