Tehran University of Medical Sciences Auditory and Vestibular Research 2423-480X 33 2 2023 10 21 110 117 Elahe Nasiri Department of Audiology, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran Hamid Jalilvand Department of Audiology, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran Mohammad Ebrahim Mahdavi Department of Audiology, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran Amineh Koravand Audiology and Speech-Language Pathology Program, School of Rehabilitation Sciences, University of Ottawa, Ottawa, Canada 2023 06 06 2023 09 12 Background and Aim: Sensorineural Hearing Loss (SNHL) reduces audibility and causes distortion, which result in difficulty with speech processing, especially in noisy environments. One of the new speech-in-noise tests is the Words-in-Noise (WIN) test. This study aimed to further investigate the Signal-to-Noise Ratio 50% (SNR-50) in subjects with mild to severe SNHL and different configurations using the Persian version of the WIN test compared to normal-hearing people. Methods: This cross-sectional study was conducted on 54 patients with SNHL aged 17–75 years and 49 normal-hearing people aged 20–48 years. The auditory recognition in the presence of multi-talker babble noise was evaluated by the Persian version of the WIN test (named ARWIN). Results: The mean SNR-50 in the normal-hearing group was 2.56±1.2 dB, which increased significantly in subgroups with mild (10.13±4.8 dB), moderate (14.51±4.7 dB) and moderate-to-severe (16.61±4.3 dB) SNHL (p<0.001). Conclusion: People with SNHL need more SNR by nearly 4–6 times than the normalhearing group for recognition of monosyllabic Persian words in the presence of multi-talker babble noise. https://avr.tums.ac.ir/index.php/avr/article/view/1172