Auditory Environments and Hearing Aid Feature Activation Among Younger and Older Listeners in an Urban and Rural Area
Auditory Environments and Hearing Aid Feature Activation Among Younger and Older Listeners in an Urban and Rural Area
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DOI：
10.1097/aud.0000000000001308
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发表时间：
2023-05-01
期刊：
影响因子：
3.7
通讯作者：
Wu, Yu-Hsiang
中科院分区：
文献类型：
--
作者：
Jorgensen, Erik;Xu, Jingjing;Wu, Yu-Hsiang
目的：本研究的目的是调查在城市和农村地区听力正常的年轻听众和听力损失的老年听众之间的听觉环境和助听器功能激活的差异。我们假设：（1）城市居民和年轻听众将分别比农村居民和老年听众遇到更多样化和要求更高的听觉环境;（2）先进的助听器功能（降噪和定向麦克风），城市居民和年轻听众将被激活更频繁地比农村居民和老年听众分别。设计：本研究采用横断面设计，重复测量。从城市地区（伯克利，加州）招募了12名听力损失的老年人（OHL-U）和11名听力正常的年轻人（YNH-U），从农村地区（爱荷华州的爱荷华州市）招募了13名听力损失的老年人（OHL-R）和10名YNH-U。参与者戴着助听器，记录他们的听力环境的数据，并完成生态瞬时assessments for 1 week.Results：YNH-U组经历了较高的声压级和助听器功能被激活的频率比OHL组。OHL-R组的声压级差异明显小于YNH-U组。YNH-R组的声音水平介于YNH-U组和OHL组之间，但与任何其他组没有显着差异。YNH组表现出更大的可能性，助听器功能激活比OHL-R group.Conclusions：人口影响听觉环境和激活的助听器功能。年轻的城市居民具有最多样化或要求最高的听觉环境和助听器功能激活，而老年听力损失的农村居民具有最少多样化或要求最高的听觉环境和助听器功能激活。未来的研究，现实世界的听觉环境和听力学干预的有效性，应考虑在招聘和结果的解释位置。
Objectives: The purpose of this study was to investigate differences in auditory environments and hearing aid feature activation between younger listeners with normal hearing and older listeners with hearing loss in an urban and rural location. We hypothesized that (1) urban dwellers and younger listeners would encounter more diverse and demanding auditory environments than rural dwellers and older listeners, respectively; (2) the advanced hearing aid features (noise reduction and directional microphone) of urban dwellers and younger listeners would be activated more frequently than rural dwellers and older listeners, respectively.Design: The design of this study was cross-sectional with repeated measures. A total of 12 older adults with hearing loss (OHL-U) and 11 younger adults with normal hearing (YNH-U) were recruited from an urban area (Berkeley, California) and 13 older adults with hearing loss (OHL-R) and 10 YNH-U were recruited from a rural area (Iowa City, Iowa). Participants wore hearing aids that recorded data about their listening environments and completed ecological momentary assessments for 1 week.Results: The YNH-U group experienced higher sound pressure levels and hearing aid features were activated more frequently than in the OHL groups. The OHL-R group experienced significantly less diverse sound pressure levels than the YNH-U group. The YNH-R group had sound levels between the YNH-U group and the OHL groups but without significant differences from any other group. The YNH groups showed a greater likelihood of hearing aid feature activation than the OHL-R group.Conclusions: Demographics affect auditory environments and the activation of hearing aid features. Younger urban dwellers have the most diverse or demanding auditory environments and hearing aid feature activation, and older, rural dwellers with hearing loss have the least diverse or demanding auditory environments and hearing aid feature activation. Future studies of real-world auditory environments and audiology intervention effectiveness should consider location in recruitment and interpretation of results.