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Research paper | Open Access

Cross-sectional analysis of hearing loss, age and tinnitus severity in a web-recruited cohort of 610 subjects

María CuestaPedro Cobo( )
Institute of Physical and Information Technologies (ITEFI), CSIC, Serrano 144, 28006 Madrid, Spain
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Abstract

Tinnitus

the hearing of a sound that has not been produced by any external or internal source, is a rather heterogeneous hearing disorder.

Background/Objectives

Hearing loss has been shown to be the main risk factor for tinnitus while emotional disorders are risk factors for developing intrusive or bothersome tinnitus. Moreover, aging has also been identified as another risk factor. The aim of this paper was to analyse the correlation between hearing loss, age and tinnitus severity in a cohort of 610 tinnitus sufferers.

Methods

Age, audiometric (hearing condition) and tinnitus (time duration and severity) data were assessed and analysed for all subjects just after recruiting (baseline). Furthermore, the average hearing loss (HL) curves of the participants for age groups were compared to these with the corresponding Age Related HL (ARHL).

Results

For most of the age groups, the measured HL curves exceeded in 10-20 dB those of the ARHL. The average age of tinnitus onset (age minus tinnitus duration) was found to be 44-46 years in both men and women. Weak correlation between audiometric feature and tinnitus distress was observed.

Conclusions

Hearing loss has been shown to be a clear risk factor for triggering tinnitus (86% of participants were hearing impaired). In this cohort, average measures of hearing loss showed, at most, weak associations with tinnitus-related distress, suggesting that non-audiological factors may play a predominant role.

References

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Journal of Otology
Pages 38-49

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Cite this article:
Cuesta M, Cobo P. Cross-sectional analysis of hearing loss, age and tinnitus severity in a web-recruited cohort of 610 subjects. Journal of Otology, 2026, 21(1): 38-49. https://doi.org/10.26599/JOTO.2026.9540051

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Received: 20 May 2025
Revised: 05 January 2026
Accepted: 05 January 2026
Published: 06 February 2026
© 2026 PLA General Hospital Department of Otolaryngology Head and Neck Surgery. Publishing services by Tsinghua University Press.

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).