From 2001 to 2004, a total of 2017 participants aged 40 to 69 years underwent concurrent assessment of hearing loss and fall history in NHANES (eTable). A hearing loss of greater than 25 dB was prevalent in 14.3% of these participants, and 4.9% of the participants reported falling over the preceding 12 months. We examined the association of hearing loss with having self-reported falls in stepwise logistic regression models. In an unadjusted model, hearing loss was significantly associated with the odds of reported falls. For every 10-dB increase in hearing loss, there was a 1.4-fold (95% CI, 1.3-1.5) increased odds of an individual reporting a fall over the preceding 12 months. Adjustment for demographic factors (age, sex, race, education), cardiovascular factors (smoking, diabetes, hypertension, stroke), and vestibular balance function did not substantially change the magnitude or significance of this association (Table). Restricting the analytical cohort only to those participants with a hearing loss of 40 dB or less (thereby excluding those with a moderate or severe hearing loss) did not affect the magnitude of our results (cf Table).