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青少年和青年娱乐性噪声暴露与听力功能之间的关联:一项系统综述。

Associations Between Recreational Noise Exposure and Hearing Function in Adolescents and Young Adults: A Systematic Review.

作者信息

Elmazoska Iris, Mäki-Torkko Elina, Granberg Sarah, Widén Stephen

机构信息

School of Health Sciences, Örebro University, Sweden.

Audiological Research Centre, Faculty of Medicine and Health, Örebro University, Sweden.

出版信息

J Speech Lang Hear Res. 2024 Feb 12;67(2):688-710. doi: 10.1044/2023_JSLHR-23-00397. Epub 2024 Feb 7.

Abstract

PURPOSE

There is an increasing concern regarding hazardous recreational noise exposure among adolescents and young adults. Daily exposure to loud sound levels over a long period of time can increase the risk of noise-induced hearing loss. The full extent of the impact of recreational noise on hearing is not yet fully understood. The purpose of this review was to synthesize research that investigated hearing function in relation to recreational noise exposure in adolescents and young adults.

METHOD

A systematic literature search of five databases covering the years 2000-2023 was performed. The articles included investigated audiological measurements of hearing function in relation to recreational noise exposure.

RESULTS

Four hundred sixty records were identified, of which 20 met the inclusion criteria and were included in the results. This review showed that although some recreational noise activities can be potentially harmful, there is an unclear relationship between exposure and outcome. Some findings indicated hearing threshold shifts or reduced otoacoustic emission amplitudes after recreational noise exposure, but most changes were short term and in the extended high-frequency range.

CONCLUSIONS

There seemed to be inconsistencies regarding the utilization of methods of measuring exposure and outcome between studies. This might be one reason for the differing results in studies on the reported impact on hearing function from recreational noise exposure. To draw more certain conclusions about long-term effects, there is a need for longitudinal research that utilizes sound level measurements to assess low and high degrees of recreational noise exposure in relation to hearing function.

SUPPLEMENTAL MATERIAL

https://doi.org/10.23641/asha.25114193.

摘要

目的

青少年和年轻人接触有害娱乐噪音的问题日益受到关注。长期每天暴露在高强度声音环境中会增加噪音性听力损失的风险。娱乐噪音对听力的全面影响尚未完全明了。本综述的目的是综合研究青少年和年轻人娱乐噪音暴露与听力功能之间关系的研究。

方法

对涵盖2000年至2023年的五个数据库进行了系统的文献检索。纳入的文章包括了与娱乐噪音暴露相关的听力功能的听力学测量。

结果

共识别出460条记录,其中20条符合纳入标准并纳入结果。本综述表明,尽管一些娱乐噪音活动可能具有潜在危害,但暴露与结果之间的关系尚不清楚。一些研究结果表明,娱乐噪音暴露后听力阈值发生变化或耳声发射幅度降低,但大多数变化是短期的,且发生在扩展高频范围内。

结论

各研究在测量暴露和结果的方法使用上似乎存在不一致。这可能是关于娱乐噪音暴露对听力功能影响的研究结果存在差异的一个原因。为了得出关于长期影响的更确定结论,需要进行纵向研究,利用声级测量来评估与听力功能相关的低水平和高水平娱乐噪音暴露。

补充材料

https://doi.org/10.23641/asha.25114193

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