Effectiveness of Earplugs in Preventing Recreational Noise–Induced Hearing Loss

Ramakers, Geerte G. J.; Kraaijenga, Véronique J. C.; Cattani, Guido; Zanten, G. A. Van; Grolman, Wilko

doi:10.1001/jamaoto.2016.0225

Cited by 33 publications

(48 citation statements)

References 21 publications

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“…4 This post hoc analysis of the RCT was performed from October 3, 2016, through February 27, 2017. The medical ethics committee of the University Medical Centre Utrecht granted an exemption of full review.…”

Section: Study Design and Participantsmentioning

confidence: 99%

“…All participants were advised to limit the use of alcohol and drugs in a way that they would be able to complete hearing evaluations after the festival visit. 4 …”

Section: Festival Visitmentioning

confidence: 99%

“…4 Twenty-five participants were assigned to use earplugs. Eighteen participants (35%) were male and 33 (65%) were female.…”

Section: Characteristics Of Study Participants and Festival Visitmentioning

confidence: 99%

“…The mean time-averaged, equivalent A-weighted sound pressure level was 100 dBA, with outliers as high as 145 dBA. 4 The Figure …”

Section: Characteristics Of Study Participants and Festival Visitmentioning

confidence: 99%

“…1,2 Noise-induced hearing loss (NIHL) due to recreational noise exposure may be reduced by using earplugs that decrease the loudness of the noise. 3 Recently, a randomized clinical trial (RCT) on the effect of earplugs on recreational NIHL 4 found that significantly fewer temporary threshold shifts (TTSs) after a 4.5-hour festival visit were objectified in participants who used earplugs compared with participants who did not. Development of NIHL due to recreational noise exposure depends on factors concerning the noise, including the duration of exposure, the intensity and frequency of the noise and how fast the sound pressure level increases.…”

mentioning

confidence: 99%

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Association of Behavior With Noise-Induced Hearing Loss Among Attendees of an Outdoor Music Festival

Kraaijenga

Munster

Zanten

2018

JAMA Otolaryngol Head Neck Surg

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IMPORTANCETo date, factors associated with noise-induced hearing loss at music festivals have not yet been analyzed in a single comprehensive data set. In addition, little is known about the hearing loss-associated behavior of music festival attendees.OBJECTIVES To assess which factors are associated with the occurrence of a temporary threshold shift (TTS) after music exposure and to investigate the behavior of music festival attendees. MAIN OUTCOMES AND MEASURESThe primary outcome was a TTS on a standard audiogram for the frequencies 3.0-and 4.0-kHz. Multivariable linear regression was performed to determine which factors are associated with a TTS. A questionnaire on behavior, hearing, and tinnitus was distributed to the participants before and after the festival visit. CONCLUSIONS AND RELEVANCE The present study identified nonuse of earplugs, use of alcohol and drugs, and male sex as associated with a TTS at an outdoor music festival. Physicians should consider these factors to raise awareness about the combined risk of attending music festivals without using earplugs while consuming alcohol and/or drugs. The intention to use earplugs was correlated with the loudness and appreciation of music with earplugs, which may advocate for the use of personalized earplugs.

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Section: Study Design and Participantsmentioning

confidence: 99%

“…All participants were advised to limit the use of alcohol and drugs in a way that they would be able to complete hearing evaluations after the festival visit. 4 …”

Section: Festival Visitmentioning

confidence: 99%

“…4 Twenty-five participants were assigned to use earplugs. Eighteen participants (35%) were male and 33 (65%) were female.…”

Section: Characteristics Of Study Participants and Festival Visitmentioning

confidence: 99%

“…The mean time-averaged, equivalent A-weighted sound pressure level was 100 dBA, with outliers as high as 145 dBA. 4 The Figure …”

Section: Characteristics Of Study Participants and Festival Visitmentioning

confidence: 99%

mentioning

confidence: 99%

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Association of Behavior With Noise-Induced Hearing Loss Among Attendees of an Outdoor Music Festival

