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Ergun O, Cakmak E, Alniacik A. Recreational music exposure and hearing health in young adults. Eur Arch Otorhinolaryngol 2024:10.1007/s00405-024-08666-1. [PMID: 38739186 DOI: 10.1007/s00405-024-08666-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2024] [Accepted: 04/06/2024] [Indexed: 05/14/2024]
Abstract
OBJECTIVE This study aimed to compare daily and total recreational music exposure levels and extended-spectrum audiogram results in young adults without pre-existing hearing problems. DESIGN The study included healthy volunteers aged 18-25 with no known ear disease or hearing loss. Participants completed a questionnaire, underwent otoscopic and tympanometric examinations, and determined preferred music volumes in an audiometry booth using calibrated music samples of their preferred genres. Hearing thresholds up to 16 kiloHertz (kHz) were measured. Daily music exposure for each participant was normalized to 8 h to calculate a time-weighted average of 8 h (TWA8). Total exposure (TE) was calculated by multiplying TWA8 by the number of years of music listening. RESULTS A total of 32.4% of participants had TWA8s above 65 dB. Their hearing thresholds at 125, 250, 500, and 16,000 Hz and the average of 125 Hz-8 kHz were significantly higher. Participants with TWA8s above 65 dB were also more prone to speaking loudly and experiencing communication difficulties on the phone. Those with a TE of more than 400 experienced significantly more speech discrimination difficulty in noisy environments and temporary hearing loss/tinnitus after exposure to loud music. Participants with a TE above 700 had worse thresholds at 4, 14, and 16 kHz frequencies, as well as 125-8000 Hz and 500-4000 Hz averages compared to those with a TE below 700. CONCLUSIONS This study provides evidence that recreational music with much lower exposure levels than the universally accepted TWA8 of 85 dB could negatively impact hearing in healthy young adults. Therefore, maintaining a maximum TWA8 of 65 dB is recommended.
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Affiliation(s)
- Onur Ergun
- Department of Otorhinolaryngology-Head and Neck Surgery, Baskent University Faculty of Medicine, Ankara, Turkey.
| | - Eda Cakmak
- Department of Audiology, Baskent University Faculty of Medicine, Ankara, Turkey
| | - Asuman Alniacik
- Department of Audiology, Baskent University Faculty of Medicine, Ankara, Turkey
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Dillard LK, Arunda MO, Lopez-Perez L, Martinez RX, Jiménez L, Chadha S. Prevalence and global estimates of unsafe listening practices in adolescents and young adults: a systematic review and meta-analysis. BMJ Glob Health 2022; 7:bmjgh-2022-010501. [PMID: 36379592 PMCID: PMC9723884 DOI: 10.1136/bmjgh-2022-010501] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Accepted: 10/04/2022] [Indexed: 11/17/2022] Open
Abstract
INTRODUCTION This study aimed to determine the prevalence of unsafe listening practices from exposure to personal listening devices (PLDs) and loud entertainment venues in individuals aged 12-34 years, and to estimate the number of young people who could be at risk of hearing loss from unsafe listening worldwide. METHODS We conducted a systematic review and meta-analysis to estimate the prevalence of unsafe listening practices from PLDs and loud entertainment venues. We searched three databases for peer-reviewed articles published between 2000 and 2021 that reported unsafe listening practices in individuals aged 12-34 years. Pooled prevalence estimates (95% CI) of exposed populations were calculated using random effects models or ascertained from the systematic review. The number of young people who could be at risk of hearing loss worldwide was estimated from the estimated global population aged 12-34 years, and best estimates of exposure to unsafe listening ascertained from this review. RESULTS Thirty-three studies (corresponding to data from 35 records and 19 046 individuals) were included; 17 and 18 records focused on PLD use and loud entertainment venues, respectively. The pooled prevalence estimate of exposure to unsafe listening from PLDs was 23.81% (95% CI 18.99% to 29.42%). There was limited certainty (p>0.50) in our pooled prevalence estimate for loud entertainment venues. Thus, we fitted a model as a function of intensity thresholds and exposure duration to identify the prevalence estimate as 48.20%. The global estimated number of young people who could be at risk of hearing loss from exposure to unsafe listening practices ranged from 0.67 to 1.35 billion. CONCLUSIONS Unsafe listening practices are highly prevalent worldwide and may place over 1 billion young people at risk of hearing loss. There is an urgent need to prioritise policy focused on safe listening. The World Health Organization provides comprehensive materials to aid in policy development and implementation.
