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Hearing loss prevalence in the aging population: updated population-based audiometric data from the Rotterdam study
N C Homans1, J H C Boons1, A Goedegebure1
1Department of Otorhinolaryngology and Head and Neck Surgery, Erasmus MC, the Netherlands.
International Journal of Audiology
|December 4, 2025
Summary
Age-related hearing loss affects a significant portion of older adults, with over 60% of those 80+ experiencing hearing impairment. This highlights a growing need for hearing rehabilitation services, including cochlear implants, for the aging population.
Area of Science:
- Audiology
- Gerontology
- Public Health
Background:
- Age-related hearing loss (presbycusis) is a prevalent condition affecting quality of life.
- Estimating the prevalence of hearing loss in older populations is crucial for public health planning.
Purpose of the Study:
- To provide updated prevalence estimates of age-related hearing loss in the Dutch population, specifically focusing on older adults.
- To explore the implications of these estimates for hearing rehabilitation, including cochlear implant candidacy.
Main Methods:
- A population-based, prospective cohort study utilizing data from the Rotterdam Study.
- Inclusion of 7,772 unscreened participants aged 40 years and older, with data collected between 2011 and July 2024.
Main Results:
- Hearing loss (>35 dBHL in the better ear) was prevalent in 31% of men and 30% of women aged ≥65 years.
- In adults aged ≥80 years, 62% of men and 57% of women had hearing loss.
- Cochlear implant candidacy criteria could potentially be met by up to 7.0% of adults aged ≥80 years, a tenfold increase depending on the definition used.
Conclusions:
- Age-related hearing loss represents a growing public health challenge due to population aging.
- The demand for hearing rehabilitation, including cochlear implants, is projected to increase significantly.
- Timely identification, referral, and innovative care models are essential to address the rising needs of older adults with hearing loss.
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