Europe’s Ageing Society

Hearing Loss in Adults

Europe's population is one of the oldest in the world, which makes disease areas such as age-related hearing loss a growing concern.
By 2050 the number of people with hearing loss could rise to 2,5 billion worldwide

By 2050 the number of people living with disabling hearing loss will increase to 2,5 billion. This will have a significant impact on quality of life and overall health of adults across Europe. We know that adults with hearing loss report reduced participation in society due to fragmented communication. This includes difficulty following and taking part in conversations or meetings, which can lead to a diminished circle of friends, social isolation and withdrawal.

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Effective hearing screening for age related hearing loss (ARHL) or noise-induced hearing loss is the first step to addressing this. When Governments provide person-centred care that includes speech & language therapy and access to hearing technology such as hearing aids or cochlear implants, the impact is significant. With hearing loss treatment, adults can increase their ability to communicate with others, which positively increases social activity, volunteer engagement, and paid employment.

Six hearing care interventions can support people with hearing loss

Adult Hearing Loss and Barrier to Active Ageing

Untreated hearing loss in adults is linked to a number of comorbidities that affects quality of life and adds significant financial costs to Europe’s healthcare systems.

When hearing loss deprives the brain of stimulation from communication or music, it can speed up cognitive decline and increase the risk of dementia by as much as 8.2%. This makes hearing loss the number one modifiable risk factor contributing to the condition (Livingston, 2020).

Read More about Cognition and Hearing Loss

Adults with untreated hearing loss are also:

  • Twice as likely to experience mental health conditions such as depression
  • Have an increased risk of type 2 diabetes
  • Experience more frequent falls
  • 33% more likely to rely on others leading to reduced independence and autonomy
  • More likely to have increased hospitalization rates, entry to assisted living housing, or need social care services.

All these factors increase the pressure on public spending related to ageing, which already accounts for 50% of general government expenditure across Europe.

Read more about the economic impact of hearing loss in adults

How can Policy Makers help?

  • Raise awareness of the importance of hearing health, the impact of hearing loss and the benefits of hearing loss treatment
  • Promote the need for robust hearing health strategies at a national level, including diagnosis, rehabilitation, service and maintenance
  • Introduce a National Screening Programme for hearing loss in over 55s
  • Acknowledge access to professional hearing care as a right
  • Promote access to effective treatments
  • Explore and invest in effective methods of prevention and rehabilitation for hearing loss
  • Share best practices among Member States


  • Hearing Loss and Adverse Health Effects

    1 Aging and Hearing Health: The Life-course Approach. Davis A et al. Gerontologist. 2016 Apr; 56(Suppl 2): S256–S267 | 2 Association of Age-Related Hearing Loss With Cognitive Function, Cognitive Impairment, and Dementia: A Systematic Review and Meta-analysis, Loughrey DG et al. JAMA Otolaryngol Head Neck Surg. 2018 Feb 1;144(2):115-126 | 3 Diabetes-related changes in hearing. Austin DF et al. Laryngoscope. 2009 Sep;119(9):1788-96 | 4,5 Association of Hearing Impairment and Mortality in Older Adults, Genther DJ et al. J Gerontol A Biol Sci Med Sci. 2015 January;70(1):85–90 | 6 Prevalence and patterns of hearing loss among chronic kidney disease patients undergoing haemodialysis, Jishana Jamaldeen, Australas Med J. 2015; 8(2): 41–46 | 7 Association of Hearing Impairment With Incident Frailty and Falls in Older Adults, Kamil RJ et al. J Aging Health. 2016 Jun; 28(4): 644–660 | 8 Death, Depression, Disability and Dementia Associated With Self-reported Hearing Problems: A 25-Year Study. Amieva H et al. J Gerontol A Biol Sci Med Sci. 2018 Sep 11;73(10):1383-1389 | 9 Associations between cardiovascular disease and its risk factors with hearing loss-A cross-sectional analysis. Tan HE et al. Clin Otolaryngol. 2018 Feb;43(1):172-181

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