- Title
- Preferences for hearing aid attributes among people with moderate or greater hearing loss in rural china: a discrete choice experiment
- Creator
- Zhu, Dawei; Shi, Xuefeng; Nicholas, Stephen; Ye, Xin; Chen, Siyuan; He, Ping
- Relation
- Patient Preference and Adherence Vol. 14, p. 643-652
- Publisher Link
- http://dx.doi.org/10.2147/PPA.S248522
- Publisher
- Dove Medical Press
- Resource Type
- journal article
- Date
- 2020
- Description
- Purpose: Hearing loss has not received sufficient attention, especially in low-and middle-income countries where more than 80% of the people with hearing loss reside. Little is known about the preference for hearing aids among people with hearing loss in developing countries. The aim of this study is to elicit the preferences for hearing aid attributes among rural Chinese adults with moderate or greater hearing loss and examine how preferences vary across different individual socioeconomic characteristics. Patients and Methods: We interviewed 125 adults in two rural counties in Shandong province in China. A discrete choice experiment (DCE) with eight attributes, comprising out-of-pocket (OOP) costs, hearing aid style, effective in quiet settings and noisy settings, feedback (whistling), connectivity, water/sweat resistance and battery life, were employed to examine participants' preference for hearing aids. Mixed logit models were used for the statistical analyses. Results: While OOP costs, effectiveness in quiet settings, water/sweat resistance and battery life were significantly associated with choosing a hearing aid, rural Chinese adults with moderate or greater hearing loss valued effectiveness in noisy settings above other attributes of hearing aids, followed closely by lack of feedback. The preference of the attributes of OOP costs, in the canal hearing aids, effectiveness in noisy settings, connectivity and battery life varied across individual socioeconomic characteristics including sex, marriage, employment, income and education level. Conclusion: Our study supported the view that the development of noise suppression and feedback cancellation systems remained the main challenge for the hearing aid industry. Since OOP costs were also associated with choosing a hearing aid, the policy advice is to improve reimbursements from insurance schemes and/or reduce the costs of hearing aids.
- Subject
- hearing aids; discrete choice experiment; hearing loss; rural China; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1455877
- Identifier
- uon:45144
- Identifier
- ISSN:1177-889X
- Rights
- © 2020 The Author(s). This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.
- Language
- eng
- Full Text
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