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Associations between objective hearing function and subjective views of aging.

Jana Koch^1,2,3, Brooke Brady^4,5,6, Lidan Zheng^4,5,6

¹School of Psychology, University of New South Wales Sydney, High Street, Kensington, NSW, 2052, Australia. jana.koch@unsw.edu.au.

European Journal of Ageing

|July 16, 2025

Summary

Poor hearing is linked to negative views on aging, particularly regarding physical health and self-perception. Addressing hearing health early is crucial for positive aging experiences.

Keywords:

Expectations regarding aging Hearing loss Self-perceptions of aging Views on aging

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Area of Science:

Gerontology
Audiology
Psychology

Background:

Hearing loss is a common age-related condition impacting social participation and cognition.
Subjective views of aging are influenced by health and functional abilities.
The relationship between hearing function and views on aging requires further investigation.

Purpose of the Study:

To investigate the association between objectively measured hearing function and generalized/personal views of aging.
To explore potential age-related differences in these associations.

Main Methods:

148 participants (aged 40-84) completed an app-based hearing task and validated scales for Generalized Views of Aging and Self-perceptions of Aging.
Hearing ability was assessed via pure-tone average in the better ear.
Structural equation modeling controlled for age, sex, socioeconomic status, loneliness, and cognition.

Main Results:

Poorer hearing was significantly associated with negative age expectations for physical health.
Poorer hearing was also linked to more negative self-perceptions of aging.
Hearing function did not predict expectations regarding mental health or cognitive function, and no age moderation effects were found.

Conclusions:

Objective hearing impairment is associated with less favorable views on aging, specifically concerning physical health and self-perception.
These findings underscore the importance of early hearing health interventions to mitigate negative aging perceptions.
Further research is needed to fully understand the multifaceted relationship between hearing and aging perspectives.