Community-Based Hearing Screening for Healthy Aging

Amr El Refaie

Community-Based Hearing Screening for Healthy Aging

Author(s)	Dr. Amr El Refaie
Country	United States
Abstract	Age-related hearing impairment is an important but frequently under-recognized component of healthy aging because progressive auditory decline can interfere with communication, social participation, functional independence, emotional well-being, and access to health information. Community-based hearing screening offers an opportunity to identify possible hearing impairment before substantial communication disability develops, particularly among older adults who rarely seek specialist audiological care. The present study develops a simulation-based framework for evaluating a community hearing-screening pathway that combines brief self-report assessment, portable or smartphone-supported hearing screening, referral triage, diagnostic follow-up, and linkage to appropriate hearing rehabilitation. A hypothetical cohort of 500 community-dwelling adults aged 60 years or older was modeled to compare a structured community-based screening pathway with an opportunistic usual-care pathway. Because no original participant dataset was supplied, all numerical findings are explicitly synthetic and are intended for methodological demonstration rather than clinical inference. The modeled community pathway achieved higher screening participation, diagnostic follow-up, and initiation of hearing care. Screening participation reached 86% in the community pathway compared with 61% in the opportunistic pathway, while simulated care initiation reached 24% and 12%, respectively. The analysis further demonstrates that successful screening programs should be evaluated not merely by the number of tests performed but by their capacity to move screen-positive older adults toward diagnostic confirmation, counseling, rehabilitation, assistive technology, or specialist treatment where required. Earlier research supports the feasibility of several brief hearing-screening approaches and identifies hearing impairment as relevant to psychosocial and cognitive dimensions of later life. The study concludes that community hearing screening can be positioned as an accessible entry point within healthy-aging services, provided that positive screens are linked to reliable diagnostic and rehabilitative pathways.
Keywords	hearing screening; healthy aging; older adults; community health; age-related hearing loss; audiology; hearing-care access; preventive health
Field	Engineering
Published In	Volume 4, Issue 3, May-June 2023
Published On	2023-05-30

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American Journal of Advanced Multidisciplinary Innovation and Research

A Widely Indexed Open Access Peer Reviewed Multidisciplinary Bi-monthly Scholarly International Journal

Community-Based Hearing Screening for Healthy Aging

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