Severe-profound hearing impairment and health-related quality of life among post-lingual deafened Swedish adults.

Health-related quality of life (HRQL) was measured with the Nottingham Health Profile (NHP) in 311 Swedish adults suffering from severe-profound hearing impairment (sensorineural hearing loss in the better ear of > or = 70 dB HL at a frequency of 1.0 kHz) for comparisons with a normal-hearing population. The subjects completed NHP and a questionnaire regarding bio-psycho-social status. Generally, subjects with profound hearing loss reported lower HRQL. Significant differences were obtained for lack of energy, emotional reactions and social isolation. Females with profound impaired hearing tended overall to have lower HRQL than the males. The persons with severe-profound hearing impairment working full-time reported higher HRQL than those with a partial or full disablement pension and were comparable with the hearing population. Severe-profound hearing impairment is associated with an impact on HRQL of the sufferers, especially their emotional and social coping and energy resources. The profound hearing-impaired persons seem to constitute a risk group for worse psychosocial adjustment and need greater attention and support.