Even for those without hearing aids, as we get older our hearing tends to become poorer, but at the same time our ears become over sensitive to loud noises.
I asked AI why this is and it said -
"Noise can annoy older people more due to natural age-related changes in the brain's ability to filter sounds and the ears' ability to process them, leading to increased sensitivity and difficulty ignoring background noise. Other factors include a decrease in overall tolerance for disruption, potential fatigue, and the emotional toll that constant overstimulation can take, which can lead to stress, anxiety, and a greater desire for quiet.
In my forties, we lived next to a railway line for years and we only ever heard the night train which stopped outside with the engine running. The rest was blotted out like the ticking of a clock.