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Related Experiment Video

Updated: Feb 12, 2026

Neonatal Murine Cochlear Explant Technique as an In Vitro Screening Tool in Hearing Research
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[Comparative study on hearing screening tools for the elderly population in Beijing area].

Tong Liu1, Yuan Wang1, Jing Chen1

  • 1Beijing Tongren Hospital Capital Medical University,Key Laboratory of Otolaryngology Head and Neck Surgery,Ministry of Education,Beijing Institute of Otolaryngology,Beijing,100730,China.

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Journal of Clinical Otorhinolaryngology Head and Neck Surgery
|February 11, 2026
PubMed
Summary

Simple device screening and audiometer screening show strong consistency for elderly hearing loss detection. The Hearing Handicap Inventory for the Elderly-Screening Version (HHIE-S) questionnaire offers moderate consistency, suggesting both methods are viable for large-scale community hearing health assessments.

Keywords:
agedaudiometer screening methodhearing handicap inventory for the elderly-screening versionhearing screeningsimple device screening method

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Area of Science:

  • Gerontology
  • Audiology
  • Public Health

Background:

  • Hearing loss is a prevalent condition among the elderly, impacting their quality of life.
  • Community-based screening is crucial for early detection and intervention in aging populations.
  • Evaluating the effectiveness of different screening tools is essential for optimizing public health strategies.

Purpose of the Study:

  • To assess the hearing health status of elderly individuals in Beijing communities.
  • To compare the application effectiveness of the Hearing Handicap Inventory for the Elderly-Screening Version (HHIE-S) questionnaire, simple device screening, and audiometer screening.
  • To determine the prevalence of hearing loss in this demographic.

Main Methods:

  • A cross-sectional study involving 722 elderly individuals (≥60 years) from 5 Beijing community health centers.
  • Screening using the HHIE-S questionnaire, simple devices, and a standard audiometer.
  • Statistical analysis including Kappa test, McNemar test, ICC, and Bland-Altman plots to assess consistency and agreement.

Main Results:

  • 53.2% of participants exhibited a 4-frequency pure-tone average (4fPTA) ≥35 dB HL in the better ear.
  • Simple device screening demonstrated extremely strong consistency with audiometer screening (Kappa=0.846, sensitivity=93.43%, specificity=92.00%).
  • HHIE-S questionnaire screening showed moderate consistency with audiometer screening (Kappa=0.420, sensitivity=77.54%, specificity=65.20%).

Conclusions:

  • Simple device screening is a highly reliable and consistent method for large-scale hearing loss screening in the elderly.
  • The HHIE-S questionnaire provides a moderately consistent screening approach.
  • Both simple devices and HHIE-S can be utilized for community-based hearing health programs, with tool selection dependent on available resources.