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Affiliation(s)
- Lauren K Dillard
- Department of Otolaryngology Head & Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA
| | | | - Lucero Lopez-Perez
- Cluster of Healthier Populations, World Health Organization, Geneva, Switzerland
| | - Ricardo X Martinez
- Cluster of Healthier Populations, World Health Organization, Geneva, Switzerland
| | | | - Shelly Chadha
- Department of Noncommunicable Diseases, World Health Organization, Geneva, Switzerland
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Worede EA, Yalew WW, Wami SD. Self Reported Hearing Impairments and Associated Risk Factors Among Metal and Woodwork Workers in Gondar Town, North West Ethiopia. ENVIRONMENTAL HEALTH INSIGHTS 2022; 16:11786302221084868. [PMID: 35295861 PMCID: PMC8918971 DOI: 10.1177/11786302221084868] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/17/2021] [Accepted: 02/02/2022] [Indexed: 05/31/2023]
Abstract
BACKGROUND The global prevalence of occupational noise-induced hearing loss ranges between 16% and 24%. The wood and metalwork industries have recently expanded in Ethiopia. This study aims to determine the level of noise exposure and the prevalence of self-reported hearing impairments and associated risk factors among metal and woodworkers in Gondar town Ethiopia. MATERIAL AND METHODS An institutional-based cross-sectional study was conducted on 580 metal and woodwork workers from February10 to March 25/2020. The data were collected through an interviewer-led questioner and the noise level measurement. Multivariate Poisson regression models were used. P-values less than .05 and adjusted prevalence ratios with 95%CI were used to declare the presence and strength of an association respectively. RESULT The mean (SD) average noise exposure level in the wood and metalworking industries was 96.9 ± 3.5 dBA and 96.2 ± 4 dBA, respectively. The overall prevalence of self-reported hearing impairment was 20.7% [95%CI: (17.4-24)]. In an adjusted Poisson regression, listening to music with earphones for more than 2 hours per day (PR = 2.95, 95%CI: 1.32, 6.21) and listening to music at maximum volume (PR = 2.24, 95%CI: 1.05, 4.79) were associated with hearing impairments. CONCLUSION The majority of workers are exposed to noise levels that exceed OSHA's permissible exposure limit value. A hearing conservation program should be implemented to reduce noise exposure levels in the wood and metal work industries. Workers should be aware of the duration and volume of recreational noise exposure.
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Affiliation(s)
- Eshetu Abera Worede
- Eshetu Abera Worede, Department of Environmental and Occupational Health and Safety, Institute of Public Health, University of Gondar, Gondar 196, Ethiopia.
