Exposure to leisure noise and intermittent tinnitus among young adults in Bavaria: longitudinal data from a prospective cohort study

Weilnhammer, Veronika; Gerstner, Doris; Huß, Jonas; Schreiber, Franziska; Álvarez, Carmelo; Steffens, Thomas; Herr, Caroline; Heinze, Stefanie

doi:10.1080/14992027.2021.1899312

Cited by 7 publications

(3 citation statements)

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“…Furthermore, the presence of temporary and chronic tinnitus in university students was higher as compared to adolescents in Flanders [41,42]. In addition to age, female gender, socio-economic status, attitudes, and noise exposure can be related to the occurrence of noise-induced tinnitus [20,27,28,40,43]. In the current study, another factor, educational program, influenced the presence of tinnitus.…”

Section: Discussionmentioning

confidence: 47%

“…However, noisy leisure activities were associated with hearing loss in more susceptible adolescents [18], and with tinnitus in adolescents [4,10,19,20]. Although the (increase in) prevalence of NIHL due to leisure noise exposure in youngsters is not clear [19,21], the association of leisure noise exposure with hearing-related symptoms warrants caution.…”

Section: Introductionmentioning

confidence: 99%

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Leisure Noise Exposure and Associated Health-Risk Behavior in Adolescents: An Explanatory Study among Two Different Educational Programs in Flanders

Degeest

Keppler

Vinck

2021

IJERPH

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Adolescents frequently engage in noisy leisure activities which can result in hearing-related problems. However, the effect of leisure noise exposure is liable to an individual’s risk-taking behavior. Identifying leisure noise activities and relevant factors related to risk-taking behavior in adolescents, are important to optimize hearing conservation programs targeting youngsters. The purpose of the study was to explore the presence of hearing-related symptoms, as well as noise exposure during various activities, and the use of hearing protector devices (HPDs) in adolescents in two educational programs in Flanders. In addition, their attitudes and beliefs towards noise, hearing loss, and HPDs were investigated. The final sample consisted of 247 adolescents. The most important hearing-related symptoms after noise exposure were tinnitus and noise sensitivity. With regard to leisure noise exposure, listening to PMPs was most frequently reported. The use of HPDs during most noisy activities was limited, in accordance with the presence of hearing-related symptoms, considering noise as unproblematic, and having worse scores on subscales of the beliefs about hearing protection and hearing loss scale. In the future, hearing conservation programs should target adolescents specifically for a more health-orientated behavior towards noise exposure, hearing loss, and HPDs.

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Section: Discussionmentioning

confidence: 47%

Section: Introductionmentioning

confidence: 99%

Leisure Noise Exposure and Associated Health-Risk Behavior in Adolescents: An Explanatory Study among Two Different Educational Programs in Flanders

Degeest

Keppler

Vinck

2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…Recreational noise and music exposure are major risk factors for tinnitus in youth [ 15 , 16 ]. About 90% of college-aged young adults listen to music daily, with 48% reporting their typical volume at maximum or near-maximum levels [ 17 , 18 , 19 ].…”

Section: Introductionmentioning

confidence: 99%

Identifying Health-Related Conditions Associated with Tinnitus in Young Adults

Bhatt,

Washnik,

Kingsbury

et al. 2023

Audiology Research

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Objective: The present study investigated the epidemic of tinnitus in college-aged young adults. Our first objective was to identify health conditions associated with tinnitus in young adults. The second objective was to evaluate the predictive utility of some known risk factors. Study design: A cross-sectional design was used to investigate the prevalence and risk factors for tinnitus. Setting: A questionnaire was distributed, reaching out to a large college-aged population. A total of 2258 young adults aged 18–30 years were recruited from April 2021 to February 2022. Interventions: A questionnaire was administered to investigate the epidemiology of tinnitus in a population of college-aged young adults. Results: About 17.7% of young adults reported bothersome tinnitus perception lasting for ≥5 min in the last 12 months. The prevalence of chronic tinnitus (bothersome tinnitus for ≥1 year) and acute tinnitus (bothersome tinnitus for <1 year) was 10.6% and 7.1%, respectively. About 19% of the study sample reported at least one health condition. Individuals reporting head injury, hypertension, heart disease, scarlet fever, and malaria showed significantly higher odds of reporting chronic tinnitus. Meningitis and self-reported hearing loss showed significant associations with bothersome tinnitus. The prevalence of chronic tinnitus was significantly higher in males reporting high noise exposure, a positive history of reoccurring ear infections, European ethnic background, and a positive health history. Risk modeling showed that noise exposure was the most important risk factor for chronic tinnitus, followed by sex, reoccurring ear infections, and a history of any health condition. A positive history of COVID-19 and self-reported severity showed no association with tinnitus. Individuals reporting reoccurring ear infections showed a significantly higher prevalence of COVID-19. Conclusions: While young adults with health conditions are at a higher risk of reporting tinnitus, the predictive utility of a positive health history remains relatively low, possibly due to weak associations between health conditions and tinnitus. Noise, male sex, reoccurring ear infections, European ethnicity, and a positive health history revealed higher odds of reporting chronic tinnitus than their counterparts. These risk factors collectively explained about 16% variability in chronic tinnitus, which highlights the need for identifying other risk factors for chronic tinnitus in young adults.

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Noise and the risk of tinnitus: A two‐sample Mendelian randomized study

Huang,

Chen,

Zhou

et al. 2024

World j. otorhinolaryngol.-head neck surg.

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ObjectivesObservational studies imply that noise may increase the likelihood of developing tinnitus. However, no causal relationship has been established between the two using Mendelian randomization (MR) analysis, we aimed to determine the potential causal relationship between noise and various categories of tinnitus.MethodsWe extracted single nucleotide polymorphisms (SNPs) associated with noise and tinnitus from a large genome‐wide association study (GWAS) of European individuals. UK Biobank (UKB) provided summary data for both entities. Inverse variance weighting (IVW) was implemented as the primary method for evaluating effect estimates. Using Weighted median and MR–Egger regression, heterogeneity and pleiotropy were evaluated using sensitivity analyses.ResultsThe random‐effects IVW approach revealed a causal relationship between noise and the three onset tinnitus (odds ratio [OR] = 1.052, 95% confidence interval [CI] = 1.013–1.092, p = 0.008; OR = 1.248, 95% CI = 1.177–1.323, p = 0.001; OR = 1.133, 95% CI = 1.058–1.213, p = 0.001). Noise was not a risk factor for tinnitus in the past (OR = 0.999, 95% CI = 0.934–1.068, p = 0.969). Validation with various Mendelian randomization methodologies and sensitivity analyses confirmed the findings' consistency.ConclusionThis Mendelian Randomization study provides causal evidence that noise is a risk factor for the onset of tinnitus but is not a risk factor for developing tinnitus in the past.

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Exposure to leisure noise and intermittent tinnitus among young adults in Bavaria: longitudinal data from a prospective cohort study

Cited by 7 publications

References 34 publications

Leisure Noise Exposure and Associated Health-Risk Behavior in Adolescents: An Explanatory Study among Two Different Educational Programs in Flanders

Leisure Noise Exposure and Associated Health-Risk Behavior in Adolescents: An Explanatory Study among Two Different Educational Programs in Flanders

Identifying Health-Related Conditions Associated with Tinnitus in Young Adults

Noise and the risk of tinnitus: A two‐sample Mendelian randomized study

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