Ten key facts in ten minutes
Trends derived from the EuroTrak databases
2009 - 2018
Dr. Max Niebling - BVHI/EHIMAEFHOH AGM & Conference 2019© anovumEuroTrak?
What is EuroTrak?

• Initiated by EHIMA in 2009• Online survey method• Self assessment of HL• Repeated every 3 years to generate
trends over time

• 14 countries covered, over 450,000
people surveyedThis presentation is based on EuroTrak
pooled data GER, FRA, UK of the years
2009, 2012, 2015, 2018.
2

1. PrevalenceHearing loss remains stable

EuroTrak 2009
Base: 44,708EuroTrak 2012
Base: 44,248

EuroTrak 2015
Base: 43,072

9,9%

11,3%

12,1%
11,2%
11,1%

9,9%
9,4%
9,7%

19,5%

21,9%
20,6%
20,5%

12,9%

14,8%
13,2%
13,4%

8,5%

10,5%
9,0%
8,5%

6,1%

7,1%
5,7%
5,8%

4,6%

6,4%
4,8%
4,6%

3,7%

4,3%
3,4%
3,5%

2,2%
2,3%
2,1%

2,0%

12,7%

13,1%
12,2%
12,3%

11,0%
10,3%
10,4%

10,6%

35,8%
36,8%
36,6%

36,7%

% hearing loss prevalence

EuroTrak 2018
Base: 43,499

Source: EuroTrak pooled data GER, FRA, UK, 2009, 2012, 2015, 2018
© anovum4

Hearing loss prevalence across countries% hearing loss prevalence
Germany

12,2%

Italy

12,1%

Japan

11,3%

Denmark

10,3%

Netherlands

10,1%France

10,0%

UK

9,7%

Belgium

9,6%

Norway8,8%

Switzerland

8,0%
0%

5%

10%

15%

20%

25%

30%

Source: EuroTrak 2018 (Germany, Italy, France, UK, Japan), 2017 (Belgium), 2016 (Denmark,Netherlands), 2015 (Switzerland), 2012 (Norway)

52. Adoption rate

Hearing aid adoption increases% of Hard of Hearing

49,5%

41,6% 41,7%
37,0%33,1%35,0%

46,2%
45,1%
42,8%

35,0% 31,1%

37,0%
35,3%

33,0%

28,0%
25,7%24,7%

Total

Total 18+
EuroTrak 2009
Base: 5,335

EuroTrak 2012
Base: 4,926

26,7%
24,9%
24,6%

<=44EuroTrak 2015
Base: 4,950

45-64

65+

EuroTrak 2018
Base: 4,969

Source: EuroTrak pooled data GER, FRA, UK, 2009, 2012, 2015, 2018 Hard of Hearing© anovum7

The more severe the hearing loss, thehigher the adoption rate
Hearing loss 6-groups (6-tiles of equal size)
Top 50% hearing loss

No Hearing aid 83%

80%

Hearing aid17%Degree ofhearing loss

20%

low71%
29%

58%

45%

26%

42%

55%

74%
high

Source: EuroTrak pooled data GER, FRA, UK, Hard of Hearing© anovum83. Usage and satisfaction

HA usage per day
Approximately how many hours/day do you wear your hearing aids?
In the drawer(=0 hours/day)Ø hours/day

7,8

8,5

8,5

8,26%
2009 2012 2015 2018

6%

6%

7%

2009 2012 2015 20182009 n=1,517, 2012 n=1,503, 2015 n=1,611, 2018 n=1,783
Source: EuroTrak pooled data GER, FRA, UK, 2009, 2012, 2015, 2018 Hearing aid owners

10Satisfaction increases with HA worn
hrs/day% satisfied% Overall Satisfaction
GERFRAUK

HA worn up to 4 hrs/day

55%

54%

54%

HA worn 4-8 hrs/day

74%

88%

79%

HA worn more than 8 hrs/day

84%

88%

89%

Source: EuroTrak pooled data GER, FRA, UK, 2018 Hearing aid owners© anovum11

4. Monaural vs. binaural fitting

Binaurally fitted use their hearing aids
more
Approximately how many hours/day do you wear your hearing aids?

7,8

9,2

8,6Monaural
Binaural

Average wearing time perday (h)5,1% in the drawer (0.0 h perday)

Monaural n=2,390
Binaural n=4,025
Source: EuroTrak pooled data GER, FRA, UK, 2009, 2012, 2015, 2018: Hearing aid owners

13

Binaural fitting outperforms monaural
fitting% satisfied

Degree ofhearing loss (selfstated)

Binaural fitting% satisfied

Monaural fitting% satisfied

Mild76%69%

Moderate

82%

76%

Severe76%

74%

Profound74%

74%

ø77%

73%

Source: EuroTrak pooled data GER, FRA, UK, 2009, 2012, 2015, 2018: Hearing aid owners© anovum14

5. General healthPeople with HA have less stress
In the evenings,
I often feel physically exhausted
13%

11%

25%

26%

22%

36%

30%

28%

13%
12%
13%

20%
12%
Hearing aid

In the evenings,
I often feel mentally exhausted

Hearing difficulty but
no hearing aid*

Disagree strongly

Rather disagree

23%
16%
Hearing aid

NeutralRather agree

23%

30%
18%
13%
16%
Hearing difficulty but
no hearing aid*

Strongly agree

Source: EuroTrak pooled data GER, FRA, UK, 2009, 2012, 2015, 2018
*top 50% HL (similar HL as HA owners)© anovum16

People with hearing aids sleep better
Are you generally satisfied with the quality of your sleep?

