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A reliable and valid tool to assess hearing health literacy in Iranian young people is lacking. This study aimed to develop a tool to assess the hearing health literacy of young people in the Islamic Republic of Iran and to use the tool to determine the hearing health literacy of a sample of Iranians aged 12-25 years. A questionnaire was designed with three skill sections obtaining health information, evaluating this information and applying it to benefit health. The validity and reliability of the tool were determined. Cluster samplin