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Elmazoska I, Mäki-Torkko E, Granberg S, Widén S. Associations Between Recreational Noise Exposure and Hearing Function in Adolescents and Young Adults: A Systematic Review. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2024; 67:688-710. [PMID: 38324255 DOI: 10.1044/2023_jslhr-23-00397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/08/2024]
Abstract
PURPOSE There is an increasing concern regarding hazardous recreational noise exposure among adolescents and young adults. Daily exposure to loud sound levels over a long period of time can increase the risk of noise-induced hearing loss. The full extent of the impact of recreational noise on hearing is not yet fully understood. The purpose of this review was to synthesize research that investigated hearing function in relation to recreational noise exposure in adolescents and young adults. METHOD A systematic literature search of five databases covering the years 2000-2023 was performed. The articles included investigated audiological measurements of hearing function in relation to recreational noise exposure. RESULTS Four hundred sixty records were identified, of which 20 met the inclusion criteria and were included in the results. This review showed that although some recreational noise activities can be potentially harmful, there is an unclear relationship between exposure and outcome. Some findings indicated hearing threshold shifts or reduced otoacoustic emission amplitudes after recreational noise exposure, but most changes were short term and in the extended high-frequency range. CONCLUSIONS There seemed to be inconsistencies regarding the utilization of methods of measuring exposure and outcome between studies. This might be one reason for the differing results in studies on the reported impact on hearing function from recreational noise exposure. To draw more certain conclusions about long-term effects, there is a need for longitudinal research that utilizes sound level measurements to assess low and high degrees of recreational noise exposure in relation to hearing function. SUPPLEMENTAL MATERIAL https://doi.org/10.23641/asha.25114193.
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Affiliation(s)
- Iris Elmazoska
- School of Health Sciences, Örebro University, Sweden
- Audiological Research Centre, Faculty of Medicine and Health, Örebro University, Sweden
| | - Elina Mäki-Torkko
- Audiological Research Centre, Faculty of Medicine and Health, Örebro University, Sweden
- School of Medical Sciences, Örebro University, Sweden
| | - Sarah Granberg
- School of Health Sciences, Örebro University, Sweden
- Audiological Research Centre, Faculty of Medicine and Health, Örebro University, Sweden
- School of Medical Sciences, Örebro University, Sweden
| | - Stephen Widén
- School of Health Sciences, Örebro University, Sweden
- Audiological Research Centre, Faculty of Medicine and Health, Örebro University, Sweden
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Chang JL, Huwyler C, Yoshida N, Henderson Sabes J, Cheung SW. A Smartphone Application and Education Program for Hearing Health Promotion in High School Teenagers. Laryngoscope 2022. [PMID: 36169307 DOI: 10.1002/lary.30411] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2022] [Revised: 08/04/2022] [Accepted: 08/29/2022] [Indexed: 11/05/2022]
Abstract
OBJECTIVES To assess knowledge retention after video-based hearing health education and measure headphone listening behavior change using a novel smartphone application. METHODS In this prospective longitudinal study, students participated in video-based hearing health education and hearing screening sessions. Hearing health knowledge was assessed in students and parents after 6 weeks. A novel smartphone application was created to measure daily noise exposure based on volume settings with headphone use and to display the National Institute for Occupational Safety and Health (NIOSH) noise doses with alerts for cumulative daily doses nearing the maximum. RESULTS Seventy-six teenage students and parents participated. Eighty three percent of participants identified as a racial or ethnic minority and 66% were of low-income socioeconomic status. Hearing health knowledge was retained in students 6 weeks after education and parents' knowledge improved from baseline. The smartphone app was installed on 12 student phones, and 25% of days monitored exhibited noise doses that exceeded the NIOSH maximum. App use for at least 10 days by nine students showed a significant reduction in average daily noise dose and time spent at the highest volume settings during the second-half of app use. CONCLUSIONS Video-based hearing health education with knowledge question reinforcement was associated with knowledge retention in students and improved parental attitudes and knowledge about hearing conservation. A smartphone app with a real-time display of headphone cumulative noise exposure dose identified at-risk students. The integration of hearing health education, hearing screening, and digital health tools has promised to promote positive behavior changes for long-term hearing conservation. LEVEL OF EVIDENCE 4 Laryngoscope, 2022.