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Han E, Lee DH, Park S, Rah YC, Park HC, Choi JW, Choi J. Noise-induced hearing loss in zebrafish model: Characterization of tonotopy and sex-based differences. Hear Res 2022; 418:108485. [DOI: 10.1016/j.heares.2022.108485] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Revised: 02/14/2022] [Accepted: 03/14/2022] [Indexed: 12/22/2022]
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Deshpande SB. Online, Asynchronous Hearing Education and Research Project for Ethnically Diverse Adolescents via Interprofessional Collaboration and Electronic Service-Learning During the COVID-19 Pandemic: A Pilot Study on the Needs and Challenges. Am J Audiol 2021; 30:505-517. [PMID: 34157242 DOI: 10.1044/2021_aja-20-00166] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
Purpose This study discusses the creation of an online, asynchronous presentation to educate adolescents about prevention of noise-induced hearing loss (NIHL) through interprofessional collaborations and electronic service-learning (eSL) during the COVID-19 pandemic. Method The Hearing Education and Research (HEAR) presentation, which included activities and videos to educate a group of ethnically diverse adolescents (n = 100) on NIHL, was created by 11 doctor of audiology (AuD) students through online collaborations toward course-related eSL requirements. Adolescents responded to a baseline survey to assess hearing health-related behaviors prior to reviewing the presentation. A postprogram survey was administered 1 week after the presentation to assess change in knowledge and attitudes toward NIHL prevention. Online collaborations with schoolteachers helped with project implementation. Postreflection papers written by AuD students regarding the eSL activities were analyzed. Lastly, suggestions from a focus group of educators were included that highlight the role of interprofessional collaborations to enhance school-based hearing conservation opportunities. Results The HEAR presentation resulted in changes in knowledge about NIHL among the adolescents. Postreflection papers by the AuD students indicated that the eSL activity served as a high-impact pedagogical assignment, especially during the academic challenges of the pandemic. Feedback from a focus group of schoolteachers helped outline ideas for future implementation of sustainable hearing conservation programs in school settings. Conclusion The pilot data collected in this study serve as a proof of concept for future hearing conservation projects in school-based settings via interprofessional collaborations and by engaging university students via eSL.
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Affiliation(s)
- Shruti Balvalli Deshpande
- Department of Communication Sciences and Disorders, St. John's University, Queens, NY
- Long Island Doctor of Audiology Consortium (Adelphi, Hofstra, and St. John's Universities), Garden City, NY
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Carneiro Muniz CMD, da Silva SFS, Façanha RC, Bassi-Dibai D, Silva FB, Felipe IMA, Dias RDS. Audiological and noise exposure findings among members of a Brazilian folklore music group. Work 2021; 68:235-241. [PMID: 33427722 DOI: 10.3233/wor-203370] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Musicians and dancers can be considered an at-risk population for developing noise-induced hearing loss. OBJECTIVES To determine the audiological profile of members of a folklore-related music group and quantify noise exposure at their rehearsal venue. METHODS This was a quantitative and descriptive study. The musicians and dancers were evaluated in two stages: an interview about their working life, followed by high frequency tonal audiometry. The sound pressure level in the group's rehearsal venue was measured using a BEK 2270 Noise Analyzer. RESULTS A total of 7.2% of the subjects had noise-induced hearing loss (NIHL) and 39% of the audiometric tests were notch type. During the interview 31.7% of the subjects mentioned discomfort from loud noise, although none of them used ear protection. The environmental assessment showed inadequate humidity and oscillating temperature. Twenty sound pressure level measurements were performed for Leq (equivalent sound pressure levels) and the results ranged from 88 dB (A) to 99 dB (A) with a mean of 97.05. CONCLUSIONS Exposure to high levels of sound pressure has led to NIHL in some members of the group. Some of those with normal hearing also presented a notch configuration characteristic of NIHL. Tinnitus, indicating that a change in hearing has occurred, was the most frequent auditory symptom.
