By Stephen Beech

One in three people over the age of 50 is keeping their hearing loss a secret, according to a new study.

They often do so because they fear being judged, suggest the findings.

The large-scale international study found that hearing loss is still linked to stereotypes about aging and disability, which can stop people from seeking help.

The findings, published in the International Journal of Audiology, highlights the emotional and social toll of hearing loss and why it's time to talk about it.

Hearing loss can lead to low self-esteem, loneliness, memory problems and even depression, say experts.

Nearly 60% of people with hearing loss said others had laughed at or joked about their hearing difficulties, leaving them feeling uncomfortable and frustrated.

Many choose to hide their hearing loss, which can make things worse.

The study was led by Australian researchers Dr. Katie Ekberg and Professor Louise Hickson.

Dr. Ekberg, of Flinders University, says understanding how people feel about hearing loss is key to improving care.

She said "The more we know, the better we can support people to feel confident, seek help, and communicate openly."

The research involved interviews, surveys, and video recordings with adults who have hearing loss, their partners, and hearing care professionals.

It also included a large online survey of more than 600 people across the UK and the United States as well as Australia.

Professor Hickson, from The University of Queensland, said one of the most "striking" findings was the difference in perspective between people with hearing loss and the professionals who treat them.

She said: "While clinicians focused on the stigma of hearing aids, adults were more concerned about the stigma of hearing loss itself.

"In fact, many described modern hearing aids as discreet, high-tech, and helpful.

"Importantly, those who talked openly about their hearing loss were more likely to accept and use hearing aids.

"But for many, that first conversation is the hardest part."

Dr. Ekberg says asking simple questions such as "Who do you tell about your hearing loss?" can help professionals understand the emotional barriers their clients face.

She added: "For adults with hearing loss, telling others can be a helpful step in working through stigma, though it may require support from professionals and loved ones.

"For families and the broader community, raising awareness about acquired hearing loss - which often begins from age 50 - can help challenge outdated stereotypes that associate hearing loss only with very old age."

The research team has now developed practical resources - including infographics that can be displayed in clinics or used as "conversation starters" - to support adults with hearing loss, their families and hearing care professionals.