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Affiliation(s)
- Jolie L Chang
- Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, California, USA.,Surgical Services, San Francisco Veterans Affairs Health Care System, San Francisco, California, USA
| | - Camille Huwyler
- Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, California, USA
| | | | - Jennifer Henderson Sabes
- Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, California, USA
| | - Steven W Cheung
- Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, California, USA.,Surgical Services, San Francisco Veterans Affairs Health Care System, San Francisco, California, USA
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Fuentes-López E, Fuente A, Bowen MP. Increased Signs of Noise-Induced Hearing Loss in Dental Students: A Multilevel Approach. Noise Health 2022; 24:151-157. [PMID: 36124524 PMCID: PMC9743310 DOI: 10.4103/nah.nah_21_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
Context Despite the fact that the new generations of rotary tools emit less noise, some recent studies suggest that dental students are still at risk of hearing impairment. Aims The aim of the study was to determine a possible association between noise exposure from dental equipment and early signs of noise-induced hearing loss (NIHL) in dental students. Settings and Design A cross-sectional study was carried out with dental and non-dental students from two universities in Chile. Methods and Material A group of 102 dental students routinely exposed to noise emitted from dental equipment was selected as the study group. A group of 251 non-dental students was selected as the control group. Pure-tone audiometry was carried out on all participants ensuring that they were not exposed to noise for at least 24 hours prior to testing. The presence of a notch was determined for each participant. Statistical analysis used Simultaneous-quantile regressions were used to compare percentiles of the hearing threshold between both groups. Then, the notch prevalence ratio adjusted by gender and age was estimated for each group of participants. Finally, the prevalence of an audiometric notch was compared between both groups using logistic regression models and generalized linear methods. Both fixed effect and multilevel hierarchy models were constructed. Results Significant differences between groups for the 75th percentile of hearing threshold distributions at 4 and 6 kHz in the left ear and at 6 kHz in the right ear were found. In addition, study group participants exhibited a significantly higher prevalence of a notch at 4 kHz in the left ear than control group participants. Conclusions Exposure to noise derived from learning activities as a dental student is associated with early signs of NIHL. Such signs include poorer hearing thresholds than those of non-dental students at 4 and 6 kHz as well as the presence of a notch at high frequencies.
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Affiliation(s)
- Eduardo Fuentes-López
- Carrera de Fonoaudiología, Departamento de Ciencias de la Salud, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile,Address for correspondence: Eduardo Fuentes-López, Carrera de Fonoaudiología, Departamento de Ciencias de la Salud, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile. E-mail:
| | - Adrian Fuente
- École d’orthophonie et d’audiologie, Faculté de médecine, Université de Montréal, Montréal, Québec, Canada,Centre de recherche de l’Institut universitaire de gériatrie de Montréal, Montréal, Québec, Canada
| | - Macarena P. Bowen
- Departamento de Fonoaudiología, Facultad de Medicina, Universidad de Chile, Santiago, Chile,Department of Linguistics, Macquarie University, NSW, Australia
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Moreira Lana G, Sorg K, Wenzel GI, Hecker D, Hensel R, Schick B, Kruttwig K, Arzt E. Self‐Adhesive Silicone Microstructures for the Treatment of Tympanic Membrane Perforations. ADVANCED NANOBIOMED RESEARCH 2021. [DOI: 10.1002/anbr.202100057] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Affiliation(s)
- Gabriela Moreira Lana
- INM – Leibniz Institute for New Materials Campus D2 2 Saarbrücken 66123 Germany
- Department of Materials Science and Engineering Saarland University Campus D2 2 Saarbrücken 66123 Germany
| | - Katharina Sorg
- Department of Otorhinolaryngology Saarland University Medical Center Homburg 66421 Germany
| | - Gentiana Ioana Wenzel
- Department of Otorhinolaryngology Saarland University Medical Center Homburg 66421 Germany
