Evidence map›Paper›PMID 40413230›Full record

ArticleScientific reports2025

Optimization of utilizing the HHIE-S for hearing screening in older people: a cross-sectional study of associated factors.

Xinyang Zhou, Xinxing Fu, Yi Zhang, Jian Zhou, Yao Cui, Bo Liu

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. [Comparative study on hearing screening tools for the elderly population in Beijing area].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2026
    Article
  2. [Analysis of characteristics and influencing factors of hearing loss in the older adults].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2026
    Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Xinyang ZhouDepartment of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China.
Xinxing FuBeijing Institute of Otolaryngology, Key Laboratory of Otolaryngology Head and Neck Surgery, Capital Medical University, Ministry of Education, Beijing, China.
Yi ZhangDepartment of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China.
Jian ZhouDepartment of Geriatrics, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Yao CuiDepartment of Geriatrics, Beijing Tongren Hospital, Capital Medical University, Beijing, China. xiaoniao912@163.com.
Bo LiuDepartment of Otolaryngology Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China. trliubo@139.com.

Funding

The Key Medical Development Program of Beijing Tongren Hospital trzdyxzy201802The National Key Research and Development Program 2020YFC2005200
6 · The paper itself

Abstract

This study aims to evaluate sociodemographic information, lifestyle, physical and mental health status, and otological symptoms factors associated with the accuracy of the Hearing Handicap Inventory for the Elderly Screening version (HHIE-S) in older people, which helps to increase the efficiency of hearing screening. Participants aged over 60 years who had not undergone professional hearing examinations were recruited from July 2023 to November 2024. The assessments consisted of age, sex, body mass index, living alone, education background, occupation, history of smoking, alcohol consumption, noise exposure, hypertension, diabetes, coronary heart disease, cerebrovascular disease, cognitive function, anxiety, depression, tinnitus and vertigo, along with HHIE-S and pure tone audiometry. The rate of total accuracy, total inaccuracy, false negative, and false positive were calculated, and factors associated with the false negatives and false positives of the HHIE-S were analyzed via multivariate logistic regression analysis. The results revealed that 773 participants (aged 60-93 years) were included, and the total inaccuracy rate of the HHIE-S was 33.11%. Among individuals with normal hearing, the false positive rate of the HHIE-S was 13.64%, while the false negative rate was 36.35% among individuals with hearing loss. Tinnitus (OR = 24.77, 95% CI 4.91-124.89) was the main factor contributing to false positives of HHIE-S. However, the significantly associated factors with false negatives of HHIE-S were living alone (OR = 1.96, 95% CI 1.21-3.17), smoking (OR = 1.83, 95% CI 1.23-2.70), cognitive decline (OR = 1.54, 95% CI 1.11-2.16), anxiety (OR = 1.51, 95% CI 1.02-2.22) and hypertension (OR = 0.65, 95% CI 0.46-0.91). Therefore, even when the HHIE-S ≤ 8 during hearing screening for the older people, there is still a possibility of hearing loss. Vigilance should be maintained associated factors such as living alone, smoking, cognitive decline and anxiety.

Indexed as

Hearing LossHearing TestsMass ScreeningAgedAged, 80 and overAudiometry, Pure-ToneCross-Sectional StudiesFemaleHumansMaleMiddle AgedTinnitusHearing handicap inventory for the elderly screening versionHearing lossHearing screenOlder peoplePure tone audiometry

Identifiers

PMID40413230
PMCPMC12103518

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

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 Socratic graph.