Diagnostic performance of the hearing handicap inventory for the elderly (screening version) against differing definitions of hearing loss

Ear Hear. 1988 Aug;9(4):208-11. doi: 10.1097/00003446-198808000-00006.


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.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Audiometry, Pure-Tone
  • Female
  • Hearing Disorders / classification
  • Hearing Disorders / diagnosis*
  • Hearing Disorders / psychology
  • Humans
  • Male
  • Psychological Tests / methods*