which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. Socioeconomic Position and Health-Seeking Behavior for Hearing Loss Among Older Adults in England

Objective. To examine whether socioeconomic position (SEP) is associated with progression in the health-seeking process for hearing loss. Method. Logistic regression of data from a cross-sectional survey representative of noninstitutionalized, 50 years and older population of England (ELSA wave 2, 2004). Using self-reported hearing difficulty as starting point, we examined the association between SEP and health-seeking behaviors in 6 stages leading to hearing aid acquisition and use. Results. Higher SEP was associated with lower odds of self-reported hearing difficulty, adjusted odds ratio [OR] = 0.87 (95 % confidence interval [CI] 0.83–0.91, p <.001). There was marginal negative association between higher SEP and receiving hearing aid recommendation (adjusted OR = 0.88, 95 % CI 0.78–0.99, p = .05). SEP was not associated with any other stage of health-seeking behavior. Discussion. Among the noninstitutionalized older population of England, SEP-related inequalities exist in the preva-lence of self-reported hearing loss. However, SEP is not strongly associated with progression in the remaining stages of health-seeking process during and after an individual’s contact with the health system. Key Words: Health-seeking behavior—Hearing loss—Socioeconomic gradient