Probability of Having Any Degree of Hearing Loss

Approximately 15% of American adults (about 37.5 million people) aged 18 and older report some degree of hearing trouble. Among adults 65-74, about 25% have disabling hearing loss, and for those 75 and older, the rate exceeds 50%. Age-related hearing loss (presbycusis) is the most common type, affecting the ability to hear high-frequency sounds.

Noise exposure is the second most common cause of hearing loss, affecting an estimated 24% of adults who show characteristic noise-induced damage on hearing tests. Occupational noise exposure (construction, manufacturing, entertainment) and recreational noise (concerts, firearms, power tools, earbuds at high volume) are the primary sources. Other causes include genetics, ototoxic medications, ear infections, and trauma.

Despite effective treatment options, only about 30% of adults who could benefit from hearing aids actually use them. Barriers include cost (hearing aids average $2,000-$7,000 per pair), stigma, and access issues. The 2022 FDA ruling allowing over-the-counter hearing aids for mild to moderate hearing loss aims to improve affordability and access. Untreated hearing loss is associated with increased risk of dementia, depression, social isolation, falls, and cognitive decline. Regular hearing screenings are recommended for adults over 50.