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Affiliation(s)
| | | | | | - Daniela Bassi-Dibai
- Postgraduate Program in Management and Health Services, Ceuma University, São Luís -MA, Brazil
| | | | | | - Rosane da Silva Dias
- Postgraduate Program in Management and Health Services, Ceuma University, São Luís -MA, Brazil
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Paping DE, Vroegop JL, Geleijnse G, le Clercq CMP, Koenraads SPC, van der Schroeff MP. Objective Measurement of Listening Device Use and Its Relation to Hearing Acuity. Otolaryngol Head Neck Surg 2021; 166:515-522. [PMID: 34030491 PMCID: PMC8892050 DOI: 10.1177/01945998211012274] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Objectives To examine whether adolescents exceed recommended noise exposure limits when using personal listening devices (PLDs) and to investigate the relationship between objectively measured PLD use and hearing thresholds Study Design Cross-sectional study. Setting This study was embedded within an ongoing prospective birth cohort study in Rotterdam, the Netherlands. Data were collected from May 2017 to September 2019. Methods A smartphone application was developed to measure daily noise exposure from PLDs. Listening habits were monitored among 314 adolescents with a mean age of 13 years 7 months (SD, 5 months), of whom 51.6% were male. Hearing acuity was measured by pure tone audiometry, and tympanometry was performed in both ears. Results Within the study group, 2.2% adolescents exceeded the recommended daily noise dose (85 dBA as an 8-hour time-weighted average) among all days when the application was active and 9.9% when among only the listening days. No significant correlation was found between the daily noise dose from PLDs and pure tone thresholds. Conclusions The majority of adolescents exhibited listening habits that could be considered safe. As noise-induced hearing loss develops slowly over time, it could be that the effects of PLD use on hearing are not evident yet in this young population with a relatively short duration of PLD use.
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Affiliation(s)
- Danique E Paping
- Department of Otorhinolaryngology-Head and Neck Surgery, Erasmus University Medical Center, Rotterdam, the Netherlands.,The Generation R Study Group, Erasmus University Medical Center, Rotterdam, the Netherlands
| | - Jantien L Vroegop
- Department of Otorhinolaryngology-Head and Neck Surgery, Erasmus University Medical Center, Rotterdam, the Netherlands
| | - Geert Geleijnse
- Department of Otorhinolaryngology-Head and Neck Surgery, Erasmus University Medical Center, Rotterdam, the Netherlands
| | - Carlijn M P le Clercq
- Department of Otorhinolaryngology-Head and Neck Surgery, Erasmus University Medical Center, Rotterdam, the Netherlands.,The Generation R Study Group, Erasmus University Medical Center, Rotterdam, the Netherlands
| | - Simone P C Koenraads
- Department of Otorhinolaryngology-Head and Neck Surgery, Erasmus University Medical Center, Rotterdam, the Netherlands.,The Generation R Study Group, Erasmus University Medical Center, Rotterdam, the Netherlands
| | - Marc P van der Schroeff
- Department of Otorhinolaryngology-Head and Neck Surgery, Erasmus University Medical Center, Rotterdam, the Netherlands
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Knowledge of the audiological effects, symptoms and practices related to personal listening devices of health sciences students at a South African university. The Journal of Laryngology & Otology 2020; 134:20-23. [PMID: 31964439 DOI: 10.1017/s0022215120000092] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
OBJECTIVE This study aimed to determine the knowledge of first year health sciences students at a South African university regarding hearing loss and symptoms attributable to personal listening devices and their practices concerning the use of personal listening devices. METHOD This was a cross-sectional study carried out using an anonymous self-administered questionnaire. RESULTS Of 336 students, 269 (80.1 per cent) completed the questionnaire. While most participants could identify symptoms that could be caused by extensive use of personal listening devices, almost 30 per cent did not know that it could cause permanent hearing loss. Personal listening devices were used by 90.7 per cent of participants, with 77.8 per cent having used them for more than five years. Use was at a high volume in 14.9 per cent of participants and for more than 2 hours per day in 52.7 per cent. CONCLUSION The findings indicate the need for an educational programme to inform students as to safe listening practices when using personal listening devices.
