Objective: This study seeks to assess the prevalence of hearing difficulties and hearing healthcare system utilization among English-speaking migrants living in Thailand. Design, Setting, and Participants: A cross-sectional survey was digitally distributed to online forums and communities for English-speaking migrants living in Thailand. Ninety participants were included in the study. Results: Seventy-seven percent of men and 75.8% of women reported at least some hearing difficulty. People who reported hearing loss were more likely to be white, and people who reported greater social disruption due to hearing difficulty were more likely to be younger or transgender. Though people with more hearing loss had received hearing testing more recently than peers with less hearing loss, very few participants treated their hearing loss with hearing aids and no participants received their hearing healthcare services in Thailand. Conclusion and Relevance: This study shows that English speaking migrants living in Thailand may have hearing difficulty and low rates of hearing healthcare utilization. These results highlight the need for additional research to understand the hearing healthcare needs of this population.

1.
United Nations Thematic Working Group on Migration in Thailand
.
“Thailand migration report 2019”
.
2019
.
2.
Howard
RW
.
Western retirees in Thailand: motives, experiences, wellbeing, assimilation and future needs
.
Ageing Soc
.
2008
;
28
(
2
):
145
63
.
3.
Husa
K
,
Vielhaber
C
,
Jöstl
J
,
Veress
K
,
Wieser
B
.
Searching for paradise? International retirement migration to Thailand–A case study of Hua Hin and Cha-am
.
Southeast Asian Mobil Transit Issues Trends Migr Tour
.
2014
:
137
67
.
4.
The World Bank
.
Population, total: Thailand
.
2022
. [Online]. Available from: https://data.worldbank.org/indicator/SP.POP.TOTL?locations=TH (accessed: June 22, 2023).
5.
The World Bank
.
International migrant stock, total: Thailand
.
2015
. [Online]. Available from: https://data.worldbank.org/indicator/SM.POP.TOTL?locations=TH (accessed: June 22, 2023).
6.
Botterill
K
.
Discordant lifestyle mobilities in East Asia: privilege and precarity of British retirement in Thailand
.
Popul Space Place
.
2017
;
23
(
5
):
e2011
.
7.
National Statistical Office
.
The 2021 migration survey
.
2022
. [Online]. Available from: https://www.nso.go.th/sites/2014en/Pages/survey/Social/Demographic%2c%20Population%20and%20Housing/Migration-Survey.aspx
8.
Julchoo
S
,
Pudpong
N
,
Phaiyarom
M
,
Sinam
P
,
Khunakorncharatphong
A
,
Suphanchaimat
R
.
Health status and barriers to healthcare access among “son-in-law westerners”: a qualitative case study in the Northeast of Thailand
.
Int J Environ Res Public Health
.
2021
;
18
(
21
):
11017
.
9.
Jacobsen
MH
.
Expat nostalgia: nostalgic emotions among “permanent tourists” in Pattaya, Thailand
.
South Asian J Soc Sci Humanit
.
2021
;
02
(
01
):
93
115
.
10.
Pudpong
N
,
Suphanchaimat
R
,
Julchoo
S
,
Khunakorncharatphong
A
,
Phaiyarom
M
,
Sinam
P
.
Situation analysis on health service utilization, health insurance status, and unmet need among foreigners who came to have a family in the Northeastern region of Thailand: a case study in Nong Bua Lam Phu, Udon Thani and Khon Kaen Provinces
.
Health Syst Res Inst
.
2021
. [Online]. Available from: https://kb.hsri.or.th/dspace/handle/11228/5438
11.
Sserwanja
Q
,
Kawuki
J
.
Migrant health: healthy migrant effect and the need to prioritize migrant health
.
Asian J Med Health
.
2020
:
11
6
.
12.
Humes
LE
.
U.S. Population data on hearing loss, trouble hearing, and hearing-device use in adults: national health and nutrition examination survey, 2011–12, 2015–16, and 2017–20
.
Trends Hear
.
2023
;
27
:
23312165231160978
.
13.
Rein
DB
,
Franco
C
,
Reed
NS
,
Herring-Nathan
ER
,
Lamuda
PA
,
Alfaro Hudak
KM
, et al
.
