ArticleFrontiers in public health2026
Targeted adult hearing loss screening in the UK: policy options for equitable implementation through health-service pathways.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Adult hearing loss is common, disabling, and frequently under-detected, with help-seeking often delayed and unmet need unevenly distributed across populations. In the UK, adult hearing-loss screening is not currently recommended, and detection largely depends on self-recognition, primary-care presentation, and referral. This Policy Brief examines three policy options: maintaining the status quo, introducing age-based screening at 60, 65 and 70 years, and implementing targeted risk-based screening through existing health-service pathways for adults at elevated risk of cognitive decline. Appraisal against public health impact, feasibility, equity, and economic considerations suggests that targeted risk-based screening is the most immediately viable option. A phased pilot embedded in dementia, mild cognitive impairment, NHS Health Check, and audiology pathways could generate implementation evidence while improving equitable access to hearing care.
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