Over 1 billion teenagers and young people use headphones and earbuds and delight in attending venues where there is very loud music. These practices put them potentially at risk of hearing loss, according to an analysis of available evidence, published in the British Medical Journal Global Health.
The World Health Organization (WHO) estimates that over 430 million people worldwide currently have disabling hearing loss. Young people are particularly vulnerable because of their use of listening devices, such as Smartphones, headphones and earbuds, and attendance at loud music concerts. This is happening without adequate regulations to enforce safer practices.
Previously published research reports that headphones and earbuds are often played at volumes as high as 105 dB while average sound levels at entertainment venues range from 104 to 112 dB, exceeding permissible levels (80 dB for adults; 75 dB for children) even if for very short periods of time.
This current study aimed to estimate the prevalence of unsafe listening practices among teens and young adults to get a global estimate of the numbers who could be at risk of hearing loss, with the aim of informing evidence-based policy to safeguard hearing.
They obtained information from relevant studies published in English, French, Spanish and Russian, involving 12-34 year-olds, and reporting on objectively measured device output levels and length of exposure.
A group of 33 studies, corresponding to data from 35 records and 19,046 participants, was included; 17 records focused on use of listening devices and 18 focused on loud entertainment venues.
The researchers also estimated the global number of people who could be at risk of hearing loss by considering the estimated global population of 12-34 year-olds in 2022 (2.8 billion) and the best estimates of exposure to unsafe listening practices from listening devices or loud entertainment venues derived from the systematic review.
The pooled data analysis indicates that the prevalence of unsafe listening practices from both sources of loud sound is common worldwide—24% (for listening devices) and 48% (for attending loud music venues) among teens and young people.
Based on these figures, the researchers estimate that the global number of teens and young adults who could potentially be at risk of hearing loss as a result ranges from 0.67 to 1.35 billion.
The researchers acknowledge some limitations to their findings, including the varied study design—a particular feature of the studies on entertainment venues—and the absence of standardized methodology.
In addition, their estimates did not account for some potentially influential factors, such as demographic details and recent changes to policy on safe listening in some countries/regions.
Nevertheless, their findings prompt them to conclude, “There is an urgent need for governments, industry, and civil society to prioritize global hearing loss prevention by promoting safe listening practices.”
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