Hearing data were collected by pure tone audiometry, a measure of peripheral auditory system sensitivity. Pure tone air conduction thresholds in each ear were obtained in decibels hearing level (db HL) at standard octaves from 0.5 to 8 kHz using insert earphones (EARTone 3a; 3 M, St. Paul, Minnesota) and an Interacoustics AD629 audiometer (Interacoustics A/S, Assens, Denmark) by a trained technician in a sound‐attenuating booth meeting American National Standard Institute standards.
39 (link) A speech frequency pure‐tone average (PTA) at thresholds 0.5, 1, 2, and 4 kHz was calculated for each ear, and hearing impairment was defined by PTA > 25 dB HL in the better‐hearing ear consistent with American Speech‐Language‐Hearing Association guidelines.
40 (link)