Kraaijenga

Munster

Zanten

2018

JAMA Otolaryngol Head Neck Surg

Self Cite

View full text Add to dashboard Cite

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Epidemiology of firearm and other noise exposures in the United States

2017

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Objective Identify contemporary noise exposures and hearing protection use among adults. Study Design Cross-sectional analysis of national health survey. Methods Adult respondents in the 2014 National Health Interview Series hearing survey module were analyzed. Potentially harmful exposures to occupational and recreational noises in the past 12 months were extracted and quantified. Patterns of hearing protection use also were analyzed. Results Among 239.7 million adults, “loud” and “very loud” occupational noise exposures were reported by 5.3% and 21.7%, respectively. Of those exposed to “loud” or “very loud” sounds at work, only 18.7% and 43.6%, respectively, always used hearing protection. A total of 38.2% (1.9 million) of those with “very loud” occupational exposures never used hearing protection. Frequent (> 10/year) “loud” and “very loud” recreational noise exposures were reported by 13.9% and 21.1%, respectively, most commonly to lawn mowers (72.6% and 55.2%, respectively). When exposed to recreational “loud/very loud” noise, only 11.4% always used hearing protection, whereas 62.3% (6.3 million) never used any protection. Lifetime exposure to firearm noise was reported by 36.6% of adults, 11.5% of whom had used firearms in the prior 12 months. Of those, only 58.5% always used hearing protection, whereas 21.4% (7.4 million) never used hearing protection. Conclusion Substantial noise exposures with potentially serious long-term hearing health consequences frequently are occurring in occupational and recreational settings, and with the use of firearms. Only a minority of those exposed consistently are using hearing protection. Healthcare providers should actively identify and encourage the use of hearing protection with those patients at risk.

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Epidemiology and gender differences in pediatric recreational and firearms noise exposure in the USA

2019

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Objective We aim to identify contemporary noise exposures and hearing protection use among U.S. children in a large, population‐based study. Methods Cross‐sectional analysis of the 2014 National Health Interview Series was performed. Results from in‐person interviews of families with children under 18 years of age in all 50 states were queried. Potentially harmful exposures to loud sounds and patterns of hearing protection use in the last 12 months were analyzed after representative sample weights were applied. Results Among 73.4 million children, 18.4% (9.1 ± 0.4 million) (boys: 23.2%, girls: 13.5%; P < 0.001) were exposed to firearms noise, and 28.2% (20.7 ± 0.6 million) (boys: 30.5%, girls: 25.8%; P < 0.001) to firecrackers and other explosive sounds. Exposure to recreational “very‐loud” noise exposure was more common (7.9%; 5.8 ± 0.3 million), consisting of music players (46.5%), fireworks (44.8%), lawnmowers (42.6%), and firearms (32.5%). However, only 17.1% of boys and 15.6% of girls, totaling 16.4% of all children, always used hearing protection during noise exposures. Conclusion Children in the United States are commonly exposed to firearms and recreational loud noises. Hearing protection is infrequently used, and gender disparities in patterns of exposure and use of hearing protection are prevalent. Those children and families at risk should be identified via public health initiatives and appropriately counseled by healthcare providers. Level of Evidence NA Laryngoscope, 130:541–545, 2020

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Effectiveness of Earplugs in Preventing Recreational Noise–Induced Hearing Loss

Abstract: trialregister.nl Identifier: NTR5401.

Cited by 33 publications

References 21 publications

Association of Behavior With Noise-Induced Hearing Loss Among Attendees of an Outdoor Music Festival

Association of Behavior With Noise-Induced Hearing Loss Among Attendees of an Outdoor Music Festival

Epidemiology of firearm and other noise exposures in the United States

Epidemiology and gender differences in pediatric recreational and firearms noise exposure in the USA

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