Daily music exposure dose and hearing problems using personal listening devices in adolescents and young adults: A systematic review

Jiang, Wen; Zhao, Fei; Guderley, Nicola; Manchaiah, Vinaya

doi:10.3109/14992027.2015.1122237

Cited by 85 publications

(74 citation statements)

References 39 publications

(47 reference statements)

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“…In addition, several studies have demonstrated that maximum outputs of PLDs can exceed 125 dBA [8]. The preferred listening levels (PLLs) adopted by young users range from 71 to 105 dBA [5,9,10], but approximately 58% of adolescents and college students have exceeded that recommended maximum noise exposure [11], and the prevalence of increased hearing thresholds due to public music exposure via PLDs has not been overlooked [12]. Furthermore, various studies have reported an association between exposure to music at a high intensity and hearing deterioration, including temporary threshold shifts (TTS), tinnitus, hyperacusis, and recruitment, all of which eventually produce permanent hearing loss to the users [2,13,14].…”

Section: Introductionmentioning

confidence: 99%

The Effects of Short-Term and Long-term Hearing Changes on Music Exposure: A Systematic Review and Meta-Analysis

You

Kong

Han

2020

IJERPH

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The present study explores the scientific evidence on whether music exposure temporarily or permanently affects hearing sensitivity in young adults. Six electronic databases were searched using related keywords for the four categories of personal listening devices, listening habits, hearing outcomes, and age. The Hedges’ g and its 95% confidence intervals (CIs) were estimated. A Higgins I2 was also used to check for heterogeneity. To test for publication bias, funnel plots were drawn using Egger’s regression. Based on the inclusion criteria, 16 studies were divided into two groups to identify short-term hearing changes (n = 7) and long-term hearing changes (n = 9). In the short term, there was no significant immediate change in the thresholds or amplitudes after the music exposure, although pure-tone thresholds (PTAs) and distortion product otoacoustic emissions (DPOAEs) did show the highest effect size (−0.344, CI −0.727 to 0.038) and (0.124, CI −0.047 to 0.296) at 4 kHz. On the other hand, for long-term hearing changes, the PTA provided the highest effect size at 6 kHz (−0.525, CI −0.897 to −0.154) and 8 kHz (–0.486, CI −0.819 to −0.152), while also implying that habitual and repeated personal listening device (PLD) usage can act on some significant hearing changes in audiological tests. We conclude that the use of a PLD produces a few temporary hearing changes at 4 kHz after its use but that the changes are then reversed. However, it is important to note heavy PLD users’ experience regarding permanent changes in their hearing thresholds at high frequencies, and the public should be educated on this issue.

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Section: Introductionmentioning

confidence: 99%

The Effects of Short-Term and Long-term Hearing Changes on Music Exposure: A Systematic Review and Meta-Analysis

You

Kong

Han

2020

IJERPH

View full text Add to dashboard Cite

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“…Selected listening level and duration of use per day are critical variables, as are the duration of time over which the behavior is repeated, and cumulative exposure to other noise sources. All of these factors interact to determine whether PLD use has the potential to contribute to changes in hearing over time (Levey et al, 2011;Portnuff et al, 2011;Jiang et al, 2016;Portnuff, 2016).…”

Section: Introductionmentioning

confidence: 99%

Variation in Music Player Listening Level as a Function of Campus Location

et al. 2017

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“…20 Furthermore, a recent meta-analysis showed PLD use in listening environments with higher background level was associated with a greater proportion of users exceeding risk-dose thresholds. 21 Conversely, the same study showed earphones that provide greater isolation from ambient noise allow listeners to maintain their desired signal-to-noise ratio with a lower CLL. As sound isolation is not an issue in quiet environments, differences between earphone types were greatest in the noisy environments.…”

Section: Noise-induced Hearing Loss (Nihl)mentioning

confidence: 95%

Personal Listening Devices in Australia: Patterns of Use and Levels of Risk

et al. 2017

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Personal listening devices (PLDs) have the potential to increase the risk of noise-induced hearing loss (NIHL) for users. The present study aimed to investigate the nature and extent of the risk posed, by describing the user profile of a PLD population, identifying listening habits of that population, and examining whether PLD risk status is associated with hearing damage. A sample of 4,185 Australian PLD users completed an online survey about listening behaviors and hearing health. Listeners were characterized as low, high, or very high-risk based on daily noise dose estimates calculated from self-reported listening volume and durations. Listening patterns and hearing difficulties were examined in relation to risk status. Results indicated differences in listening volumes and durations with respect to age, with higher listening volumes reported for environments with greater background noise. Fifteen percent of participants' usage was classified as posing a potential risk to hearing, with a significantly greater proportion of younger people in higher-risk categories. Forty-one percent of participants reported feeling they have a hearing loss, with ∼20% reporting difficulties with speech in noise. For 18- to 35-year-olds, higher-risk status was associated with a greater proportion of self-reported hearing difficulties, including perceived poorer speech perception. These results have implications for hearing health promotion activities and suggest that messages should focus on either volume levels or durations depending on the particular activity in which the PLD is used. In addition, the results underline the importance of placing PLD exposure in the context of individuals' wider noise exposure. Although PLD use alone is not placing the majority of users at risk, it may be increasing the likelihood that individuals' cumulative noise exposure will exceed safe levels.

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Daily music exposure dose and hearing problems using personal listening devices in adolescents and young adults: A systematic review

Cited by 85 publications

References 39 publications

The Effects of Short-Term and Long-term Hearing Changes on Music Exposure: A Systematic Review and Meta-Analysis

The Effects of Short-Term and Long-term Hearing Changes on Music Exposure: A Systematic Review and Meta-Analysis

Variation in Music Player Listening Level as a Function of Campus Location

Personal Listening Devices in Australia: Patterns of Use and Levels of Risk

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