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Hearing loss and employment: a systematic review of the association between hearing loss and employment among adults

Published online by Cambridge University Press:  29 May 2020

A Shan ,
J S Ting ,
C Price ,
A M Goman ,
A Willink ,
N S Reed  and
C L Nieman
A Shan
Affiliation:
Cochlear Center for Hearing and Public Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
J S Ting
Affiliation:
Cochlear Center for Hearing and Public Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
C Price
Affiliation:
Welch Medical Library, Johns Hopkins University, Baltimore, Maryland, USA
A M Goman
Affiliation:
Cochlear Center for Hearing and Public Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
A Willink
Affiliation:
Cochlear Center for Hearing and Public Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA Menzies Center for Health Policy, Sydney School of Public Health, University of Sydney, Sydney, Australia
N S Reed
Affiliation:
Cochlear Center for Hearing and Public Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA
C L Nieman*
Affiliation:
Cochlear Center for Hearing and Public Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA Department of Otolaryngology – Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
*
Author for correspondence: Dr Carrie Nieman, Cochlear Center for Hearing and Public Health, Johns Hopkins Bloomberg School of Public Health, 2024 E. Monument St, Baltimore, MD, USA E-mail: cnieman1@jhmi.edu
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Abstract

Background

Hearing loss affects over 1.3 billion individuals worldwide, with the greatest burden among adults. Little is known regarding the association between adult-onset hearing loss and employment.

Methods

Seven databases (PubMed, Embase, Cochrane Library, ABI/Inform Collection, Business Source Ultimate, Web of Science and Scopus) were searched through to October 2018. The key word terms used related to hearing loss and employment, excluding paediatric or congenital hearing loss and deaf or culturally deaf populations.

Results

The initial search resulted in 13 144 articles. A total of 7494 articles underwent title and abstract screening, and 243 underwent full-text review. Twenty-five articles met the inclusion criteria. Studies were set in 10 predominantly high-income countries. Seven of the 25 studies analysed regionally or nationally representative datasets and controlled for key variables. Six of these seven studies reported associations between hearing loss and employment.

Conclusion

The highest quality studies currently available indicate that adult-onset hearing loss is associated with unemployment. However, considerable heterogeneity exists, and more rigorous studies that include low- and middle-income countries are needed.

Keywords

EmploymentUnemploymentUnderemploymentHearing LossHearing DisordersPresbycusis

Information

Type
Review Articles
Information
The Journal of Laryngology & Otology , Volume 134 , Issue 5 , May 2020 , pp. 387 - 397
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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Footnotes

