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Although hearing aids can support social engagement, only about one-third of older adults who could benefit use them, commonly due to barriers such as cost, access, and limited social support. This study evaluated community engagement satisfaction in vulnerable older adults receiving publicly funded HCBS by self-reported unmet hearing aid need, using 2017-2019 National Core Indicators-Aging and Disability data from 10,861 HCBS users aged 65+.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/unmet-hearing-aid-need-linked-to-lower-community-engagement-satisfaction-in-vulnerable-older-adults-abstract/426660/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/unmet-hearing-aid-need-linked-to-lower-community-engagement-satisfaction-in-vulnerable-older-adults-abstract/426660.png","ImageObject",300,407,{"name":92,"@type":93},"Rainbow Cat","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-21","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why is unmet hearing aid need important for vulnerable older adults?","Question",{"text":112,"@type":113},"Hearing loss is associated with dementia risk, and it can drive social isolation. Unmet hearing aid need leaves vulnerable older adults without supports that may improve engagement with their community.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was community engagement satisfaction measured in this study?",{"text":117,"@type":113},"The study used a single-item measure of community engagement satisfaction among older adults receiving publicly funded HCBS. Participants were stratified by self-reported hearing aid need.",{"name":119,"@type":110,"acceptedAnswer":120},"What did the study find about satisfaction differences?",{"text":121,"@type":113},"Unadjusted satisfaction was lower among those reporting unmet need (38.8%) versus those not needing hearing aids (49.4%) or already using them (52.3%). After adjustment, unmet-need users were still less likely to report satisfaction.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},426660,1790956481,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24},962090769181,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","1012 Innovation in Aging, 2025, Vol. 9, No. S2  \nAbstract citation ID: igaf122.3413  \nUNMET HEARING AID NEED LINKED TO LOWER COMMUNITY ENGAGEMENT SATISFACTION INVULNERABLE OLDER ADULTS  \nDana Urbanski1, Jack Wolf2, Romil Parikh2, Benjamin Langworthy2, Eric Jutkowitz3, and Tetyana Shippee3,  \n1. Indiana University Bloomington, Bloomington, Indiana, United States, 2. University of Minnesota School of Public Health, Minneapolis, Minnesota, United States, 3. University of Minnesota, Minneapolis, Minnesota, United States  \nHearing loss is associated with dementia, possibly by driving social isolation that contributes to cognitive decline. Hearing aids can improve social engagement among older adults with hearing loss, yet only one-third of those who could benefit from hearing aids use them—often due to barriers such as cost, access, and lack of social support. Consequently, many vulnerable older  \nInnovation in Aging, 2025, Vol. 9, No. S2 1013  \nadults report unmet hearing aid need; however, little research has examined social/community engagement in this population, which may be amenable to treatment but has not received hearing aids. This study examined a single-item measure of community engagement satisfaction among older adults receiving publicly funded home- and community-based services (HCBS; an indicator of social and financial vulnerability) stratified by self-reported hearing aid need. Using data from the 2017-2019 National Core Indicators-Aging and Disability Adult Consumer Surveys, the sample included 10,861 HCBS users aged ≥65 years, 14% of whom reported unmet hearing aid need. Unadjusted satisfaction rates were lower for those who reported unmet need (38.8%) compared to those who reported not needing hearing aids (49.4%) or already using hearing aids (52.3%). Adjusting for covariates, a Poisson model with robust standard errors pooled across multiple imputations revealed that HCBS users reporting unmet need were still 12%(95% CI, 5%-19%) and 17%(95% CI, 11%-24%) less likely to report satisfaction with their community engagement compared to those who reported not needing or already using hearing aids, respectively. Addressing unmet hearing aid need among vulnerable older adults may promote social and community engagement.","cbCaitMVp2aqVJ2D","https://ap.wps.com/l/cbCaitMVp2aqVJ2D","pdf",58229,"English","# Background\n# Study Design and Data Source\n# Findings\n# Implications","[{\"question\":\"Why is unmet hearing aid need important for vulnerable older adults?\",\"answer\":\"Hearing loss is associated with dementia risk, and it can drive social isolation. Unmet hearing aid need leaves vulnerable older adults without supports that may improve engagement with their community.\"},{\"question\":\"How was community engagement satisfaction measured in this study?\",\"answer\":\"The study used a single-item measure of community engagement satisfaction among older adults receiving publicly funded HCBS. Participants were stratified by self-reported hearing aid need.\"},{\"question\":\"What did the study find about satisfaction differences?\",\"answer\":\"Unadjusted satisfaction was lower among those reporting unmet need (38.8%) versus those not needing hearing aids (49.4%) or already using them (52.3%). After adjustment, unmet-need users were still less likely to report satisfaction.\"}]","UNMET HEARING AID NEED LINKED TO LOWER COMMUNITY ENGAGEMENT SATISFACTION IN VULNERABLE OLDER ADULTS - Abstract | PDF",1790641336]