Table 1

Summary of derived variables

Construct/measuresDefinitionsRationale
Continuous
  High Fletcher IndexThe average of thresholds at 1, 2 and 4 kHzBest reflects audibility at speech frequencies
  Four frequency averageThe average of thresholds at 1, 2, 4 and 8 kHzReflects audibility at usual speech+high frequencies
  Lower frequency averageThe average of thresholds at 1 and 2 kHzReflects audibility of lower frequency speech sounds, for example, most vowels and letter combinations /ng//ch/, /sh/; characteristic of conductive or sensorineural hearing loss
  Higher frequency averageThe average of thresholds at 4 and 8 kHzReflects audibility of higher frequency speech sounds, for example, most consonant and letter combinations /th/; particularly disabling with background noise; suggests noise-induced and/or sensorineural hearing loss
Categorical
  Unilateral hearing lossHearing thresholds ≥16 dB HL in worse hearing ear and hearing thresholds is ≤15 dB HL in better hearing earHearing loss in one ear
  Bilateral hearing lossHearing thresholds is ≥16 dB HL in better hearing earHearing loss in both ears
  Type A tympanogramEar canal volume: 0.6–1.5 cm3; middle ear pressure: −100 to +50 daPa; compliance: 0.25–1.4 mmhoSuggests normal middle ear function
  Type B tympanogramEar canal volume: 0.6–1.5 cm3; middle ear pressure: −100 to +50 daPa; compliance: <0.25 mmhoSuggests middle ear effusion, tympanic membrane perforation, cerumen occlusion or a probe sealed against the canal wall
  Type C tympanogramEar canal volume: 0.6–1.5 cm3; middle ear pressure: <−100 daPa; compliance: 0.25–1.4 mmhoSuggests negative middle ear pressure
  • db HL, decibels hearing level.