scholarly journals More to Lose? Noise-Risk Perceptions of Young Adults with Hearing Impairment

2017 ◽  
Vol 38 (04) ◽  
pp. 319-331
Author(s):  
Deborah Black ◽  
Lyndal Carter

AbstractThis study investigated the attitudes and behaviors of young adults with hearing impairment (HI), in relation to leisure noise. It was hypothesized that young people with HI would have more negative perceptions of noise exposure than their peers with nonimpaired (normal) hearing (NH) and would engage more frequently in self-protective behaviors. Questionnaires were administered as part of a larger study of young Australians with: (1) preadult onset HI and (2) NH. Data from adults (age range 18 to 24 years; n = 79 with HI, n = 131 with NH) were selected for the current analysis. Attitudes data for HI and NH groups were compared using chi-square tests, and the reported use of hearing aids and personal hearing protectors (PHPs) in leisure environments was quantified. Most participants with HI and NH regarded leisure noise as a health hazard but rated their own noise-injury risk as lower than that of their peer group. The use of PHPs was low overall, and many participants with HI reported using hearing aids (switched on) during noisy leisure activities. An equal and substantial proportion of participants with HI and NH reported dislike and avoidance of loud activities. Systematic noise management in leisure environments would address noise-injury risk and also enhance social participation.

2016 ◽  
Vol 27 (09) ◽  
pp. 750-763 ◽  
Author(s):  
Lyndal Carter ◽  
Deborah Black ◽  
Anita Bundy ◽  
Warwick Williams

Background: Since amplified music gained widespread popularity, there has been community concern that leisure-noise exposure may cause hearing loss in adolescents and young adults who would otherwise be free from hearing impairment. Repeated exposure to personal stereo players and music events (e.g., nightclubbing, rock concerts, and music festivals) are of particular concern. The same attention has not been paid to leisure-noise exposure risks for young people with hearing impairment (either present from birth or acquired before adulthood). This article reports on the analysis of a subset of data (leisure participation measures) collected during a large, two-phase study of the hearing health, attitudes, and behaviors of 11- to 35-yr-old Australians conducted by the National Acoustic Laboratories (n = 1,667 hearing threshold level datasets analyzed). The overall aim of the two-phase study was to determine whether a relationship between leisure-noise exposure and hearing loss exists. Purpose: In the current study, the leisure activity profiles and accumulated (“whole-of-life”) noise exposures of young people with (1) hearing impairment and (2) with normal hearing were compared. Research Design: Cross-sectional cohort study. Study Sample: Hearing impaired (HI) group, n = 125; normal (nonimpaired) hearing (NH) group, n = 296, analyzed in two age-based subsets: adolescents (13- to 17-yr-olds) and young adults (18- to 24-yr-olds). Data Collection and Analysis: Participant survey. The χ2 test was used to identify systematic differences between the leisure profiles and exposure estimates of the HI and NH groups. Whole-of-life noise exposure was estimated by adapting techniques described in ISO 1999. Results: For adolescents, leisure profiles were similar for the two groups and few individuals exceeded the stated risk criterion. For young adults, participation was significantly lower for the HI group for 7 out of 18 leisure activities surveyed. Activity diversity and whole-of-life exposure were also significantly lower for the HI group young adults. A substantial number of individuals in both groups reported participation in leisure activities known to involve high noise levels (HI < NH). The individual whole-of-life exposures for the HI and NH participants were estimated and group median exposures were calculated. The median exposure for HI group young adults was significantly lower than that for the NH group (710 versus 1,615 Pa2 h [Pascal squared hours]). Conclusions: The number of young adults with estimated exposure above the chosen noise-risk criterion in the NH group is concerning. With respect to the goals of hearing loss prevention initiatives, the more conservative social behavior (e.g., less nightclubbing) observed among HI group young adults may be regarded as a positive finding, but it could also signify relative social disadvantage for some young adults with hearing impairment.


