Canadian Living

HEAR TODAY, GONE TOMORROW

Nearly one out of four Canadian adults has some form of hearing loss, a condition that can negatively impact physical and emotional well-being. So why are we reluctant to talk about it?

- TEXT ALEXANDRA DONALDSON

We shed light on hearing loss and make the case for early interventi­on

“People would rather get eyeglasses, take medication, use a walker— anything but wear a hearing aid. ”

A few years ago, my almost-daily check-ins with my now–63-year-old mom shifted from phone calls to text messages. At first, I didn’t think much of it; I assumed it was for convenienc­e or because she finally got the hang of her smartphone. But when I learned she’d been fitted for hearing aids last winter, it dawned on me that our modern method of communicat­ion might have more to do with the fact that she’d lost 30 percent of her hearing—a revelation that was news to me.

Perhaps I shouldn’t have been surprised. A 2016 Statistics Canada survey found that 78 percent of adults aged 60 to 79 have some form of hearing loss, as do 40 percent of adults aged 40 to 59. The kicker? About three-quarters of adults with hearing loss don’t even know they have a problem. What’s more, it takes seven years, on average, for affected individual­s to seek treatment once they realize they have a problem, says Rex Banks, a Toronto-based audiologis­t and director of hearing health care at the Canadian Hearing Society.

A lack of understand­ing around hearing loss is partly to blame. “The definition is the diminished ability to hear sounds,” says Mae Hernandez, a Victoria-based audiologis­t at Connect Hearing. An impairment can be partial or slight, making it difficult to detect, says Hernandez, adding that these milder cases are often downplayed as an inevitabil­ity of aging, rather than a condition that can be treated and improved. There’s also no real indicator of whether you’re at risk. Certainly, age and genetic predisposi­tion can play a role, and noise-induced damage is something that can be protected against, but hearing loss often results from a combinatio­n of factors that are hard to isolate or pinpoint.

So how do you know your hearing is impaired? One indicator is difficulty understand­ing speech, particular­ly in noisy environmen­ts. “Lower frequencie­s let us know someone is talking to us,” says Banks, “but higher frequencie­s bring clarity and meaning to sound.” Higher frequencie­s are the first to fade with hearing loss, interferin­g with communicat­ion. You may find yourself asking people to repeat themselves, trying to read lips, increasing the volume on television­s and audio devices or—you guessed it—avoiding phone calls.

My mom’s turning point came when she realized she was reading lips and gauging reactions to determine how she should respond in workplace conversati­ons. “I thought, This isn’t right; they could be telling me something horrible or something good,” she says. “I can’t avoid colleagues coming into my office to tell me things in confidence. That’s when I realized I needed to do something about it.”

Overwhelmi­ngly, the best course of action is a hearing aid. “Ninetyfive percent of hearing

losses can be solved with a hearing aid,” says Banks. And yet, the adoption rate is only 20 percent. Why? Hearing loss is considered a problem among “old people,” so many feel they’re too young for a hearing aid. There can also be a sense that the condition hasn’t progressed enough to warrant treatment; people tend to wait for hearing loss to start concretely and negatively affecting their day-to-day lives before seeking help. (This was true of my mom, who saw warning signs as early as three years ago but didn’t see an audiologis­t until her ability to understand and connect with her colleagues was impacted.)

Despite these reasons, the low adoption rate probably has more to do with the negative stigma associated with hearing loss. “People would rather get eyeglasses, take medication, use a walker—anything but wear a hearing aid,” says Banks. This is partly an issue of vanity (unlike glasses, “there’s nothing attractive about a hearing aid,” says my mom), but it’s also because people are afraid of appearing old or not in control of their faculties. On the contrary, the poor communicat­ion and inappropri­ate responses that result from forgoing a hearing aid are likely to make you seem less in control than the presence of one ever will. Even more troubling, an inability to effectivel­y communicat­e can cause feelings of frustratio­n, as it disrupts the natural flow of conversati­on. “Clients often report that their hearing loss is embarrassi­ng and isolating,” says Hernandez, who notes a link between untreated hearing loss and the developmen­t of both dementia and depression, which can result from reclusive behaviour brought on by the condition and the associated stigma.

To make matters worse, eschewing a hearing aid in the early stages can make

it more difficult to adopt one later on. “The longer you deprive your brain of opportunit­ies to sort through different types of sounds, the harder it will be to get used to wearing a hearing aid,”

New Packaging Same Formulatio­n says Banks. “That’s why early interventi­on is key.” Regardless of when you start

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With a hearing aid, the goal is that, in a period of three to six months, your brain is accustomed to hearing sound again.

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