The prevalence of bilateral hearing loss in the United States in 2019: a small area estimation modelling approach for obtaining national, state, and county level estimates by demographic subgroup
.
Lancet Reg Health Am
.
2024
;
30
:
100670
.
14.
World Health Organization
.
World report on hearing
.
Geneva
:
World Health Organization
;
2021
. [Online]. Available from: https://www.who.int/publications/i/item/9789240020481
15.
Lin
FR
,
Niparko
JK
,
Ferrucci
L
.
Hearing loss prevalence in the United States
.
Arch Intern Med
.
2011
;
171
(
20
):
1851
2
.
16.
Yimtae
K
.
Developing of network and model in community screening, rehabilitation, and long-term care for hearing disabled elders
.
Health Syst Res Inst
.
2018
. [Online]. Available from: https://kb.hsri.or.th/dspace/handle/11228/4958
17.
Dalton
DS
,
Cruickshanks
KJ
,
Klein
BEK
,
Klein
R
,
Wiley
TL
,
Nondahl
DM
.
The impact of hearing loss on quality of life in older adults
.
Gerontologist
.
2003
;
43
(
5
):
661
8
.
18.
Gopinath
B
,
Hickson
L
,
Schneider
J
,
McMahon
CM
,
Burlutsky
G
,
Leeder
SR
, et al
.
Hearing-impaired adults are at increased risk of experiencing emotional distress and social engagement restrictions five years later
.
Age Ageing
.
2012
;
41
(
5
):
618
23
.
19.
Jones
DA
,
Victor
CR
,
Vetter
NJ
.
Hearing difficulty and its psychological implications for the elderly
.
J Epidemiol Community Health
.
1984
;
38
(
1
):
75
8
.
20.
Pronk
M
,
Deeg
DJH
,
Smits
C
,
Twisk
JW
,
van Tilburg
TG
,
Festen
JM
, et al
.
Hearing loss in older persons: does the rate of decline affect psychosocial health
.
J Aging Health
.
2014
;
26
(
5
):
703
23
.
21.
Pronk
M
,
Deeg
DJH
,
Smits
C
,
van Tilburg
TG
,
Kuik
DJ
,
Festen
JM
, et al
.
Prospective effects of hearing status on loneliness and depression in older persons: identification of subgroups
.
Int J Audiol
.
2011
;
50
(
12
):
887
96
.
22.
Mulrow
CD
,
Aguilar
C
,
Endicott
JE
,
Tuley
MR
,
Velez
R
,
Charlip
WS
, et al
.
Quality-of-Life changes and hearing impairment: a randomized trial
.
Ann Intern Med
.
1990
;
113
(
3
):
188
94
.
23.
Reed
NS
,
Garcia-Morales
EE
,
Myers
C
,
Huang
AR
,
Ehrlich
JR
,
Killeen
OJ
, et al
.
Prevalence of hearing loss and hearing aid use among US medicare beneficiaries aged 71 years and older
.
JAMA Netw Open
.
2023
;
6
(
7
):
e2326320
.
24.
Sun
DQ
,
Zhou
X
,
Lin
FR
,
Francis
HW
,
Carey
JP
,
Chien
WW
.
Racial difference in cochlear pigmentation is associated with hearing loss risk
.
Otol Neurotol
.
2014
;
35
(
9
):
1509
14
.
25.
Shuster
BZ
,
Depireux
DA
,
Mong
JA
,
Hertzano
R
.
Sex differences in hearing: probing the role of estrogen signaling
.
J Acoust Soc Am
.
2019
;
145
(
6
):
3656
63
.
26.
Humes
LE
.
U.S. Population data on self-reported trouble hearing and hearing-aid use in adults: national health interview survey, 2007–2018
.
Trends Hear
.
2023
;
27
:
23312165231160967
.
27.
Surfus
CR
.
A statistical understanding of disability in the LGBT community
.
Stat Public Policy
.
2023
;
10
(
1
):
2188056
.
28.
Choi
SK
,
Meyer
IH
.
LGBT aging: a review of research findings, needs, and policy implications
.
JSTOR
;
2016
. [Online]. Available from: https://williamsinstitute.law.ucla.edu/wp-content/uploads/LGBT-Aging-Aug-2016.pdf
29.