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Neitzel RL, Fligor BJ. Risk of noise-induced hearing loss due to recreational sound: Review and recommendations. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2019; 146:3911. [PMID: 31795675 DOI: 10.1121/1.5132287] [Citation(s) in RCA: 40] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/08/2023]
Abstract
This review was conducted to address three questions related to recreational sound exposure: (1) what criteria are used to determine noise exposure limits, (2) are there differences in the risk of hearing loss from occupational noise versus recreational sound, and (3) what is an appropriate exposure limit for recreational sound? For the first question, most standards specify an 8-h occupational noise exposure limit (LEX) of 85 dBA. This limit assumes that some workers exposed at the limit will develop hearing loss. To eliminate the risk of hearing loss, a 24-h equivalent continuous level (LEQ24h) limit of 70 dBA is appropriate. For the second question, there is some evidence that the effects of occupational noise on hearing may be worse than energetically equivalent recreational sound. Limits developed for noise are nevertheless applicable to recreational sound, and use of existing statistical models to predict hearing loss from recreational sound is appropriate, with the caveat that these models are limited to durations ≤40 years. For the third question, a recreational sound limit of 80 dBA LEX, equivalent to a 75 dBA LEQ24h, will virtually eliminate the risk of recreationally induced hearing loss in adults. Lower limits may be warranted for vulnerable or susceptible individuals.
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Affiliation(s)
- Richard L Neitzel
- Department of Environmental Health Sciences, University of Michigan, School of Public Health, 1415 Washington Heights, Ann Arbor, Michigan 48109, USA
| | - Brian J Fligor
- Tobias & Battite, Incorporated, 16 Temple Place, Boston, Massachusetts 02111, USA
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No Reliable Association Between Recreational Noise Exposure and Threshold Sensitivity, Distortion Product Otoacoustic Emission Amplitude, or Word-in-Noise Performance in a College Student Population. Ear Hear 2019. [PMID: 29543608 DOI: 10.1097/aud.0000000000000575] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
OBJECTIVES The purpose of this study was to evaluate the relationship between recreational sound exposure and potentially undiagnosed or subclinical hearing loss by assessing sound exposure history, threshold sensitivity, distortion product otoacoustic emission (DPOAE) amplitudes, and performance on the words-in-noise (WIN) test. DESIGN Survey data were collected from 74 adult participants (14 male and 60 female), 18 to 27 years of age, recruited via advertisements posted throughout the University of Florida campus. Of these participants, 70 completed both the survey and the additional functional test battery, and their preferred listening level was measured in a laboratory setting. RESULTS There were statistically significant relationships between hearing thresholds and DPOAE amplitude. In contrast, performance on the WIN was not reliably related to threshold sensitivity within this cohort with largely normal hearing. The two most common exposures included bars or dance clubs, followed by music player use. There were no statistically significant relationships between individual or composite measures of recreational sound exposure, including preferred listening level, years of music player use, number of reported sound exposures, previous impulse noise exposure, or previous noise-induced change in hearing, and functional measures including threshold, DPOAE amplitude, and WIN measures. Some subjects were highly consistent in listening level preferences, while others were more variable from song to song. CONCLUSIONS No reliable relationships between common recreational sound exposure or previous noise-induced changes in hearing were found during analysis of threshold sensitivity, DPOAE amplitude, or WIN performance in this cohort. However, the study sample was predominantly female and Caucasian, which limits generalizability of the results.
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Basu S, Garg S, Singh MM, Kohli C. Knowledge and practices related to the use of personal audio devices and associated health risks among medical students in Delhi. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2019; 8:42. [PMID: 30993135 PMCID: PMC6432836 DOI: 10.4103/jehp.jehp_308_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/18/2018] [Accepted: 10/28/2018] [Indexed: 06/09/2023]
Abstract
BACKGROUND Over 1 billion young people globally are at risk of hearing loss and road traffic accidents due to unsafe listening practices while using personal audio devices (PADs). Rapid proliferation of mobile phones with built-in music playback facility has rendered nearly universal PAD access. The objective of this study was to ascertain the knowledge of risks and patterns of usage of PADs among medical undergraduate students in Delhi, India. MATERIALS AND METHODS A cross-sectional study was conducted among medical students] aged ≥18 years. Data were collected using a pretested self-administered questionnaire during December 2016-May 2017. Chi-square test was used to find an association between the categorical variables. RESULTS A total of 255 male and 133 female students were enrolled (n = 388). Male students used PADs with greater frequency and perceived lesser susceptibility to adverse health effects on prolonged PAD usage compared to female students. However, volume preference for PAD usage did not vary across gender. Self-reported history of hearing loss and tinnitus which persisted for at least 3 days in the previous 6 months was 10.6% and 6.4%, respectively. Nearly one in ten students agreed to the possibility of crossing the road while listening to music on their PADs. DISCUSSION Unsafe music-listening practices using PADs is potentially compromising the health and safety of young people in India. Strategic approaches supporting information education communication activities for promoting awareness of hearing and health risks related to prolonged PAD use at loud volumes and enactment of policies restricting undesirable PAD usage threatening road safety need consideration.