Dr C Nieman takes responsibility for the integrity of the content of the paper

References

James, SL, Abate, D, Abate, KH, Abay, SM, Abbafati, C, Abbasi, N et al. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 2018;392:1789–858CrossRefGoogle Scholar
Deafness and hearing loss. In: https://www.who.int/news-room/fact-sheets/detail/deafness-and-hearing-loss [27 March 2019]Google Scholar
Graydon, K, Waterworth, C, Miller, H, Gunasekera, H. Global burden of hearing impairment and ear disease. J Laryngol Otol 2019;133:18–25CrossRefGoogle ScholarPubMed
Goman, AM, Lin, FR. Prevalence of hearing loss by severity in the United States. Am J Public Health 2016;106:1820–2CrossRefGoogle ScholarPubMed
Mathers, CD, Loncar, D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med 2006;3:e442CrossRefGoogle ScholarPubMed
World Health Organization. Addressing the rising prevalence of hearing loss. In: https://apps.who.int/iris/handle/10665/260336 [13 May 2019]Google Scholar
Lin, FR, Albert, M. Hearing loss and dementia – who's listening? Aging Ment Health 2014;18:671–3CrossRefGoogle Scholar
Lin, FR, Ferrucci, L. Hearing loss and falls among older adults in the United States. Arch Intern Med 2012;172:369–71CrossRefGoogle ScholarPubMed
Mener, DJ, Betz, J, Genther, DJ, Chen, D, Lin, FR. Hearing loss and depression in older adults. J Am Geriatr Soc 2013;61:1627–9CrossRefGoogle ScholarPubMed
Genther, DJ, Betz, J, Pratt, S, Martin, KR, Harris, TB, Satterfield, S et al. Association of hearing impairment with risk of hospitalization in older adults. J Am Geriatr Soc 2015;63:1146–52CrossRefGoogle ScholarPubMed
Kramer, SE, Kapteyn, TS, Houtgast, T. Occupational performance: comparing normally-hearing and hearing-impaired employees using the Amsterdam Checklist for Hearing and Work. Int J Audiol 2006;45:503–12CrossRefGoogle ScholarPubMed
Vohr, B, Jodoin-Krauzyk, J, Tucker, R, Johnson, MJ, Topol, D, Ahlgren, M. Early language outcomes of early-identified infants with permanent hearing loss at 12 to 16 months of age. Pediatrics 2008;122:535–44CrossRefGoogle ScholarPubMed
Bess, FH, Dodd-Murphy, J, Parker, RA. Children with minimal sensorineural hearing loss: prevalence, educational performance, and functional status. Ear Hear 1998;19:339–54CrossRefGoogle ScholarPubMed
Khairi Md Daud, M, Noor, RM, Rahman, NA, Sidek, DS, Mohamad, A. The effect of mild hearing loss on academic performance in primary school children. Int J Pediatr Otorhinolaryngol 2010;74:67–70CrossRefGoogle ScholarPubMed
Walter, GG, Dirmyer, R. The effect of education on the occupational status of deaf and hard of hearing 26-to-64-year-olds. Am Ann Deaf 2013;158:41–9CrossRefGoogle ScholarPubMed
Schley, S, Walter, GG, Weathers, RR, Hemmeter, J, Hennessey, JC, Burkhauser, RV. Effect of postsecondary education on the economic status of persons who are deaf or hard of hearing. J Deaf Stud Deaf Educ 2011;16:524–36CrossRefGoogle ScholarPubMed
Järvelin, MR, Mäki-Torkko, E, Sorri, MJ, Rantakallio, PT. Effect of hearing impairment on educational outcomes and employment up to the age of 25 years in northern Finland. Br J Audiol 1997;31:165–75CrossRefGoogle ScholarPubMed
Parving, A, Christensen, B. Training and employment in hearing-impaired subjects at 20–35 years of age. Scand Audiol 1993;22:133–9CrossRefGoogle ScholarPubMed
U.S. Census Bureau. The Older Population in the United States: 2010 to 2050. In: https://www.census.gov/library/publications/2010/demo/p25-1138.html [2 July 2019]Google Scholar
CDC. Safer and Healthier at Any Age: Strategies for an Aging Workforce. In: https://blogs.cdc.gov/niosh-science-blog/2012/07/19/agingworkforce/ [9 April 2019]Google Scholar
Ageing and health. In: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health [14 July 2019]Google Scholar
Moher, D, Liberati, A, Tetzlaff, J, Altman, DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ 2009;339:b2535CrossRefGoogle ScholarPubMed
Herzog, R, Álvarez-Pasquin, MJ, Díaz, C, Del Barrio, JL, Estrada, JM, Gil, Á. Are healthcare workers' intentions to vaccinate related to their knowledge, beliefs and attitudes? A systematic review. BMC Public Health 2013;13:154CrossRefGoogle ScholarPubMed
He, P, Luo, Y, Hu, X, Gong, R, Wen, X, Zheng, X. Association of socioeconomic status with hearing loss in Chinese working-aged adults: a population-based study. PLoS One 2018;13:e0195227CrossRefGoogle ScholarPubMed
Emmett, SD, Francis, HW. The socioeconomic impact of hearing loss in U.S. adults. Otol Neurotol 2015;36:545–50CrossRefGoogle ScholarPubMed
Helvik, A-S, Krokstad, S, Tambs, K. Hearing loss and the risk of disability pension in Norway: the Hunt Study. Scand J Public Health 2013;41:818–24CrossRefGoogle ScholarPubMed
Blanchfield, BB, Feldman, JJ, Dunbar, JL, Gardner, EN. The severely to profoundly hearing-impaired population in the United States: prevalence estimates and demographics. J Am Acad Audiol 2001;12:183–9Google ScholarPubMed
Brucker, DL, Houtenville, AJ, Lauer, EA. Using sensory, functional, and activity limitation data to estimate employment outcomes for working-age persons with disabilities in the United States. J Disabil Policy Stud 2016;27:131–7CrossRefGoogle Scholar
Garramiola-Bilbao, I, Rodríguez-Álvarez, A. Linking hearing impairment, employment and education. Public Health 2016;141:130–5CrossRefGoogle ScholarPubMed
