Department of Otorhinolaryngology, Head and Neck Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands.
The Generation R Study Group, Erasmus University Medical Center, Rotterdam, The Netherlands.
Int J Environ Health Res. 2023 Jul;33(7):700-709. doi: 10.1080/09603123.2022.2047901. Epub 2022 Mar 9.
Many young people are potentially at risk of noise-induced hearing loss due to unsafe use of personal listening devices. The aim of this cross-sectional study was to examine the association of sociodemographic factors and risk behavior with unsafe use of personal listening devices in adolescents to identify a target group for prevention. A smartphone application was developed to objectively measure music listening habits among 314 adolescents with a mean age of 13 years and 7 months (SD ±5 months). Listening habits were characterized as safe or unsafe based on the weekly noise dose. Data on sociodemographic factors and traditional health risk behaviors were obtained by questionnaires. Within the study group, 10.5% of the participants exceeded the 50%, and 4.8% the 100% recommended weekly noise dose. Adolescents with a lower socioeconomic status were more likely to engage in unsafe listening habits as compared to adolescents with a higher socioeconomic status. Additionally, risk behavior was associated with higher odds of having unsafe listening habits as compared to no risk behavior. Age, sex and educational levels were not significantly associated with unsafe listening habits. The findings of the present study indicate that interventions to promote safe listening habits should target adolescents with a lower socioeconomic status and higher risk behavior. Future research is needed to investigate how these adolescents can be motivated to adopt safe listening habits.
许多年轻人由于不安全地使用个人听力设备，可能面临噪声性听力损失的风险。本横断面研究的目的是调查社会人口因素和风险行为与青少年不安全使用个人听力设备之间的关联，以确定预防的目标人群。开发了一个智能手机应用程序，以客观测量 314 名年龄在 13 岁零 7 个月（SD ±5 个月）的青少年的音乐聆听习惯。根据每周噪声剂量，将聆听习惯定义为安全或不安全。通过问卷调查获得社会人口因素和传统健康风险行为的数据。在研究组中，有 10.5%的参与者超过了 50%，4.8%的参与者超过了 100%的推荐每周噪声剂量。与社会经济地位较高的青少年相比，社会经济地位较低的青少年更有可能养成不安全的聆听习惯。此外，与无风险行为相比，风险行为与养成不安全聆听习惯的几率更高有关。年龄、性别和教育水平与不安全的聆听习惯没有显著相关性。本研究的结果表明，促进安全聆听习惯的干预措施应该针对社会经济地位较低和风险行为较高的青少年。需要进一步的研究来调查如何激励这些青少年养成安全的聆听习惯。
