Results from high-frequency hearing screening in 14- to 15-year old adolescents and their relation to self-reported exposure to loud music

Weichbold, Viktor; Holzer, A.; Newesely, Georg; Stephan, K.

doi:10.3109/14992027.2012.679747

Cited by 11 publications

(10 citation statements)

References 22 publications

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“…In a cross-sectional study of 14- to 15-year-old students (n = 1294), those with 4 or more visits per month had a significantly higher risk of hearing loss, as compared to those with less exposure (24.5% vs 15.0%, P =.027). 33 Visits exceeding 4 hours duration trended toward worse hearing, but were not significantly different. A longitudinal follow-up study (n = 106 adolescents) stratified risk with a more generalized measure of exposure frequency and found that those with hearing loss were significantly more likely to self-report “medium” as opposed to “rare” or “no” total music exposure ( P < .001, girls and boys), “medium” to “frequent” live concert attendance ( P < .06, boys), “frequent” attendance at discos ( P < .009, girls), and “high” exposure to music at home ( P <.012, girls).…”

Section: Impact Of Noise Exposure On Pediatric Hearing Lossmentioning

confidence: 84%

Personally Modifiable Risk Factors Associated with Pediatric Hearing Loss: A Systematic Review

Vasconcellos

Kyle

Gilani

et al. 2014

Otolaryngol.--head neck surg.

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Background Pediatric hearing loss is an increasingly recognized problem with significant implications. Increasing our quantitative understanding of potentially modifiable environmental risk factors for hearing loss may form the foundation for prevention and screening programs. Objective To determine whether specific threshold exposure levels of personally modifiable risk factors for hearing loss have been defined, with the overarching goal of providing actionable guidance for the prevention of pediatric hearing loss. Data Sources A systematic review was performed. Computerized searches of PubMed, EMBASE, and the Cochrane Library were completed and supplemented with manual searches. Review Methods Inclusion/exclusion criteria were designed to determine specific threshold values of personally modifiable risk factors on hearing loss in the pediatric population. Searches and data extraction were performed by independent reviewers. Results There were 38 criterion-meeting studies, including a total of 50,651 subjects. Threshold noise exposures significantly associated with hearing loss in youth included: (1) more than 4 hours per week or more than 5 years of personal headphone usage, (2) more than 4 visits per month to a discotheque, and (3) working on a mechanized farm. Quantified tobacco levels of concern included any level of in utero smoke exposure as well as secondhand exposure sufficient to elevate serum cotinine. Conclusions Specific thresholds analyses are limited. Future studies would ideally focus on stratifying risk according to clearly defined levels of exposure, in order to provide actionable guidance for children and families.

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Section: Impact Of Noise Exposure On Pediatric Hearing Lossmentioning

confidence: 84%

Personally Modifiable Risk Factors Associated with Pediatric Hearing Loss: A Systematic Review

Vasconcellos

Kyle

Gilani

et al. 2014

Otolaryngol.--head neck surg.

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“…Taking into account a high rate of environmental exposures among teenagers and young adults, much attention was paid to the prevalence of NIHL and NIT in the younger groups of subjects. Although no significant increase in NIHL was observed, the rate of noise-induced threshold shift was significantly higher in adolescents with high exposure to music[ 5 ] and in young females. [ 6 ] The latter finding may reflect the increased exposures of young women to recreational noise.…”

Section: Noise-induced Hearing Lossmentioning

confidence: 99%

ICBEN review of research on the biological effects of noise 2011-2014

et al. 2015

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The mandate of the International Commission on Biological Effects of Noise (ICBEN) is to promote a high level of scientific research concerning all aspects of noise-induced effects on human beings and animals. In this review, ICBEN team chairs and co-chairs summarize relevant findings, publications, developments, and policies related to the biological effects of noise, with a focus on the period 2011-2014 and for the following topics: Noise-induced hearing loss; nonauditory effects of noise; effects of noise on performance and behavior; effects of noise on sleep; community response to noise; and interactions with other agents and contextual factors. Occupational settings and transport have been identified as the most prominent sources of noise that affect health. These reviews demonstrate that noise is a prevalent and often underestimated threat for both auditory and nonauditory health and that strategies for the prevention of noise and its associated negative health consequences are needed to promote public health.

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“…Similar times of exposure expressed in hours per week were shown by other studies [ 45 , 46 ]. Only one study provides more a conservative value of 4 h per week [ 47 ]. The literature data shows also that the critical limit for the safety of exposure to loud sounds of music is L eq , 8 h of 80 dBA [ 46 ], and the hearing effects of using PLDs could be most clearly seen after five years of exposure [ 48 , 49 ].…”

Section: Discussionmentioning

confidence: 99%

WHO Environmental Noise Guidelines for the European Region: A Systematic Review on Environmental Noise and Permanent Hearing Loss and Tinnitus

Śliwińska-Kowalska

Zaborowski

2017

IJERPH

142

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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 l...

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Results from high-frequency hearing screening in 14- to 15-year old adolescents and their relation to self-reported exposure to loud music

Cited by 11 publications

References 22 publications

Personally Modifiable Risk Factors Associated with Pediatric Hearing Loss: A Systematic Review

Personally Modifiable Risk Factors Associated with Pediatric Hearing Loss: A Systematic Review

ICBEN review of research on the biological effects of noise 2011-2014

WHO Environmental Noise Guidelines for the European Region: A Systematic Review on Environmental Noise and Permanent Hearing Loss and Tinnitus

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