41%
59%

56%
44%

No
Yes

Hearing aid Hearing difficulty but
no hearing aid*
Source: EuroTrak pooled data GER, FRA, UK, 2012, 2015, 2018
*top 50% HL (similar HL as HA owners)© anovum

17

People with HA have fewer depressive
symptoms
Depressive symptoms (PHQ-2)

73%

82%

27%

18%
No hearing
difficulty

80%
20%

NoYes

Hearing difficulty Hearing difficulty
butand hearing aid
no hearing aid*

Source: EuroTrak pooled data GER, FRA, UK, 2012, 2015, 2018
*top 50% HL (similar HL as HA owners)© anovum18

6. Dementia

Risk factors for dementia

Mid-life hearing loss is the highest of ninemodifiable risk factors linked to dementia
Source: Gill Livingston et.al. (2017): Dementia prevention, intervention and care; in: The Lancet, Volume 390,
Issue 10113, Year 2017
© anovum20

Cognitive and physical decline
Not using hearing aids increases…

a) …the risk of developing dementia by 21%.
b) …the risk of becoming dependent by 28% regarding
activities of daily living such as bathing and dressing.
c) …the risk - especially for men - of suffering fromdepression by 43%.

Source: Hélène Amieva et.al. (2018): Death, Depression, Disability, and Dementia Associated with self-reported Hearing
Problems: A 25-Years Study; in: The Journals of Gerontology, Series A, January 2018© anovum

2149% think HL is not linked to health issues
Please tick all of the health issues below which you think could belinked to one’s hearing loss
Depression

32%

Sleeping disorder

22%

High blood pressure

15%

Dementia

9%

Poor eyesight9%

Diabetes

8%

Back problems

6%

HL not linked to those health issues

49%

Source: EuroTrak pooled data GER, FRA, UK, 2018: Hard of Hearing
N=3’689

Page 227. At the job

91% say hearing aids are useful on the job
How useful are your hearing aids on your job?

9%

36%

Of significant use

55%

Of some use

Of no use

Source: EuroTrak pooled data GER, FRA, UK, 2012, 2015, 2018: Hearing aid owners© anovum24

8. Quality of life

96%: “HA improve my quality of life!”
How often do your hearing aids improve your quality of life?

4%

11%

50%
35%
Never

RarelyOccasionally

Regularly

Source: EuroTrak pooled data GER, FRA, UK, 2018: Hearing aid owners© anovum26

9. Costs to societyUntreated hearing loss costs EU 185 bil. €Costs of untreated hearing loss to EU28 each year

55 bil. € due toloss of productivity
130 bil. € due tolost quality of life
In total: 185 bil. € costs of untreated hearing
loss to EU28 each year
Source: Bridget Shield (2019): Hearing Loss – Numbers and Costs. Evaluation of the social and economic
costs of hearing impairment, Brunel University London (https://www.ehima.com/documents/)© anovumUntreated hearing costs Germany 39 bil. €Costs of untreated hearing loss per country

Total costs in bil. €Cost per pers. in €Germany

10.300399.700

UK299.400

France

27

7.700
7.000

Italy
Spain

Source: Bridget Shield (2019): Hearing Loss – Numbers and Costs. Evaluation of the social and economic
costs of hearing impairment, Brunel University London (https://www.ehima.com/documents/)© anovum2415

10. The best recommendation
for hearing aids…

Two thirds would have gotten theirhearing aids sooner
Thinking back before you obtained your firsthearing aid(s): do you think, you should havegotten them sooner?

What are the reasons why you think you should havegotten your hearing aid(s) sooner? What are theopportunities you think you have missed because of this?

Better social life
Yes
No

67%

Better mental health

66%
34%

47%

Less fatigue

23%

Better job performance

23%

Other opportunity

7%

Source: EuroTrak pooled data GER, FRA, UK, 2018: Hearing aid owners
N=1’784 / 1’064

Page 31

At a glanceTen key facts
1. The older the people, the higher the HL prevalence.
2. The more severe the HL, the higher the adoption rate.
3. The more hours/day HAs are worn, the higher thesatisfaction.
4. Binaural fitting leads to higher satisfaction, longer use
time/day and less unused HAs.
5. HA users have a better health: less exhausted, lessdepressive and better sleep.
HL = hearing loss; HA = hearing aids; HoH = hard of hearing people© anovum33

Ten key facts (cont.)
6. HAs reduce the risk of dementia. 49% of HoH areunaware of health risks linked to HL.

7. 91% say that HAs are useful on their job.
8. 96% of HA owners report improved qualitiy of life.

9. Untreated HL costs EU 185 bil. € each year.
10. 66% of HA owners would have gotten their HAs sooner.

HL = hearing loss; HA = hearing aids; HoH = hard of hearing people© anovum34Thanks for your attention!
For more info, see:https://www.ehima.com/eurotrak/© anovum