Author(s):  
Laurel Elise Money ◽  
Ishara Ramkissoon

Background: Recent research indicated that young adults and adolescents reported tinnitus in highernumbers than previously. Thus, it is important to fully investigate risk factors for tinnitus in adolescentsand young adults.<br />Purpose: The current study examined the influence of two environmental risk factors, secondhandsmoke (SHS) exposure and noise exposure on tinnitus occurrence as self-reported by U.S. adolescentsand young adults.<br />Research Design: A nonexperimental, cross-sectional design was used for this survey study.<br />Study Sample: Of 265 surveys received, 43 were excluded due to ineligibility. The remaining 222 surveysconstituted the study sample. Participant respondents included 80 high school students (ages14–17) and 142 college students (ages 18–30). The sample was primarily female (n = 160).<br />Data Collection and Analysis: Three (3) yes/no survey questions regarding SHS exposure, noise exposure,and tinnitus occurrence were analyzed. Statistical analyses included logistic regression, chisquarefollow-up tests, and Pearson bivariate correlation analysis.<br />Results: Results revealed that 40 percent of young adults and adolescents surveyed reported that they experiencedtinnitus. Regression analysis revealed significant main effects for noise (p = 0.004), gender (p =0.017), and the interaction of SHS and noise (p = 0.001). There was no main effect of SHS exposurenor age on tinnitus occurrence. Follow-up chi-square analysis conducted to probe the gender effectrevealed that females (45.1 percent) were more likely to experience tinnitus than males (27.7 percent). Chi-squaretesting to examine the significant interaction effect revealed statistical significance (p = 0.001) for individualswith reported noise exposure but not for individuals without noise exposure. In the noise-exposedgroup, individuals who also reported SHS exposure had a lower occurrence of tinnitus (23.6 percent). In contrast,the noise-exposed individuals without SHS exposure had a higher prevalence of tinnitus (57.9 percent).An additional chi-square follow-up analysis to examine the main effect of noise revealed no significance(p = 0.199). However, there was a significant (p < 0.01) negative correlation (r = –0.244) of noise exposurewith age.<br />Conclusion: The current study results suggest there is a higher than expected report of tinnitus incidencein adolescents and young adults. The relationship between tinnitus occurrence and a combinedexposure to noise and secondhand smoke revealed a unique effect in adolescents and young adults.<br />


2019 ◽  
Vol 62 (2) ◽  
pp. 307-317 ◽  
Author(s):  
Jianghua Lei ◽  
Huina Gong ◽  
Liang Chen

Purpose The study was designed primarily to determine if the use of hearing aids (HAs) in individuals with hearing impairment in China would affect their speechreading performance. Method Sixty-seven young adults with hearing impairment with HAs and 78 young adults with hearing impairment without HAs completed newly developed Chinese speechreading tests targeting 3 linguistic levels (i.e., words, phrases, and sentences). Results Groups with HAs were more accurate at speechreading than groups without HA across the 3 linguistic levels. For both groups, speechreading accuracy was higher for phrases than words and sentences, and speechreading speed was slower for sentences than words and phrases. Furthermore, there was a positive correlation between years of HA use and the accuracy of speechreading performance; longer HA use was associated with more accurate speechreading. Conclusions Young HA users in China have enhanced speechreading performance over their peers with hearing impairment who are not HA users. This result argues against the perceptual dependence hypothesis that suggests greater dependence on visual information leads to improvement in visual speech perception.


2020 ◽  
Vol 31 (04) ◽  
pp. 286-291
Author(s):  
Laurel Elise Money ◽  
Ishara Ramkissoon

Abstract Background Recent research indicated that young adults and adolescents reported tinnitus in higher numbers than previously. Thus, it is important to fully investigate risk factors for tinnitus in adolescents and young adults. Purpose The current study examined the influence of two environmental risk factors, secondhand smoke (SHS) exposure and noise exposure on tinnitus occurrence as self-reported by U.S. adolescents and young adults. Research Design A nonexperimental, cross-sectional design was used for this survey study. Study Sample Of 265 surveys received, 43 were excluded due to ineligibility. The remaining 222 surveys constituted the study sample. Participant respondents included 80 high school students (ages 14–17) and 142 college students (ages 18–30). The sample was primarily female (n = 160). Data Collection and Analysis Three (3) yes/no survey questions regarding SHS exposure, noise exposure, and tinnitus occurrence were analyzed. Statistical analyses included logistic regression, chi-square follow-up tests, and Pearson bivariate correlation analysis. Results Results revealed that 40% of young adults and adolescents surveyed reported that they experienced tinnitus. Regression analysis revealed significant main effects for noise (p = 0.004), gender (p = 0.017), and the interaction of SHS and noise (p = 0.001). There was no main effect of SHS exposure nor age on tinnitus occurrence. Follow-up chi-square analysis conducted to probe the gender effect revealed that females (45.1%) were more likely to experience tinnitus than males (27.7%). Chi-square testing to examine the significant interaction effect revealed statistical significance (p = 0.001) for individuals with reported noise exposure but not for individuals without noise exposure. In the noise-exposed group, individuals who also reported SHS exposure had a lower occurrence of tinnitus (23.6%). In contrast, the noise-exposed individuals without SHS exposure had a higher prevalence of tinnitus (57.9%). An additional chi-square follow-up analysis to examine the main effect of noise revealed no significance (p = 0.199). However, there was a significant (p < 0.01) negative correlation (r = -0.244) of noise exposure with age. Conclusion The current study results suggest there is a higher than expected report of tinnitus incidence in adolescents and young adults. The relationship between tinnitus occurrence and a combined exposure to noise and secondhand smoke revealed a unique effect in adolescents and young adults.


