Distributions of pure-tone hearing threshold levels among adolescents and adults in the United States by gender, ethnicity, and age: Results from the US National Health and Nutrition Examination Survey

Flamme, Gregory A.; Deiters, Kristy K.; Needham, Timothy G.

doi:10.3109/14992027.2010.540582

Cited by 25 publications

(22 citation statements)

References 15 publications

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“…Several studies describing hearing in normal subjects (without noise exposure) have described better hearing thresholds in black versus white subjects (Dreisbach, et al, 2007;Henselman, et al, 1995;Flamme, et al, 2011). As early as 1931 better hearing thresholds have been described in black noise-exposed subjects compared to white counterparts (Bunch & Raiford, 1931).…”

Section: Discussionmentioning

confidence: 99%

Noise and age-related hearing loss: A study of 40 123 gold miners in South Africa

Strauss

Swanepoel

Becker

et al. 2014

International Journal of Audiology

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ABSTRACT:This retrospective cohort study aimed to describe the differential effect of noise exposure and age-related hearing loss in a large sample of South Africa gold miners. 2Audiological data of 40123 miners were investigated. Data of a non-noise-exposed control group (n=6162) and group exposed to underground noise (≥ 85 dB A (TWA) (n=33961) were included. Two homogenous exposure groups (HEG) were also selected for analyses, the driller group (n=4399) and the administration group (n=2211). Participants were categorised in terms of noise exposure; age and race.Significantly different thresholds (worse for underground noise group) with respect to the median for all frequencies after adjusting for age was evident between the noise exposed and control groups (ANCOVA). The largest differences in hearing thresholds between the noise-exposed and control groups were observed at 3 and 4 kHz in the age group 36 to 45 years. Black males had significantly better highfrequency hearing compared with white male counterparts but significantly worse low-frequency hearing.Age was the most important influence on hearing thresholds for the noise and control groups. Race was shown to be a significant factor determining susceptibility to NIHL and ARHL.

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Section: Discussionmentioning

confidence: 99%

Noise and age-related hearing loss: A study of 40 123 gold miners in South Africa

Strauss

Swanepoel

Becker

et al. 2014

International Journal of Audiology

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“…Literature suggests that white persons are more susceptible to noise than are African American persons. [9][10][11]44 Analysis of these factors in future research on predictors of recreational NIHL would be of interest.…”

Section: Limitationsmentioning

confidence: 99%

“…[9][10][11][12] This association is partly biased by the cumulative noise exposure inherent to an increasing age. Second, several studies on occupational NIHL 9,10,[12][13][14] have shown that men are more likely to develop NIHL than are women. For the same amount of occupational noise, Kovalova et al 13 observed significantly more NIHL in men than in women.…”

mentioning

confidence: 99%

Association of Behavior With Noise-Induced Hearing Loss Among Attendees of an Outdoor Music Festival

Kraaijenga

Munster

Zanten

2018

JAMA Otolaryngol Head Neck Surg

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IMPORTANCETo date, factors associated with noise-induced hearing loss at music festivals have not yet been analyzed in a single comprehensive data set. In addition, little is known about the hearing loss-associated behavior of music festival attendees.OBJECTIVES To assess which factors are associated with the occurrence of a temporary threshold shift (TTS) after music exposure and to investigate the behavior of music festival attendees. MAIN OUTCOMES AND MEASURESThe primary outcome was a TTS on a standard audiogram for the frequencies 3.0-and 4.0-kHz. Multivariable linear regression was performed to determine which factors are associated with a TTS. A questionnaire on behavior, hearing, and tinnitus was distributed to the participants before and after the festival visit. CONCLUSIONS AND RELEVANCE The present study identified nonuse of earplugs, use of alcohol and drugs, and male sex as associated with a TTS at an outdoor music festival. Physicians should consider these factors to raise awareness about the combined risk of attending music festivals without using earplugs while consuming alcohol and/or drugs. The intention to use earplugs was correlated with the loudness and appreciation of music with earplugs, which may advocate for the use of personalized earplugs.

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“…Furthermore, cross-sectional trends in hearing sensitivity differ with race/ethnicity (Driscoll and Royster 1984;Flamme, Deiters, and Needham 2011;Royster et al 1980). Lempert and Henderson (1973) did not report the race/ethnicity of the screened sample used to derive the NIOSH age adjustment tables, and there were too few participants in that study to produce stable estimates for race/ethnicity subgroups.…”

Section: Introductionmentioning

confidence: 99%

Population-based age adjustment tables for use in occupational hearing conservation programs

Flamme¹,

Deiters²,

Stephenson³

et al. 2019

International Journal of Audiology

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Objective: In occupational hearing conservation programmes, age adjustments may be used to subtract expected age effects. Adjustments used in the U.S. came from a small dataset and overlooked important demographic factors, ages, and stimulus frequencies. The present study derived a set of population-based age adjustment tables and validated them using a database of exposed workers. Design: Cross-sectional population-based study and retrospective longitudinal cohort study for validation. Study sample: Data from the U.S. National Health and Nutrition Examination Survey (unweighted n ¼ 9937) were used to produce these tables. Male firefighters and emergency medical service workers (76,195 audiograms) were used for validation. Results: Cross-sectional trends implied less change with age than assumed in current U.S. regulations. Different trends were observed among people identifying with non-Hispanic Black race/ethnicity. Four age adjustment tables (age range: 18-85) were developed (women or men; non-Hispanic Black or other race/ethnicity). Validation outcomes showed that the population-based tables matched median longitudinal changes in hearing sensitivity well. Conclusions: These population-based tables provide a suitable replacement for those implemented in current U.S. regulations. These tables address a broader range of worker ages, account for differences in hearing sensitivity across race/ethnicity categories, and have been validated for men using longitudinal data.

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Distributions of pure-tone hearing threshold levels among adolescents and adults in the United States by gender, ethnicity, and age: Results from the US National Health and Nutrition Examination Survey

Cited by 25 publications

References 15 publications

Noise and age-related hearing loss: A study of 40 123 gold miners in South Africa

Noise and age-related hearing loss: A study of 40 123 gold miners in South Africa

Association of Behavior With Noise-Induced Hearing Loss Among Attendees of an Outdoor Music Festival

Population-based age adjustment tables for use in occupational hearing conservation programs

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