Davis Ryan J, Ayo-Ajibola Oluwatobiloba, Lin Matthew E, Doherty Joni K
Keck School of Medicine of the University of Southern California, Los Angeles, California, U.S.A.
Department of Head and Neck Surgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California, U.S.A.
Laryngoscope. 2025 Jan;135(1):286-292. doi: 10.1002/lary.31672. Epub 2024 Aug 7.
California has the most surfers in the United States and a high prevalence of external auditory canal exostoses (EACEs) among them. We aimed to characterize their EACE knowledge, use of earplugs, and barriers toward earplug use.
A RedCap survey was distributed to online surfing forums and surfers at California beaches. Descriptive statistics and regression analyses were used to characterize responses.
Our cohort included 334 primarily male (n = 269, 81.52%), college-educated (n = 237, 71.17%) surfers who were on average 30.79 years old (SD = 11.07). Two hundred and ninety-seven (90.00%) heard of EACE and 317 (96.06%) believed earplugs prevent EACE. However, 214 (64.85%) had never used earplugs. Multivariable logistic regression found increased age (OR = 1.04, 95% CI = [1.00-1.08], p = 0.03), higher EACE knowledge quiz scores (OR = 1.47, 95% CI = [1.19-1.80], p < 0.001), and primarily surfing in Southern California (OR = 2.19, 95% CI = [1.15-4.16], p = 0.02) increased the likelihood of earplug use. Common reasons against earplug use included reduced hearing, discomfort, and social hindrance. Two hundred and eighty-seven (86.45%) would wear earplugs following more EACE knowledge. They preferred learning from surf community members, doctors, and surf events.
Low earplug use despite awareness of EACE preventability suggests a need for EACE education among California surfers and more accessible, user-friendly earplugs. Younger, less-skilled surfers who were more commonly unaware of EACE may represent a key intervention group. Education could be promoted through partnerships between health professionals and renowned surf organizations, as most participants indicated a willingness to use earplugs post-education.
NA Laryngoscope, 135:286-292, 2025.
加利福尼亚州是美国冲浪者最多的地区，其中外耳道外生骨疣（EACE）的患病率很高。我们旨在描述他们对EACE的了解、耳塞的使用情况以及使用耳塞的障碍。
通过RedCap调查向在线冲浪论坛和加利福尼亚海滩的冲浪者发放问卷。使用描述性统计和回归分析来描述调查结果。
我们的队列包括334名主要为男性（n = 269，81.52%）、受过大学教育（n = 237，71.17%）的冲浪者，平均年龄为30.79岁（标准差 = 11.07）。297人（90.00%）听说过EACE，317人（96.06%）认为耳塞可预防EACE。然而，214人（64.85%）从未使用过耳塞。多变量逻辑回归分析发现，年龄增加（比值比 = 1.04，95%置信区间 = [1.00 - 1.08]，p = 0.03）、EACE知识测验得分较高（比值比 = 1.47，95%置信区间 = [1.19 - 1.80]，p < 0.001）以及主要在南加利福尼亚冲浪（比值比 = 2.19，95%置信区间 = [1.15 - 4.16]，p = 0.02）会增加使用耳塞的可能性。不使用耳塞的常见原因包括听力下降、不适和社交障碍。287人（86.45%）表示在了解更多EACE知识后会佩戴耳塞。他们更喜欢从冲浪社区成员、医生和冲浪活动中学习。
尽管意识到EACE可预防，但耳塞使用率较低，这表明加利福尼亚州的冲浪者需要接受EACE教育，并且需要更易获取、用户友好的耳塞。年龄较小、技能较低且通常不了解EACE的冲浪者可能是关键的干预群体。可以通过健康专业人员与知名冲浪组织之间的合作来推广教育，因为大多数参与者表示愿意在接受教育后使用耳塞。
无 《喉镜》，2025年，第135卷，第286 - 292页