2019 ◽  
Vol 48 (2) ◽  
pp. 134
Author(s):  
Novi Primadewi ◽  
Putu Wijaya Kandhi ◽  
Zahroh Zuliana Azizah

Latar belakang: Alat musik drum merupakan alat musik yang memiliki nilai kebisingan. Instruktur drum dapat terpapar bising yang tinggi, sehingga dapat mengalami gangguan pendengaran. Tujuan: Mengetahui hubungan antara lama paparan bising terhadap gangguan pendengaran pada instruktur drum di Surakarta dan sekitarnya. Metode: Jenis penelitian yang digunakan adalah obervasional non experimental dengan desain cross sectional pada 71 instruktur drum di 14 sekolah musik di Surakarta. Sampel berupa hasil pemeriksaan audiometri nada murni yang dilaksanakan di studio musik kedap suara dengan NAB kurang dari 40 Dba SPL. Data dianalisis menggunakan  uji statistik Chi Square. Hasil analisis statistik bermakna bila didapatkan nilai p=0,001<0,01. Hasil: Pada rerata tingkat kebisingan yang terukur dengan alat Sound Level Meter di 14 sekolah musik di Surakarta. Pada saat memainkan drum adalah sebesar 111,48±3,84 dB. Terdapat responden dengan durasi ≤2 jam tanpa GPAB sebanyak 10 orang (14,1%) dan paling banyak terjadi dengan GPAB pada durasi >4 sampai dengan 6 jam sebanyak 38 orang (51,2%). Nilai p=0,001<0,01 yang berarti ada hubungan yang bermakna antara durasi dengan GPAB pada instruktur drum dengan coefficient of contingency CC sebesar 0,687 (68,70%). Kesimpulan: Terdapat hubungan antara lama paparan bising terhadap gangguan pendengaran pada instruktur drum.  Background: Drum is one of musical instruments producing a high level of noise. Drum instructors are exposed to this loudness, which might give them a high risk of hearing impairment. Objective: To investigate the correlation between loudness exposure time and hearing impairment of drum instructors in Solo area. Methods: This was an observational non experimental research using cross sectional design on 71 drum instructors in 14 music schools in Surakarta. The samples were the result of pure tone audiometry examination conducted in a soundproof music studio with NAB less than 40 Dba SPL. Data were analyzed using Chi Square statistical tests. The results of statistical analysis were significant if  p = 0.001 <0.01. Result: The average noise level measured by a Sound Level Meter tool in 14 music schools in Surakarta, while playing the drum was 111.48 ± 3.84 dB. There were respondents with a duration of ≤ 2 hours without Noise Induce Hearing Loss (NIHL) as many as 10 people (14.1%), and the highest  occurence with NIHL was at a duration of  >4 to 6 hours as many as 38 people (51.2%). The value of p = 0.001 <0.01, revealed that there was a significant correlation between the duration of noise exposure and NIHL in drum instructors with coefficient of contingency (CC) of 0.687 (68.70%). Conclusion: Noise exposure time was correlated with hearing impairment in drum instructors.   


