Audiology service-seeking behavior among adults with hearing impairment at a primary hearing healthcare facility in Sri Lanka

Background: Hearing impairment is a prevalent condition impacting a substantial number of adults globally. However, a significant portion of adults with hearing impairment does not actively seek professional help for their hearing challenges. This study aimed to describe the audiology service-seeking behavior of adults with hearing impairment.

Methods: A descriptive cross-sectional study using a mixed method was conducted.  The study population consisted of 51 adults aged between 30 and 60 years who were registered at a primary hearing healthcare facility in Sri Lanka. Quantitative data were collected using a questionnaire that measured the audiology service-seeking behavior of participants. Qualitative insights were derived from semi-structured interviews and the application of the photovoice methodology. Statistical analysis included the chi-square test for quantitative data, while thematic analysis was employed for qualitative data.

Results: The results revealed a correlation between audiology service-seeking behavior and participant’s socioeconomic status and the degree of hearing loss. The Qualitative data revealed two main themes: “Experience and impact of hearing impairment”, and “Seeking professional help for hearing impairment”. The photovoice analysis revealed a central theme of the influence of hearing impairment on daily life situations, encompassing three subthemes, namely “Challenges faced during social events,” “Challenges faced during telephone conversations,” and “Challenges faced while watching TV”.

Conclusion: The study provides valuable insights into the audiology service-seeking behavior of adults with hearing impairment and the multifaceted factors shaping their decision-making process.