Paul
S
.
Overcoming the challenges and mitigating the Disparities in our LGBTQI+ patients
.
Am J Gastroenterol
.
2021
;
116
(
9
):
1815
8
.
30.
Guidi
J
,
Lucente
M
,
Sonino
N
,
Fava
GA
.
Allostatic load and its impact on health: a systematic review
.
Psychother Psychosom
.
2021
;
90
(
1
):
11
27
.
31.
World Bank Group
.
Economic inclusion of LGBTI groups in Thailand
.
Washington, DC
:
World Bank
;
2018
.
32.
United Nations Development Programme
.
Tolerance but not inclusion
.
2019
. [Online]. Available from: https://www.undp.org/sites/g/files/zskgke326/files/publications/UNDP-TH-2019-LGBT-Tolerance-but-not-Inclusion-Fact-Sheet-ENG.pdf
33.
Kitro
A
.
Personal communication
.
2023
.
34.
Pitathawatchai
P
,
Khaimook
W
,
Kirtsreesakul
V
.
Pilot implementation of newborn hearing screening programme at four hospitals in Southern Thailand
.
Bull World Health Organ
.
2019
;
97
(
10
):
663
71
.
35.
Doungthipsirikul
S
,
Pantumongkol
W
,
Teerawattananon
Y
,
Onjon
O
.
Study of after hearing aid provision service and using for people with hearing loss under the universal health coverage
.
Health Intervention and Technology Assessment Program
.
2015
. [Online]. Available from: https://www.hitap.net/en/research/164465.
36.
Tangcharoensathien
V
,
Thwin
AA
,
Patcharanarumol
W
.
Implementing health insurance for migrants, Thailand
.
Bull World Health Organ
.
2017
;
95
(
2
):
146
51
.
37.
Huntington
SP
.
The clash of civilizations and the remaking of world order
.
The New York Times bestseller
. 6th ed.
New York
:
Simon & Schuster
;
2003
.
38.
Harris
PA
,
Taylor
R
,
Minor
BL
,
Elliott
V
,
Fernandez
M
,
O'Neal
L
, et al
.
The REDCap consortium: building an international community of software platform partners
.
J Biomed Inform
.
2019
;
95
:
103208
.
39.
Centers for Disease Control and Prevention
.
National health and nutrition examination survey questionnaire
.
Hyattville, MD, USA
:
U.S. Department of Health and Human Services, Centers for Disease Control and Prevention
;
2023
. [Online]. Available from: https://wwwn.cdc.gov/Nchs/Nhanes/analyticguidelines.aspx (accessed: August 08, 2023).
40.
IBM
.
IBM SPSS statistics
.
Armonk, NY
:
IBM
;
2023
. [Online]. Available from: https://www.ibm.com/products/spss-statistics
41.
Buuren
S
,
Groothuis-Oudshoorn
K
.
Mice: multivariate imputation by chained equations in R
.
J Stat Softw
.
2011
;
45
(
3
).
42.
Funder
DC
,
Ozer
DJ
.
Evaluating effect size in psychological research: sense and nonsense
.
Adv Methods Pract Psychol Sci
.
2019
;
2
(
2
):
156
68
.
43.
Lebano
A
,
Hamed
S
,
Bradby
H
,
Gil-Salmerón
A
,
Durá-Ferrandis
E
,
Garcés-Ferrer
J
, et al
.
Migrants’ and refugees’ health status and healthcare in Europe: a scoping literature review
.
BMC Public Health
.
2020
;
20
(
1
):
1039
.
44.
Liu
L
.
Annual workforce data: 2023 ASHA-certified audiologist- and speech-language pathologist-to-population ratios
.
American Speech-Language-Hearing Association
;
2024
. [Online]. Available from: https://www.asha.org/siteassets/surveys/audiologist-and-slp-to-population-ratios-report.pdf
45.
Sindhusake
D
,
Mitchell
P
,
Smith
W
,
Golding
M
,
Newall
P
,
Hartley
D
, et al
.
Validation of self-reported hearing loss. The blue mountains hearing study
.
Int J Epidemiol
.
2001
;
30
(
6
):
1371
8
.
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