ArticleJournal of the American Academy of Audiology2026
Adolescents' Attitudes and Perceptions Toward Peers with Hearing Aids: The Hearing Aid Effect in the Mid-2020s.
Article in Journal of the American Academy of Audiology, 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
Background: Negative perceptions related to appearance, personality, and intelligence may exist among peers toward adolescents who use hearing aids. This phenomenon, known as the "hearing aid effect," may discourage adolescents from using their devices. Understanding peers' attitudes and perceptions is crucial for promoting social acceptance and developing educational programs that foster positive perceptions of hearing aid users. Purpose: This study aimed to examine adolescents' attitudes and perceptions toward peers using hearing aids and to investigate the relationship between adolescents' encounters with individuals with disabilities or hearing aids and their attitudes and perceptions. Research Design: Correlational, cross-sectional research. Study Sample: A total of 146 adolescents aged 10-18 years participated in this study. Data Collection and Analysis: Participants completed the Hearing Aid Effect Questionnaire and the Encounters with Individuals with Disabilities and Hearing Aids Questionnaire. The Hearing Aid Effect Questionnaire included photographs of peers using hearing aids and peers with typical hearing. Differences in peer perception, social acceptance, and perceived difference were examined. Relationships between total and subscale scores of the Hearing Aid Effect Questionnaire and frequency of encounters with individuals with disabilities and hearing aids were also analyzed. Results: Significant differences were found between adolescents' perceptions of peers using hearing aids and peers with typical hearing in peer perception (p = 0.000), perceived difference (p = 0.001), and total score (p = 0.004) of the Hearing Aid Effect Questionnaire. A positive correlation was found between the social acceptance subscale score for peers with cochlear implants and the frequency of encounters with individuals with disabilities (ρ = 0.164, p = 0.047). Conclusions: Adolescents have more negative perceptions of peers using hearing aids compared with peers with typical hearing and tend to view these peers as different from themselves. Clinical Relevance Statement: Regular use of hearing aids significantly influences literacy, academic performance, and social development. Negative attitudes and perceptions of peers toward adolescents who use hearing aids may lead these adolescents to conceal their devices and discourage them from seeking amplification. The findings of our study will guide audiologists in designing programs to establish supportive peer environments for adolescents with hearing aids.
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