Author Contributions: Drs Genther and Lin had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis.
Study concept and design: Genther, Frick, Chen, Lin.
Acquisition of data: Genther, Chen.
Analysis and interpretation of data: Genther, Frick, Betz, Lin
Drafting of the manuscript: Genther, Lin.
Critical revision of the manuscript for important intellectual content: Genther, Frick, Chen, Betz, Lin.
Statistical analysis: Genther, Frick, Chen, Betz, Lin.
Obtained funding: Lin.
Administrative, technical, or material support: Chen, Lin.
Study supervision: Lin.
Conflict of Interest Disclosures: The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Mr Chen reported receiving student tuition support from the William Demant Foundation. Dr Lin reported serving as a consultant to Pfizer, Autifony, and Cochlear Corp; and receiving speakers fees from Amplifon. No other author reported any disclosures.
Funding/Support: This study was supported by grant T32DC000027-24 from the National Institutes of Health and grant 1K23DC011279 from the National Institute on Deafness and Other Communication Disorders, with further funding from the Triological Society and the American College of Surgeons through a clinician scientist award, and funding from the Eleanor Schwartz Charitable Foundation. Funding for National Health and Nutrition Examination Survey data collection was provided by the Centers for Disease Control and Prevention, National Center for Health Statistics, and the National Institute of Deafness and Other Communication Disorders (for audiometric data).
Role of the Sponsor: The sponsors had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; and preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.