Abstract
This presentation will provide an overview of the nature of the difficulties experienced by older adults with impaired hearing when listening to speech in noise. Many older adults may experience a “triple whammy” of difficulties: (1) peripheral pathology in the cochlea or auditory nerve; (2) age-related deficits in central-auditory function; and (3) age-related changes in cognition that impact speech perception. Each of these difficulties may appear in isolation or in various combinations for a given older adult. This presentation will review the evidence surrounding each of these potential sources of difficulty and the relative contribution of each across various types of “noise” backgrounds. In addition, the relative importance of each source of difficulty for aided and unaided listening conditions will be considered. [Work supported, in part, by NIA R01 AG008293.]
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