METHODS: This study involved secondary data analysis of mild and moderate hearing loss prevalence over 30 years among the Malaysian population aged 15-19, 25-29, 35-39, 45-49, and age-standardised groups. Subsequently, three time-series models were evaluated and the best models with the minimal Mean Absolute Percentage Error (MAPE) and Root Mean Squared Error (RMSE) were selected for projecting the prevalence of hearing loss until 2030.
RESULTS: A relatively stable trend of mild hearing loss prevalence and gradual decline of moderate hearing loss were observed across all age groups throughout the study period. The prevalence of mild hearing loss was consistently higher than moderate hearing loss across all age groups, with its prevalence increasing with age. The projected prevalence of hearing loss exhibits a gradual declining trend in the future for all age groups, except for mild hearing loss for the 15-19-year-old group.
CONCLUSION: Over the past 30 years, there has been a relatively stable and slightly declining trend in the prevalence of mild and moderate hearing loss among the Malaysian population, respectively with projections showing a slow reduction in the future. These findings highlighted the need for identifying the best intervention and vulnerable age groups, directing increased resources and prioritization towards them.
METHODS: A cross-sectional study was conducted in two phases: (1) translation and cultural adaptation of the DHI into Malay and (2) evaluation of its psychometric properties. Content validity was assessed by a panel of nine experts using the Content Validity Index (CVI). Face validity was evaluated through a pilot test with 10 individuals with DPN. Internal consistency (Cronbach's alpha) and test-retest reliability (Intraclass Correlation Coefficient, ICC) were measured in 30 participants with DPN. Known-group validity was examined by comparing DPN participants with healthy individuals.
RESULTS: The content validity of the Malay-DHI was excellent and face validity confirmed that the Malay-DHI was clear and comprehensible. Internal consistency was strong across all categories (α = 0.84-0.97). Test-retest reliability demonstrated excellent stability (ICC = 0.996-1.000). Known-group validity showed a significant difference between individuals with DPN and healthy individuals (Z = -6.93, p < .001).
CONCLUSION: The Malay version of the DHI demonstrated strong validity and reliability, making it a culturally relevant and robust tool for assessing hand function in individuals with DPN. This tool may facilitate targeted rehabilitation interventions and improve clinical outcomes.