Presbycusis is a sensorineural type of hearing loss caused by a degenerative process of the hearing organ. Examination was done to detect hearing loss, with Audiometry as the diagnostic gold standard and screening with whisper test and using Hearing Handicap Inventory for the Elderly-Screening (HHIE-S) questionnaire. This study was aimed to compare the sensitivity and specificity between Hearing Handicap Inventory for the Elderly Screening questionnaire score and Whisper test in hearing loss of presbycusis patients in Dr. Soetomo Hospital. Subjects were elderly patients in outpatient clinic of Geriatry and Audiology of Dr. Soetomo General Hospital in Surabaya. Data samples were collected by consecutive sampling. All collected samples were analyzed statistically by Pearson correlation test to identify the correlation between variables. Results: Statistic analysis with Pearson correlation test obtained p-value = 0.001 and correlation coefficient (r) = 0.691 for HHIE-S questionnaire and p = 0.001 and (r) = 0.298 for Whisper test. The sensitivity of the Whisper test was 72.73% while the HHIE-S questionnaire was 61.82%. Both tests had the same specificity of 80%. Conclusions: The Whisper test is more sensitive than HHIE-S questionnaires in detecting hearing loss in presbycusis patients in outpatient clinic of Geriatry and Audiology of Dr. Soetomo General Hospital in Surabaya.
This is a preview of subscription content, access via your institution.
Buy single article
Instant access to the full article PDF.
Tax calculation will be finalised during checkout.
Subscribe to journal
Immediate online access to all issues from 2019. Subscription will auto renew annually.
Tax calculation will be finalised during checkout.
Kim TS, Chung JW (2013) Evaluation of age-related hearing loss. Korean J Audiol. https://doi.org/10.7874/Kja.2013.17.2.50
Astari NL (2014) Uji diagnostik hhie-s versi indonesia untuk skrining gangguan pendengaran usia lanjut. Universitas Udayana Bali, Thesis
Gates GA, Mills JH (2005) Presbycusis. The Lancet. https://doi.org/10.1016/S0140-6736(05)67423-5
Pacala JT, Yueh B (2012) Hearing deficits in the older patient “ I Didn't Notice Anything ”. J Am Med Assoc. https://doi.org/10.1001/jama.2012.305
Dawes P, Emsley R, Cruickshanks KJ, Moore DR (2015) Hearing loss and cognition : the role of hearing aids. Social Isol Depress Plos one. https://doi.org/10.1371/journal.pone.0119616
Sindhusake D, Mitchell P, Smith W, Golding M, Newall P, Hartley D, Rubin G (2001) Validation of self-reported hearing loss the blue mountains hearing study. Int J Epidemiol. https://doi.org/10.1093/Ije/30.6.1371
WHO. (2013). Prevention of blindness and deafness - grades of hearing impairment. WHO. Retrieved From https://www.who.int/deafness/hearing_impairment_grades/en/. Accessed 9 Aug 2020
Pirozzo S, Papinczak T, Glasziou P (2003) Whispered voice test for screening for hearing impairment in adults and children: systematic review. BMJ. https://doi.org/10.1136/bmj.327.7421.967
Nilforoush MH, Nasr Esfahani AA, Ishaghi R, Sepehrnejad M (2012) Comparison of nursing home hearing handicap index with audiological findings: a presbycusis study. J Aging Res. https://doi.org/10.1155/2012/423801
Walis S (2013) Binomial confidence intervals and contingency tests: mathematical fundamentals and the evaluation of alternative methods. Taylor Francis Online. https://doi.org/10.1080/09296174.2013.799918
Wibowo S, Soedarmi M (2010) Hubungan ambang dengar dengan nilai hearing handicap berdasarkan hearing handicap inventory for the elderly-screening (HHIE-S). Oto Rhino Laryngol Indones. https://doi.org/10.32637/orli.v40i2.7
Deepthi R, Kasthuri A (2012) Validation of the use of self-reported hearing loss and the hearing handicap inventory for elderly among rural indian elderly population. Arch Gerontol Geriatr. https://doi.org/10.1016/J.Archger.2012.07.006
Maguire N, Prosser S, Boland R, Mcdonnell A (2009) Using a questionnaire and the whisper test screening for hearing loss in general pracace using a questionnaire and the whisper test. Eur J Gen Pract. https://doi.org/10.3109/13814789809160779
Kakarlapudi V, Sawyer R, Staecker H (2003) The effect of diabetes on sensorineural hearing loss. Otol Neurotol. https://doi.org/10.1097/00129492-200305000-00006
Lotfi Y, Mehrkian S, Moossavi A, Faghih-Zadeh S (2009) Quality of life improvement in hearing- impaired elderly people after wearing a hearing aid. Arch Iran Med 12(4):365–370
The researchers would like to thank all participants who took part in this study.
Conflicts of interest
There are no conflicts of interest.
Financial Support and Sponsorship
This study financial support by themselves.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
About this article
Cite this article
Purnami, N., Mulyaningsih, E.F., Ahadiah, T.H. et al. Score of Hearing Handicap Inventory for the Elderly (HHIE) Compared to Whisper Test on Presbycusis. Indian J Otolaryngol Head Neck Surg (2020). https://doi.org/10.1007/s12070-020-01997-5
- Hearing loss degree
- HHIE-S questionnaire score
- Whisper test