Henry, AD, Long-Bellil, L, Zhang, J, Himmelstein, J. Unmet need for disability-related health care services and employment status among adults with disabilities in the Massachusetts Medicaid program. Disabil Health J 2011;4:209–18CrossRefGoogle ScholarPubMed
Hogan, A, Code, C, Taylor, A, Wilson, D. Employment and economic outcomes for deafened adults with cochlear implants. Aust J Rehabil Couns 1999;5:1–8CrossRefGoogle Scholar
Jung, D, Bhattacharyya, N. Association of hearing loss with decreased employment and income among adults in the United States. Ann Otol Rhinol Laryngol 2012;121:771–5CrossRefGoogle ScholarPubMed
Kim, EJ, Byrne, B, Parish, SL. Deaf people and economic well-being: findings from the Life Opportunities Survey. Disabil Soc 2018;33:374–91CrossRefGoogle Scholar
Kobayashi, Y, Tamiya, N, Moriyama, Y, Nishi, A. Triple difficulties in Japanese women with hearing loss: marriage, smoking, and mental health issues. PloS One 2015;10:e0116648CrossRefGoogle ScholarPubMed
Lee, DJ, Gómez-Marín, O, Lee, HM. Sociodemographic correlates of hearing loss and hearing aid use in Hispanic adults. Epidemiology 1996;7:443–6CrossRefGoogle ScholarPubMed
Schofield, DJ, Shrestha, RN, Passey, ME, Earnest, A, Fletcher, SL. Chronic disease and labour force participation among older Australians. Med J Aust 2008;189:447–50CrossRefGoogle ScholarPubMed
Stam, M, Kostense, PJ, Festen, JM, Kramer, SE. The relationship between hearing status and the participation in different categories of work: demographics. Work 2013;46:207–19CrossRefGoogle ScholarPubMed
Thomas, A, Herbst, KG. Social and psychological implications of acquired deafness for adults of employment age. Br J Audiol 1980;14:76–85CrossRefGoogle ScholarPubMed
Chou, C-F, Beckles, GLA, Zhang, X, Saaddine, JB. Association of socioeconomic position with sensory impairment among US working-aged adults. Am J Public Health 2015;105:1262–8CrossRefGoogle ScholarPubMed
Hogan, A, O'Loughlin, K, Davis, A, Kendig, H. Hearing loss and paid employment: Australian population survey findings. Int J Audiol 2009;48:117–22CrossRefGoogle ScholarPubMed
Pierre, PV, Fridberger, A, Wikman, A, Alexanderson, K. Self-reported hearing difficulties, main income sources, and socio-economic status; a cross-sectional population-based study in Sweden. BMC Public Health 2012;12:874CrossRefGoogle ScholarPubMed
Woodcock, K, Pole, JD. Educational attainment, labour force status and injury: a comparison of Canadians with and without deafness and hearing loss. Int J Rehabil Res 2008;31:297–304CrossRefGoogle ScholarPubMed
Atherton, K, Power, C. Health inequalities with the National Statistics-Socioeconomic classification: disease risk factors and health in the 1958 British birth cohort. Eur J Public Health 2007;17:486–91CrossRefGoogle ScholarPubMed
Barnartt, S. Deaf women and inequality in educational attainment and occupational status. In: Brueggemann, BJ, Burch, S, ed. Women and Deafness: Double Vision. Washington, DC: Gallaudet University Press, 2006Google Scholar
Helvik, A-S, Krokstad, S, Tambs, K. Socioeconomic inequalities in hearing loss in a healthy population sample: the HUNT study. Am J Public Health 2009;99:1376–8CrossRefGoogle Scholar
Roberts, J, Cohrssen, J. Hearing levels of adults. By education, income, and occupation. United States-1960-1962. Vital Health Stat 11 1968;31:1–41Google Scholar
World Health Organization. Report of the Informal Working Group on Prevention of Deafness and Hearing Impairment: Programme Planning. WHO/PDH/91.1. Geneva: WHO, 1991Google Scholar
Danermark, B, Gellerstedt, LC. Psychosocial work environment, hearing impairment and health. Int J Audiol 2004;43:383–9CrossRefGoogle ScholarPubMed
Hasson, D, Theorell, T, Wallén, MB, Leineweber, C, Canlon, B. Stress and prevalence of hearing problems in the Swedish working population. BMC Public Health 2011;11:130CrossRefGoogle ScholarPubMed
Grimby, DA, Ringdahl, A. Does having a job improve the quality of life among post-lingually deafened Swedish adults with severe-profound hearing impairment? Br J Audiol 2000;34:187–95CrossRefGoogle ScholarPubMed
Opportunity blocked report. In: https://www.actiononhearingloss.org.uk/how-we-help/information-and-resources/publications/research-reports/opportunity-blocked-report/ [19 March 2019]Google Scholar
Lie, A, Skogstad, M, Johannessen, HA, Tynes, T, Mehlum, IS, Nordby, K-C et al. Occupational noise exposure and hearing: a systematic review. Int Arch Occup Environ Health 2016;89:351–72CrossRefGoogle ScholarPubMed
Agrawal, Y, Platz, E, Niparko, J. Risk factors for hearing loss in US adults. Otol Neurotol 2009;30:139–45CrossRefGoogle ScholarPubMed
Hong, O. Hearing loss among operating engineers in American construction industry. Int Arch Occup Environ Health 2005;78:565–74CrossRefGoogle ScholarPubMed
Friberg, E, Gustafsson, K, Alexanderson, K. Hearing difficulties, ear-related diagnoses and sickness absence or disability pension – a systematic literature review. BMC Public Health 2012;12:772CrossRefGoogle ScholarPubMed
Friberg, E, Jansson, C, Mittendorfer-Rutz, E, Rosenhall, U, Alexanderson, K. Sickness absence due to otoaudiological diagnoses and risk of disability pension: a nationwide Swedish prospective cohort study. PLoS One 2012;7:e29966CrossRefGoogle ScholarPubMed