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Ohio State University Extension

Senior Series

Have You Heard? Hearing Loss and Older Adults


Accurate estimates of hearing loss are very difficult to obtain. There are two main reasons for this. First, most of the research information available relies on self-reports and the inconsistent use of terms and definitions. Second, it is common for people to deny their hearing loss and/or not realize the extent of their hearing impairment. For example, many hard of hearing people have adapted well to their hearing loss and hearing aids and may not report any hearing difficulties, therefore excluding themselves from national estimates.

With these limitations in mind, research suggests one in every ten Americans has hearing loss. That translates into about 28 million people. Because the prevalence of hearing loss increases with age (1 in 3 among persons over 65), as Baby Boomers get older, estimates of those with hearing impairment are expected to double the numbers currently reported.

Among seniors, hearing loss is the third most prevalent but treatable disabling condition behind arthritis and hypertension. Frequently, however, hearing loss is misinterpreted as a lack of intelligence or a lack of interest. For those individuals with hearing loss this could not be any further from the truth. The reality is that individuals with hearing loss are sometimes the last to recognize they have a problem. Most hearing losses develop over a period of 25 to 30 years. Since hearing loss may occur very gradually, people often do not realize they cannot hear. Instead, they turn up the television, ask to have conversations repeated, and misunderstand a comment or two. Eventually conversations become more a chore than a pleasure.

What Is Hearing Impairment?

The term “hearing impairment” refers to any degree of loss of loudness or pitch that is outside the normal range. It is possible for individuals to have a slight hearing loss but not experience any difficulty because it does not interfere with their everyday living. On the other hand, we may all have trouble hearing in noisy areas or when many people are talking all at once. Just as hearing impairments vary, so do people’s coping abilities. An unfortunate consequence of hearing impairment is the feeling of isolation from people and activities.

The medical term for hearing loss that accompanies aging is presbycusis. In this situation, an individual may hear you but not be able to understand you. In particular, high-pitched sounds and consonants such as s, f, and z may be indistinguishable from one another. This lack of clarity explains why some older adults will say, “I hear you, but I can’t understand you.” Factors other than aging can contribute to hearing impairment, including noise exposure, injury, medication, disease, and heredity. While some causes of hearing loss may result in permanent changes in hearing, others may be corrected by medical intervention. Any individuals who have questions about their hearing should have their hearing evaluated.

Do You Have Hearing Loss?

If you answered “yes” to any of these questions, you may have hearing loss.

What to Do Next


American Speech-Language-Hearing Association, 1997-2004 Information Sheets. On-line at

Morris, V. (1996). How to Care for Aging Parents. New York: Workman Publishing.

National Institutes of Health. (2001). Hearing Loss and Older Adults. NIH Publication No. 01-4913.

Among seniors, hearing loss is the third most
prevalent but treatable disabling condition
behind arthritis and hypertension.

Click here for the PDF version of this Fact Sheet.

Adapted by: Lynn A. Dobb, M.A., Education Coordinator, Central Ohio Area Agency on Aging.

All educational programs conducted by Ohio State University Extension are available to clientele on a nondiscriminatory basis without regard to race, color, creed, religion, sexual orientation, national origin, gender, age, disability or Vietnam-era veteran status.

Keith L. Smith, Associate Vice President for Ag. Adm. and Director, OSU Extension.

TDD No. 800-589-8292 (Ohio only) or 614-292-6181

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