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Purpose Ten percent of adults in England have some type of hearing loss and would greatly benefit from hearing aids or other forms of hearing management. However, 76% of these adults do not have hearing aids or other management. The impact of this unmet need can be substantial and has been linked to depression, social isolation, employment problems, loss of independence, and dementia. This article explores how hearing screening—universal, targeted, or opportunistic—can address prevalent, incident, and future needs for hearing services as well as better define the extent of need. Method Adults age ≥60 years living at home in England took part in a health survey, part of which was to determine the extent of need for hearing services in this population. Survey methods included a face-to-face interview and hearing screening using pure tones as well as a self-report questionnaire on other health issues. Results The survey highlighted additional hearing-related factors that will enable referral decisions in primary care to be made with reasonable confidence that patients will use hearing aids and benefit from them. Some relevant nonhearing factors are also reported. Conclusion There is a growing aging population with increasing needs and expectations for hearing services. Targeted screening and triage in primary care, as well as use of advanced technologies, are discussed for the future.

Ten percent of adults in England have some type of hearing loss and would greatly benefit from hearing aids or other forms of hearing management. However, 76% of these adults do not have hearing aids or other management. The impact of this unmet need can be substantial and has been linked to depression, social isolation, employment problems, loss of independence, and dementia. This article explores how hearing screening-universal, targeted, or opportunistic-can address prevalent, incident, and future needs for hearing services as well as better define the extent of need.Adults age ≥60 years living at home in England took part in a health survey, part of which was to determine the extent of need for hearing services in this population. Survey methods included a face-to-face interview and hearing screening using pure tones as well as a self-report questionnaire on other health issues.The survey highlighted additional hearing-related factors that will enable referral decisions in primary care to be made with reasonable confidence that patients will use hearing aids and benefit from them. Some relevant nonhearing factors are also reported.There is a growing aging population with increasing needs and expectations for hearing services. Targeted screening and triage in primary care, as well as use of advanced technologies, are discussed for the future.