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Sensitivity and Specificity of Pure-Tone and Subjective Hearing Screenings Using Spanish-Language Questions

PURPOSE: The purpose of this study is to determine the sensitivities and specificities of different audiometric hearing screening criteria and single-item and multi-item hearing disability questionnaires among a group of Spanish-speaking adults in a rural community. METHOD: Participants were 131 pre...

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Autores principales: Everett, Alyssa, Wong, Aileen, Piper, Rosie, Cone, Barbara, Marrone, Nicole
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Speech-Language-Hearing Association 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229776/
https://www.ncbi.nlm.nih.gov/pubmed/32073298
http://dx.doi.org/10.1044/2019_AJA-19-00053
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author Everett, Alyssa
Wong, Aileen
Piper, Rosie
Cone, Barbara
Marrone, Nicole
author_facet Everett, Alyssa
Wong, Aileen
Piper, Rosie
Cone, Barbara
Marrone, Nicole
author_sort Everett, Alyssa
collection PubMed
description PURPOSE: The purpose of this study is to determine the sensitivities and specificities of different audiometric hearing screening criteria and single-item and multi-item hearing disability questionnaires among a group of Spanish-speaking adults in a rural community. METHOD: Participants were 131 predominantly older (77% 65+ years) Hispanic/Latinx adults (98%). A structured Spanish-language interview and pure-tone threshold test data were analyzed for each participant. The sensitivities and specificities of three single questions and the Hearing Handicap Index for the Elderly–Screening (HHIE-S; Ventry & Weinstein, 1983) in Spanish, as well as three audiometric screening criteria, were evaluated in relation to the pure-tone threshold test for detecting hearing loss. RESULTS: Sensitivity and specificity of audiometric screening criteria varied, but the highest sensitivity was found for the criterion of > 25 dB HL at 1–4 kHz in either ear. The single self-perception question, “¿Cree usted que tiene pérdida de audición? (Do you think you have a hearing loss?),” was shown to be the most sensitive self-report screening compared to other single-item questions and the HHIE-S. This single question was as sensitive as an audiometric screening to detect a moderate hearing loss (> 40 dB HL in either ear). Results from the Spanish HHIE-S indicated poor performance to detect hearing loss in this population, consistent with previous research. CONCLUSIONS: Among older Spanish-speaking adults, self-reported hearing status had varying sensitivities depending on the question asked. However, of the tools evaluated, the self-perception question proved to be a more sensitive and specific tool than a multi-item screen. Objective audiometric testing (> 25 dB HL) resulted in the highest sensitivity to detect a mild hearing loss.
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spelling pubmed-72297762020-09-01 Sensitivity and Specificity of Pure-Tone and Subjective Hearing Screenings Using Spanish-Language Questions Everett, Alyssa Wong, Aileen Piper, Rosie Cone, Barbara Marrone, Nicole Am J Audiol Research Articles PURPOSE: The purpose of this study is to determine the sensitivities and specificities of different audiometric hearing screening criteria and single-item and multi-item hearing disability questionnaires among a group of Spanish-speaking adults in a rural community. METHOD: Participants were 131 predominantly older (77% 65+ years) Hispanic/Latinx adults (98%). A structured Spanish-language interview and pure-tone threshold test data were analyzed for each participant. The sensitivities and specificities of three single questions and the Hearing Handicap Index for the Elderly–Screening (HHIE-S; Ventry & Weinstein, 1983) in Spanish, as well as three audiometric screening criteria, were evaluated in relation to the pure-tone threshold test for detecting hearing loss. RESULTS: Sensitivity and specificity of audiometric screening criteria varied, but the highest sensitivity was found for the criterion of > 25 dB HL at 1–4 kHz in either ear. The single self-perception question, “¿Cree usted que tiene pérdida de audición? (Do you think you have a hearing loss?),” was shown to be the most sensitive self-report screening compared to other single-item questions and the HHIE-S. This single question was as sensitive as an audiometric screening to detect a moderate hearing loss (> 40 dB HL in either ear). Results from the Spanish HHIE-S indicated poor performance to detect hearing loss in this population, consistent with previous research. CONCLUSIONS: Among older Spanish-speaking adults, self-reported hearing status had varying sensitivities depending on the question asked. However, of the tools evaluated, the self-perception question proved to be a more sensitive and specific tool than a multi-item screen. Objective audiometric testing (> 25 dB HL) resulted in the highest sensitivity to detect a mild hearing loss. American Speech-Language-Hearing Association 2020-03 2020-02-06 /pmc/articles/PMC7229776/ /pubmed/32073298 http://dx.doi.org/10.1044/2019_AJA-19-00053 Text en Copyright © 2020 The Authors http://creativecommons.org/licenses/by-nd/4.0/ This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License (http://creativecommons.org/licenses/by-nd/4.0/) .
spellingShingle Research Articles
Everett, Alyssa
Wong, Aileen
Piper, Rosie
Cone, Barbara
Marrone, Nicole
Sensitivity and Specificity of Pure-Tone and Subjective Hearing Screenings Using Spanish-Language Questions
title Sensitivity and Specificity of Pure-Tone and Subjective Hearing Screenings Using Spanish-Language Questions
title_full Sensitivity and Specificity of Pure-Tone and Subjective Hearing Screenings Using Spanish-Language Questions
title_fullStr Sensitivity and Specificity of Pure-Tone and Subjective Hearing Screenings Using Spanish-Language Questions
title_full_unstemmed Sensitivity and Specificity of Pure-Tone and Subjective Hearing Screenings Using Spanish-Language Questions
title_short Sensitivity and Specificity of Pure-Tone and Subjective Hearing Screenings Using Spanish-Language Questions
title_sort sensitivity and specificity of pure-tone and subjective hearing screenings using spanish-language questions
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229776/
https://www.ncbi.nlm.nih.gov/pubmed/32073298
http://dx.doi.org/10.1044/2019_AJA-19-00053
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