2013 ◽  
Vol 40 (2) ◽  
Author(s):  
Ni Ketut Susilawati ◽  
Wayan Sudana ◽  
Eka Putra Setiawan

Background: Noise pollution or noise is an unwanted sound which is disturbing to human beings.However small or soft the sound, if it is undesirable it is considered as noise. Noise induced hearingloss is a sensorineural hearing loss that is commonly encountered second to presbycusis. Purpose: Toknow the effect of traffic noise exposure on hearing impairment to the employees of the Parking DistrictCompany of the Denpasar city and to improve diagnostic detection on hearing impairment caused bynoise. Method: A cross sectional study was conducted at the Parking District Company office. Thepopulations of this study were the employees of the Parking District Company. Samples of this study were the employees who were exposed to traffic noise and control samples were an employee who was unexposed. Samples were selected by simple random sampling. Results: From 40 parking attendants,27 persons (67.5%) aged above 35 years old. The parking attendants who had been working for ten to fifteen years were 36 persons (90%) and no history using ear protection when working. Seven persons(17.5%) had referred DPOAE upon examination with increase hearing threshold on audiogram result.In this study the parking attendants who had hearing deficit induced by noise were 7 persons (17.5%)and only one person (2.5%) in control group. There was a statistically significant effect of traffic noiseto hearing function deficit (p<0.05). Conclusion: Traffic noise has effect in hearing function deficit onthe parking attendants.ORLI Vol. 40 No. 2 Tahun 2010Key words: NIHL, parking attendant, audiometry, DPOAE.


1977 ◽  
Vol 6 (2) ◽  
pp. 59-68
Author(s):  
R. Nilsson ◽  
G. Lidén ◽  
Å. Sandén

2020 ◽  
Author(s):  
Willy Nguyen ◽  
Miseung Koo ◽  
Seung Ha Oh ◽  
Jun Ho Lee ◽  
Moo Kyun Park

BACKGROUND Underuse of hearing aids is caused by several factors, including the stigma associated with hearing disability, affordability, and lack of awareness of rising hearing impairment associated with the growing population. Thus, there is a significant opportunity for the development of direct-to-consumer devices. For the past few years, smartphone-based hearing-aid apps have become more numerous and diverse, but few studies have investigated them. OBJECTIVE This study aimed to elucidate the electroacoustic characteristics and potential user benefits of a selection of currently available hearing-aid apps. METHODS We investigated the apps based on hearing-aid control standards (American National Standards Institute) using measurement procedures from previous studies. We categorized the apps and excluded those we considered inefficient. We investigated a selection of user-friendly, low-end apps, EarMachine and Sound Amplifier, with warble-tone audiometry, word recognition testing in unaided and aided conditions, and hearing-in-noise test in quiet and noise-front conditions in a group of users with mild hearing impairment (n = 7) as a pilot for a future long-term investigation. Results from the apps were compared with those of a conventional hearing aid. RESULTS Five of 14 apps were considered unusable based on low scores in several metrics, while the others varied across the range of electroacoustic measurements. The apps that we considered “high end” that provided lower processing latencies and audiogram-based fitting algorithms were superior overall. The clinical performance of the listeners tended to be better when using hearing aid, while the low end hearing-aid apps had limited benefits on the users. CONCLUSIONS Some apps showed the potential to benefit users with limited cases of minimal or mild hearing loss if the inconvenience of relatively poor electroacoustic performance did not outweigh the benefits of amplification.


2020 ◽  
Vol 105 (8) ◽  
pp. 724-729 ◽  
Author(s):  
Bruna Rubbo ◽  
Sunayna Best ◽  
Robert Anthony Hirst ◽  
Amelia Shoemark ◽  
Patricia Goggin ◽  
...  

ObjectiveIn England, the National Health Service commissioned a National Management Service for children with primary ciliary dyskinesia (PCD). The aims of this study were to describe the health of children seen in this Service and compare lung function to children with cystic fibrosis (CF).DesignMulti-centre service evaluation of the English National Management PCD Service.SettingFour nationally commissioned PCD centres in England.Patients333 children with PCD reviewed in the Service in 2015; lung function data were also compared with 2970 children with CF.ResultsMedian age at diagnosis for PCD was 2.6 years, significantly lower in children with situs inversus (1.0 vs 6.0 years, p<0.001). Compared with national data from the CF Registry, mean (SD) %predicted forced expiratory volume in one second (FEV1) was 76.8% in PCD (n=240) and 85.0% in CF, and FEV1 was lower in children with PCD up to the age of 15 years. Approximately half of children had some hearing impairment, with 26% requiring hearing aids. Children with a lower body mass index (BMI) had lower FEV1 (p<0.001). One-third of children had positive respiratory cultures at review, 54% of these grew Haemophilus influenzae.ConclusionsWe provide evidence that children with PCD in England have worse lung function than those with CF. Nutritional status should be considered in PCD management, as those with a lower BMI have significantly lower FEV1. Hearing impairment is common but seems to improve with age. Well-designed and powered randomised controlled trials on management of PCD are needed to inform best clinical practice.


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