Matthews L J, Lee F S, Mills J H, Schum D J
Department of Otolaryngology and Communicative Sciences, Medical University of South Carolina, Charleston 29425.
Arch Otolaryngol Head Neck Surg. 1990 Nov;116(11):1325-30. doi: 10.1001/archotol.1990.01870110097013.
This study compares self-perceived assessment of hearing handicap with audiometrically derived measures of hearing handicap in a sample of elderly persons. Subjects were evaluated by traditional audiometric tests, the Speech Perception in Noise test, and the Hearing Handicap Inventory for the Elderly, a self-assessment questionnaire. Hearing handicap was also calculated by the audiometrically derived American Academy of Otolaryngology (1979) method. Our results are consistent with other studies that indicate a low correspondence between audiometric measures of hearing handicap and self-assessment of hearing handicap. Furthermore, if the Hearing Handicap Inventory for the Elderly is considered the true measure of hearing handicap, our data indicate that the American Academy of Otolaryngology method tends to overestimate handicap among persons with no self-perceived hearing handicap and underestimates handicap among persons with significant self-perceived hearing handicap.
本研究在一组老年人样本中，比较了听力障碍的自我感知评估与通过听力测定得出的听力障碍指标。通过传统听力测试、噪声环境下言语感知测试以及老年人听力障碍自评问卷对受试者进行评估。听力障碍还通过美国耳鼻咽喉头颈外科学会（1979年）基于听力测定得出的方法进行计算。我们的结果与其他研究一致，这些研究表明听力障碍的听力测定指标与听力障碍自我评估之间的对应性较低。此外，如果将老年人听力障碍自评问卷视为听力障碍的真实衡量标准，我们的数据表明，美国耳鼻咽喉头颈外科学会的方法往往会高估无听力障碍自我感知者的听力障碍程度，而低估有明显听力障碍自我感知者的听力障碍程度。
