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Journal of Speech, Language, and Hearing Research Vol.44 1201-1208 December 2001. doi:10.1044/1092-4388(2001/093)
© American Speech-Language-Hearing Association
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A Comparison of Self-Reported Hearing Loss and Audiometry in a Cohort of New York Farmers

Marta I. Gomez 1
Syni-An Hwang 1
Lubica Sobotova 1
Alice D. Stark 1

John J. May 2
1 New York State Department of Health Troy
2 New York Center for Agricultural Medicine and Health Cooperstown

mig01{at}health.state.ny.us

The New York State Farm Family Health and Hazard Surveillance was conducted to assess the health status and safety practices among year-round adult farmers and farm residents in New York State and included a telephone interview survey of 1,727 persons from 552 farms. To determine the extent to which self-reported hearing loss is in agreement with audiometry, a subset of 376 participants who completed a hearing loss interview and pure-tone audiometry was analyzed. Thirty-six percent of the participants had self-reported hearing loss, defined as at least some difficulty hearing in one or both ears. The prevalence of audiometric hearing impairment, defined as a threshold average greater than 25 dB hearing level, was 9% for the binaural low-frequency average (500, 1000, and 2000 Hz), 29% for the binaural mid-frequency average (1000, 2000, 3000, and 4000 Hz), and 47% for the binaural high-frequency average (3000, 4000, 6000, and 8000 Hz). Agreement between self-report and audiometry was highest for the binaural mid-frequency average (kappa statistic 55%, sensitivity 77%, and specificity 82%). Self-reported hearing loss was found to be a moderately good measure of hearing impairment. We conclude that a simple questionnaire focusing on hearing difficulty is a useful and valid tool for conducting epidemio-logic studies of farmers. Whenever possible, a substudy using audiometry should be conducted.

KEY WORDS: hearing loss, audiometry, questionnaire, agreement

Submitted on February 19, 2001
Accepted on September 20, 2001


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