Adoption, Use and Non-use of Hearing Aids: a Robust Estimate Based on Welsh National Survey Statistics

To report a robust measure of the proportion of adults who do not use their hearing aids. Data on hearing aid use was extracted from national household survey data, from 2004 to 2018 in Wales, UK. A representative sample of 10,000 to 16,000 adults per year. Self-reported hearing difficulty increased smoothly from 14 to 16% during the 12 years when survey administration remained unchanged. The proportion reporting that they had tried a hearing aid increased from 5 to 7% and stabilised at this level since 2011. The proportion who reported using their hearing aid most of the time increased from 47 to 52% during the 15-year period. The proportion who did not use their hearing aids at all decreased from 21 to 18% over the same period. In this extensively-surveyed population, approximately 20% of adults currently do not use their hearing aids at all, 30% use them some of the time and the remaining 50% most of the time. Hearing aids are valued by many, as judged by use, but there is substantial room for improvement. Inclusion of questions on use within a large-scale, regular national survey enables the collection of demonstrably reliable data.