[An interpretation of the blue book: the report on hearing health in china （2025）].

Hearing loss is one of the most common sensory impairments among older adults, significantly impacting their quality of life. The Report on Hearing Health in China （2025） systematically reviews the current status, challenges, and strategies regarding hearing health in elderly population in China. This article distills the report's core viewpoints and practical implications. The prevalence of hearing loss among individuals aged 60 and above reaches 11.04%, affecting over 20 million people, and is closely associated with cognitive decline, social isolation, and various chronic diseases. The etiology of age-related hearing loss is complex, involving genetic factors, chronic conditions such as diabetes and hypertension, and environmental influences. While intervention and rehabilitation systems are gradually being established, they remain inadequate because of low hearing aid adoption rates, limited use of cochlear implants, and lagging auditory rehabilitation services. Although relevant policies and standards have been introduced and insurance coverage is expanding, there is still a need to strengthen system construction, professional training, and technological research and development. The report calls for establishing a full-chain service model covering "screening, diagnosis, intervention, and rehabilitation" to promote societal-wide engagement in improving hearing health for the elderly.