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Affiliation(s)
- Saurav Basu
- Department of Community Medicine, Maulana Azad Medical College, New Delhi, India
| | - Suneela Garg
- Department of Community Medicine, Maulana Azad Medical College, New Delhi, India
| | | | - Charu Kohli
- Department of Community Medicine, Maulana Azad Medical College, New Delhi, India
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Dreher A, Weilnhammer V, Gerstner D, Hendrowarsito L, Twardella D, Reiter C, Perez-Alvarez C, Steffens T, Herr C, Heinze S. Longitudinal analysis of leisure noise exposure among adolescents with special focus on portable listening devices: the OHRKAN cohort study. Int J Audiol 2018; 57:883-891. [DOI: 10.1080/14992027.2018.1510187] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Annegret Dreher
- Department of Occupational and Environmental Health, Epidemiology, Bavarian Health and Food Safety Authority, Munich, Germany
- Institute for Medical Informatics, Biometry and Epidemiology, Ludwig-Maximilians-University, Munich, Germany
| | - Veronika Weilnhammer
- Department of Occupational and Environmental Health, Epidemiology, Bavarian Health and Food Safety Authority, Munich, Germany
| | - Doris Gerstner
- Department of Occupational and Environmental Health, Epidemiology, Bavarian Health and Food Safety Authority, Munich, Germany
| | - Lana Hendrowarsito
- Department of Occupational and Environmental Health, Epidemiology, Bavarian Health and Food Safety Authority, Munich, Germany
| | - Dorothee Twardella
- Centre for Early Cancer Detection and Cancer Registration, Bavarian Health and Food Safety Authority, Nuremberg, Germany
| | - Christina Reiter
- Department of Occupational and Environmental Health, Epidemiology, Bavarian Health and Food Safety Authority, Munich, Germany
| | - Carmelo Perez-Alvarez
- Department of Otorhinolaryngology, University Hospital Regensburg, Regensburg, Germany
| | - Thomas Steffens
- Department of Otorhinolaryngology, University Hospital Regensburg, Regensburg, Germany
| | - Caroline Herr
- Department of Occupational and Environmental Health, Epidemiology, Bavarian Health and Food Safety Authority, Munich, Germany
- Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, Clinical Centre of the Ludwig-Maximilians-University, Munich, Germany
| | - Stefanie Heinze
- Department of Occupational and Environmental Health, Epidemiology, Bavarian Health and Food Safety Authority, Munich, Germany
- Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, Clinical Centre of the Ludwig-Maximilians-University, Munich, Germany
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Prevalence and Pattern of Using Headphones and Its Relationship with Hearing Loss among Students. HEALTH SCOPE 2018. [DOI: 10.5812/jhealthscope.65901] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Śliwińska-Kowalska M, Zaborowski K. WHO Environmental Noise Guidelines for the European Region: A Systematic Review on Environmental Noise and Permanent Hearing Loss and Tinnitus. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:ijerph14101139. [PMID: 28953238 PMCID: PMC5664640 DOI: 10.3390/ijerph14101139] [Citation(s) in RCA: 76] [Impact Index Per Article: 10.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/31/2017] [Revised: 09/11/2017] [Accepted: 09/20/2017] [Indexed: 01/12/2023]
Abstract
Background: Hearing loss is defined as worsening of hearing acuity and is usually expressed as an increase in the hearing threshold. Tinnitus, defined as "ringing in the ear", is a common and often disturbing accompaniment of hearing loss. Hearing loss and environmental exposures to noise are increasingly recognized health problems. Objectives: The objective was to assess whether the exposure-response relationship can be established between exposures to non-occupational noise and permanent hearing outcomes such as permanent hearing loss and tinnitus. Methods: Information sources: Computer searches of all accessible medical and other databases (PubMed, Web of