Diagnostic performance of the hearing handicap inventory for the elderly (Screening Version) against differing definitions of hearing loss

Michael J. Lichtenstein, Fred H. Bess, Susan A. Logan

Research output: Contribution to journalArticle

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The diagnostic performance of the Hearing Handicap Inventory for the Elderly—Screening Version (HHIE-S) was evaluated against five definitions of hearing loss in 178 elderly subjects screened in primary care. Hearing loss was assessed by pure-tone audiometry. Using a score of greater than 8 as a cut point, the HHIE-S had sensitivities ranging from 53 to 72% and specificities ranging from 70 to 84% with the different definitions. The HHIE-S receiver-operating characteristics and likelihood ratios were similar regardless of hearing loss definition used. The HHIE-S is a valid, robust test for identifying hearing-impaired elderly, irrespective of the audiometric definition used to finally diagnose hearing difficulties.

Original languageEnglish (US)
Pages (from-to)208-211
Number of pages4
JournalEar and hearing
Issue number4
Publication statusPublished - Aug 1988


ASJC Scopus subject areas

  • Otorhinolaryngology
  • Speech and Hearing

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