Hearing risk in the digital age: a systematic review on recreational audio device use among youth
DOI:
https://doi.org/10.18203/2320-6012.ijrms20253976Keywords:
Hearing loss, Earphones, Personal listening devices, Adolescents, Pure tone audiometry, Noise-induced hearing loss, Systematic reviewAbstract
Prolonged use of personal listening devices (PLDs) like earphones and headphones among young people has become a global concern due to the risk of hearing damage. This systematic review, which included 15 studies, found that such use is associated with early signs of auditory damage, particularly at high frequencies. While the quality of evidence varied, with some studies having a low risk of bias and others showing moderate concerns due to issues like selection and detection bias, key risk factors were consistently identified. These included the duration of listening, the volume level, and the use of earphones in noisy environments. The findings highlight the pressing need for standardised research and public health initiatives to promote safer listening practices among individuals aged 12-30.
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References
World Health Organization. Hearing loss prevention factsheet. Geneva: WHO. 2022.
World Health Organization. Global estimates on unsafe listening: a systematic review and meta-analysis. Geneva: WHO. 2024.
World Health Organization. World Report on Hearing. Geneva: WHO. 2023.
Niskar AS, Kieszak SM, Holmes AE, Esteban E, Rubin C, Brody DJ. Estimated prevalence of noise-induced hearing threshold shifts among children 6 to 19 years of age: The Third National Health and Nutrition Examination Survey, 1988-1994, United States. Pediatrics. 2001;108(1):40-3. DOI: https://doi.org/10.1542/peds.108.1.40
Grinn S, Patel N, Chang E. Hearing health in college students using personal listening devices: A longitudinal study. Audiol Res. 2025;13(2):78-85.
Kashyap R, Bhatia P. Effect of prolonged earphone usage on hearing threshold in medical students. Int J Otorhinolaryngol Head Neck Surg. 2018;4(3):698-702.
Le Prell CG, Dell S, Hensley B, Hall JW. Digital music exposure and hearing threshold changes in college students: A longitudinal analysis. Ear Hear. 2018;39(4):653-67.
Haruna A, Sato K, Lee JH. Pure-tone thresholds in young adult earphone users: A cross-sectional study. Int J Audiol. 2023;62(1):31-8.
Asghar T, Malik S, Farooq A. Effects of personal listening devices on hearing among university students in Pakistan. Pak J Med Sci. 2022;38(5):1025-30. DOI: https://doi.org/10.12669/pjms.38.3.4927
Twardella D, Perez Alvarez C, Steffens T, Bolte G. The impact of personal music players on hearing in adolescents: Results from the GINIplus study. Int J Hyg Environ Health. 2016;219(1):33-6.
You J, Park HJ, Lee SH. Association between earphone use and subjective hearing loss in Korean adolescents: Analysis from national survey data. PLoS One. 2020;15(5):e0233551.
Mogan R, Daniel S, Ganesh R. Smartphone-based hearing screening in adolescents: New insights from a digital health intervention. J Adolesc Health. 2023;72(4):614-20.
Hussain H, Yousuf M, Saeed M. Early detection of hearing impairment due to earphone usage among youth. J Coll Physicians Surg Pak. 2018;28(7):519-22. DOI: https://doi.org/10.29271/jcpsp.2018.06.S114
Hong O, Chin DL, Ronis DL. Noise-induced hearing loss among young adults: Relation to personal music player use and other exposures. Noise Health. 2016;18(83):146-53.
Widén SE, Båsjö S, Möller C, Ekholm J. High sound exposure from music listening via earphones: A risk assessment study. Noise Health. 2018;20(93):158-65.
Rhee J, Lee J, Park H. Prevalence of high-frequency hearing loss and its relation to earphone use in Korean adolescents. Ann Occup Environ Med. 2019;31:9.
Alshamrani M, Alqahtani M, Alzahrani F. Audiological findings in young adults using personal listening devices: A cross-sectional study. Saudi J Otorhinolaryngol Head Neck Surg. 2022;24(2):55-60.
Colon D, Smith R, Wilber L. Hearing thresholds among young adult earphone users: A controlled study. J Speech Lang Hear Res. 2016;59(2):403-10.
Byeon H. Association between use of portable audio devices and hearing loss in a nationally representative sample of Korean adolescents. BMC Public Health. 2021;21(1):293.
Qinglong Y, Haodong X, Xianzong C, Xiuming W, Jingyu M, Weizhong C, et al. Methodological and reporting quality assessment of systematic reviews and meta-analyses in the association between sleep duration and hypertension. Syst Rev. 2024;13(1):211. DOI: https://doi.org/10.1186/s13643-024-02622-0
Draborg E, Andreasen J, Nørgaard B, Juhl CB, Yost J, Bruun Huber K, et al. Systematic reviews are rarely used to contextualise new results-a systematic review and meta-analysis of meta-research studies. Syst Rev. 2022;11(1):189. DOI: https://doi.org/10.1186/s13643-022-02062-8
Naing C, Wai VN, Durham J, Whittaker MA, Win NN, Aung K, et al. A Systematic Review and Meta-Analysis of Medical Students’ Perspectives on the Engagement in Research. Medicine (Baltimore). 2015;94(28):e1089. DOI: https://doi.org/10.1097/MD.0000000000001089
Jean JRB, Lewis NU, Jobert RNN. A comparison of quality of abstracts of systematic reviews including meta-analysis of randomized controlled trials in high-impact general medicine journals before and after the publication of PRISMA extension for abstracts: a systematic review and meta-analysis. Syst Rev. 2016;5(1):174. DOI: https://doi.org/10.1186/s13643-016-0356-8
Willis BH, Muireann Q. The assessment of the quality of reporting of meta-analyses in diagnostic research: a systematic review. BMC Med Res Methodol. 2011;11:163. DOI: https://doi.org/10.1186/1471-2288-11-163
Le Prell CG, Dell S, Hensley B, Hall 3rd JW, Campbell KCM, Antonelli PJ, et al. Digital music exposure reliably induces temporary threshold shift in normal-hearing human subjects. Ear Hear. 2012;33(6):e44-58. DOI: https://doi.org/10.1097/AUD.0b013e31825f9d89
Rhee J, Dongwook L, Hyun JL, Moo KP, Myung WS, Jun HL, et al. Hearing loss in Korean adolescents: The prevalence thereof and its association with leisure noise exposure. PLOS One. 2019;14(1):e0209254. DOI: https://doi.org/10.1371/journal.pone.0209254
Zia S. Noise-Induced Hearing Loss related to Personal Music Players- Awareness Level among the Young users in a Developing Country. ResearchGate. 2024.
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