ArticleThe Laryngoscope2017
Rurality and determinants of hearing healthcare in adult hearing aid recipients.
Article in The Laryngoscope, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 74 citations in OpenAlex.
- Systematic Review and Meta-Analysis of Audiometric Parameters for Assistive Hearing Technology for Adults and Children With Tympanic Membrane Perforation.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2025Pooled it
- Factors Influencing Hearing Help-Seeking and Hearing Aid Uptake in Adults: A Systematic Review of the Past Decade.Trends in hearingPooled it
- Assessment of Hearing Health Among Adults in Rural Health Clinics.The Laryngoscope · 2026Article
- Perceptions of Over-the-Counter Hearing Aids: A Qualitative Study Informed by the Technology Acceptance Model.Journal of the American Academy of Audiology · 2026Article
- Cardiovascular and sociodemographic factors associated with self-reported hearing loss: a cross-sectional analysis from the Polish PURE cohort.Archives of public health = Archives belges de sante publique · 2026Article
- Usability of Over-the-Counter Hearing Aids in Older Adults.American journal of audiology · 2025Article
- Country Differences in Older Men's Hearing Difficulty Disadvantage.Journal of aging and health · 2025Article
- Article
- Disparities in Hearing Aid Use Among Those With Hearing Loss in Rural and Urban Settings.Laryngoscope investigative otolaryngology · 2025Article
- Development and Implementation of an Aural Rehabilitation Program Using Community Health Workers in Rural Alabama.Perspectives of the ASHA special interest groups · 2024Article
- Breaking Sound Barriers: Exploring Tele-Audiology's Impact on Hearing Healthcare.Diagnostics (Basel, Switzerland) · 2024Review
- Community-Based Strategies to Reduce Alzheimer's Disease and Related Dementia Incidence Among Rural, Racially/Ethnically Diverse Older Adults.Current geriatrics reports · 2023Article
- Audiological Service Delivery and Uptake in New Zealand Regional Areas.Healthcare (Basel, Switzerland) · 2023Article
- Effect of Determinants of Health on the Hearing Care Framework: An Economic Perspective.Seminars in hearing · 2023Review
- Hearing health care access for adult cochlear implant candidates and recipients: Travel time and socioeconomic status.Laryngoscope investigative otolaryngology · 2023Article
- Development and validation of DeciBHAL-US: A novel microsimulation model of hearing loss across the lifespan in the United States.EClinicalMedicine · 2022Article
- Hearing loss among elderly people and access to hearing aids: a cross-sectional study from a rural area in Germany.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021Article
- Feasibility of community health workers as teleaudiology patient-site facilitators: a multilevel training study.International journal of audiology · 2021Article
- Impacts of the COVID-19 Pandemic on Communication and Healthcare Access for Adults With Hearing Loss.Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology · 2021Article
- Hearing healthcare gaps in LMICS: snapshot from a semi-urban community in Nigeria.African health sciences · 2021Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectiveThe objective of this study was to compare the timing of hearing aid (HA) acquisition between adults in rural and urban communities. We hypothesized that time of acquisition of HA after onset of hearing loss is greater in rural adults compared with urban adults. Secondary objectives included assessment of socioeconomic/educational status and impact of hearing loss and hearing rehabilitation of urban and rural HA recipients. STUDY
designCross-sectional questionnaire survey.
methodsWe assessed demographics, timing of HA fitting from onset of hearing loss, and impact of hearing impairment in 336 adult HA recipients (273 urban, 63 rural) from a tertiary referral center. Amplification benefit was assessed using the International Outcome Inventory for Hearing Aids (IOI).
resultsThe time to HA acquisition was greater for rural participants compared to urban participants (19.1 vs. 25.7 years, P = 0.024) for those with untreated hearing loss for at least 8 years. Age at hearing loss onset was correlated with time to HA acquisition (P = -0.54, P < 0.001). Rural HA participants experienced longer commutes to hearing specialists (68 vs. 32 minutes, P < 0.001), were less likely to achieve a degree beyond high school (P < 0.001), and were more likely to possess Medicaid coverage (P = 0.012) compared to urban participants. Hearing impairment caused job performance difficulty in 60% of all participants.
conclusionRural adults are at risk for delayed HA acquisition, which may be related to distance to hearing specialists. Further research is indicated to investigate barriers to care and expand access for vulnerable populations. LEVEL OF EVIDENCE: 4. Laryngoscope, 127:2362-2367, 2017.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.