de Zeeuw Tjeerd Idger, Peters Gjalt-Jorn, de Regt Lisanne, Baan Anneloes, Bolman Catherine A W
Open University of the Netherlands, Heerlen, The Netherlands.
VeiligheidNL, Amsterdam, The Netherlands.
Health Psychol Behav Med. 2025 Jun 17;13(1):2507264. doi: 10.1080/21642850.2025.2507264. eCollection 2025.
Noise-induced hearing loss is both irreversible and preventable. However, only a minority of adolescents and young adults engage in hearing protective behaviors (HPBs) that reduce their exposure to noise, such as wearing earplugs at music venues. To promote HPBs it is imperative to know the most influential, and potentially modifiable, psychological factors that in this age group stimulate or hinder these protective behaviors.
The present study aims to offer a systematic literature overview of psychological correlates of HPBs in persons aged 12 to 25 years, and identify the correlates with most potential as behavioral intervention targets.
A total of 82 studies were included in the present review, of which data of 24 studies could be used to assess the strength of the association between one or more psychological factors and HPB. Heterogeneity between studies hindered synthesis. In particular, psychological constructs and HPBs were rarely defined and measured in a uniform manner. Studies were further characterized by a lack of research on psychological factors related to other HPBs than earplug use, such as sound volume control (e.g. the use of a volume limiter). Due to this relative absence of data, associations could not be assessed for specific HPB, and HPBs were aggregated in one variable. Taking into account both the strength of their associations with HPB and their univariate distributions, five psychological factors possessed the greatest potential as behavioral intervention targets: attitude toward recreational noise, perceived barriers, capacity, perceived norms, and perceived threat susceptibility. These results can help the development of new interventions. Additional research is however needed.
噪声性听力损失既不可逆又可预防。然而，只有少数青少年和青年会采取听力保护行为（HPB）来减少噪声暴露，比如在音乐场所佩戴耳塞。为了推广听力保护行为，必须了解在这个年龄组中刺激或阻碍这些保护行为的最具影响力且可能可改变的心理因素。
本研究旨在对12至25岁人群听力保护行为的心理关联进行系统的文献综述，并确定最具潜力作为行为干预目标的关联因素。
本综述共纳入82项研究，其中24项研究的数据可用于评估一种或多种心理因素与听力保护行为之间关联的强度。研究之间的异质性阻碍了综合分析。特别是，心理结构和听力保护行为很少以统一的方式进行定义和测量。研究的另一个特点是，除了使用耳塞之外，对于与其他听力保护行为相关的心理因素缺乏研究，比如音量控制（例如使用音量限制器）。由于相对缺乏数据，无法评估特定听力保护行为的关联，听力保护行为被汇总为一个变量。综合考虑其与听力保护行为的关联强度及其单变量分布，五个心理因素作为行为干预目标具有最大潜力：对娱乐性噪声的态度、感知到的障碍、能力、感知到的规范以及感知到的易受威胁性。这些结果有助于开发新的干预措施。然而，还需要进一步的研究。
Zotero 插件