摘要Objectives:The study aimed to determine the most appropriate hearing screening test to identify disabling hearing loss for adults aged 65 years or older.Methods:This study included 577 older adults.Four hearing screening tests were considered in the study,including the Hearing Handicap Inventory for Elderly Screening(HHIE-s),three single question tests,the whisper test,and the finger rub test.The sensitivity and specificity of these tests referenced to the hearing threshold of disabling hearing loss were estimated.Results:Among all tests,only the single self-perception question(0.7064 for sensitivity;0.7225 for specificity)and whisper test(0.7833 for sensitivity;0.7708 for specificity)could obtain both sensitivity and specificity higher than 70％for adults aged≥65 years.Conclusion:Overall,we suggest using the whisper test to identify disabling hearing loss(＞40 dB HL at the better ear)for adults aged 65 years or older.However,if the conditions do not permit,the single self-perception question is also acceptable.Moreover,HHIE-s might not be a good test to detect disabling hearing loss for adults aged 80 years or older.