| | - Dietmar Hecker
- Department of Otorhinolaryngology Saarland University Medical Center Homburg 66421 Germany
| | - René Hensel
- INM – Leibniz Institute for New Materials Campus D2 2 Saarbrücken 66123 Germany
| | - Bernhard Schick
- Department of Otorhinolaryngology Saarland University Medical Center Homburg 66421 Germany
| | - Klaus Kruttwig
- INM – Leibniz Institute for New Materials Campus D2 2 Saarbrücken 66123 Germany
| | - Eduard Arzt
- INM – Leibniz Institute for New Materials Campus D2 2 Saarbrücken 66123 Germany
- Department of Materials Science and Engineering Saarland University Campus D2 2 Saarbrücken 66123 Germany
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Gaetán S, Muratore J, Maggi AL, Villalobo JP, de los Ángeles Hinalaf M. Hearing and Exposure to Music in Adolescents From Four Schools of Córdoba, Argentina. Am J Audiol 2021; 30:281-294. [PMID: 33909451 DOI: 10.1044/2021_aja-20-00076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Purposes The aims of this study are (a) to characterize the hearing of adolescents from four schools of Córdoba, Argentina, through the analysis of conventional and extended high-frequency audiometric thresholds and otoacoustic emissions (OAEs) and (b) to analyze the association between the mentioned hearing tests and exposure to music. Method It was a cross-sectional correlational descriptive study. Hearing thresholds (250-16000 Hz), transient evoked OAEs, and distortion product OAEs were evaluated in 225 adolescents (450 ears) aged 14 and 15 years. The ears were split into two groups: Group 1 had thresholds ≤ 21 dB HL in all frequencies, and Group 2 had thresholds > 21 dB HL in at least one. Exposure to music was evaluated through a questionnaire. Results Statistically significant differences were found in both ears between Groups 1 and 2. A notch at 3000-6000 Hz was noted in both groups. Group 2 showed a progressive threshold increase from 9000 Hz. Amplitude decrease, negative values, absent distortion product OAEs, and transient evoked OAEs were noted even in Group 1. A statistically significant association between Groups 1 and 2 and the presence/absence of OAEs was observed in most frequencies. Ears with moderate or high exposure to music had greater hearing thresholds compared to ears with low exposure at most frequencies; this was more evident in Group 1. Regarding exposure to music and OAEs, no significant differences were found between the exposure categories. Conclusions The findings highlight the value of implementing hearing conservation programs in Argentina, analyzing hearing tests correlated with questionnaires about recreational noise exposure in order to detect vulnerable ears early.
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Affiliation(s)
- Sara Gaetán
- Center of Research and Transfer in Acoustics (CINTRA), UE CONICET, National Technological University, Córdoba, Argentina
- School of Speech, Language and Audiology, Faculty of Medical Sciences, National University of Córdoba, Argentina
- National Scientific and Technical Research Council (CONICET) at the CINTRA, Córdoba, Argentina
| | - Jimena Muratore
- Center of Research and Transfer in Acoustics (CINTRA), UE CONICET, National Technological University, Córdoba, Argentina
- School of Speech, Language and Audiology, Faculty of Medical Sciences, National University of Córdoba, Argentina
- National Scientific and Technical Research Council (CONICET) at the CINTRA, Córdoba, Argentina
- School of Speech, Language and Audiology, Faculty of Medical Sciences, National University of Rosario, Argentina
| | - Ana Luz Maggi
- Center of Research and Transfer in Acoustics (CINTRA), UE CONICET, National Technological University, Córdoba, Argentina
- School of Speech, Language and Audiology, Faculty of Medical Sciences, National University of Córdoba, Argentina
- National Scientific and Technical Research Council (CONICET) at the CINTRA, Córdoba, Argentina
| | - Jorge Pérez Villalobo
- Center of Research and Transfer in Acoustics (CINTRA), UE CONICET, National Technological University, Córdoba, Argentina
| | - María de los Ángeles Hinalaf
- Center of Research and Transfer in Acoustics (CINTRA), UE CONICET, National Technological University, Córdoba, Argentina
- School of Speech, Language and Audiology, Faculty of Medical Sciences, National University of Córdoba, Argentina
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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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