Science, Scopus) were performed and complemented with manual searches. The search was not limited to a particular time span, except for the effects of personal listening devices (PLDs). The latter was limited to the years 2008-June 2015, since previous knowledge was summarized by SCENIHR descriptive systematic review published in 2008. Study eligibility criteria: The inclusion criteria were as follows: the exposure to noise was measured in sound pressure levels (SPLs) and expressed in individual equivalent decibel values (LEX,8h), the studies included both exposed and reference groups, the outcome was a permanent health effect, i.e., permanent hearing loss assessed with pure-tone audiometry and/or permanent tinnitus assessed with a questionnaire. The eligibility criteria were evaluated by two independent reviewers. Study appraisal and synthesis methods: The risk of bias was assessed for all of the papers using a template for assessment of quality and the risk of bias. The GRADE (grading of recommendations assessment, development, and evaluation) approach was used to assess the overall quality of evidence. Meta-analysis was not possible due to methodological heterogeneity of included studies and the inadequacy of data. Results: Out of 220 references identified, five studies fulfilled the inclusion criteria. All of them were related to the use of PLDs and comprised in total of 1551 teenagers and young adults. Three studies used hearing loss as the outcome and three tinnitus. There was a positive correlation between noise level and hearing loss either at standard or extended high frequencies in all three of the studies on hearing loss. In one study, there was also a positive correlation between the duration of PLD use and hearing loss. There was no association between prolonged listening to loud music through PLDs and tinnitus or the results were contradictory. All of the evidence was of low quality. Limitations: The studies are cross-sectional. No study provides odds ratios of hearing loss by the level of exposure to noise. Conclusions: While using very strict inclusion criteria, there is low quality GRADE evidence that prolonged listening to loud music through PLDs increases the risk of hearing loss and results in worsening standard frequency audiometric thresholds. However, specific threshold analyses focused on stratifying risk according to clearly defined levels of exposure are missing. Future studies are needed to provide actionable guidance for PLDs users. No studies fulfilling the inclusion criteria related to other isolated or combined exposures to environmental noise were identified.
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Affiliation(s)
- Mariola Śliwińska-Kowalska
- Clinic of Audiology and Phoniatrics, Nofer Institute of Occupational Medicine, 8 Sw.Teresy Str., 91-348 Lodz, Poland.
| | - Kamil Zaborowski
- Department of Physical Hazards, Nofer Institute of Occupational Medicine, 8 Sw.Teresy Str., 91-348 Lodz, Poland.
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Jiang W, Zhao F, Guderley N, Manchaiah V. Daily music exposure dose and hearing problems using personal listening devices in adolescents and young adults: A systematic review. Int J Audiol 2016; 55:197-205. [DOI: 10.3109/14992027.2015.1122237] [Citation(s) in RCA: 58] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Lee GJC, Lim MY, Kuan AYW, Teo JHW, Tan HG, Low WK. Authors' reply: Preventing hearing loss from portable music player use. Singapore Med J 2014; 55:173. [PMID: 24664388 DOI: 10.11622/smedj.2014046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
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Koh D, Lim JJ, Lu P. Preventing hearing loss from portable music player use. Singapore Med J 2014; 55:171-2. [PMID: 24664387 PMCID: PMC4293991 DOI: 10.11622/smedj.2014045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- David Koh
- Department of Otolaryngology, Changi General Hospital, Singapore.
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