Semin Hear 2017; 38(04): 282-297
DOI: 10.1055/s-0037-1606324
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Personal Listening Devices in Australia: Patterns of Use and Levels of Risk

Megan Gilliver
1   National Acoustic Laboratories, Macquarie University, New South Wales, Australia
2   HEARing Cooperative Research Centre, Melbourne, Australia
,
Jenny Nguyen
3   Department of Audiology and Speech Pathology, University of Melbourne, Melbourne, Australia
4   Royal Victorian Eye and Ear Hospital, Melbourne, Australia
,
Elizabeth F. Beach
1   National Acoustic Laboratories, Macquarie University, New South Wales, Australia
2   HEARing Cooperative Research Centre, Melbourne, Australia
,
Caitlin Barr
2   HEARing Cooperative Research Centre, Melbourne, Australia
3   Department of Audiology and Speech Pathology, University of Melbourne, Melbourne, Australia
› Author Affiliations
Further Information

Publication History

Publication Date:
10 October 2017 (online)

Abstract

Personal listening devices (PLDs) have the potential to increase the risk of noise-induced hearing loss (NIHL) for users. The present study aimed to investigate the nature and extent of the risk posed, by describing the user profile of a PLD population, identifying listening habits of that population, and examining whether PLD risk status is associated with hearing damage. A sample of 4,185 Australian PLD users completed an online survey about listening behaviors and hearing health. Listeners were characterized as low, high, or very high-risk based on daily noise dose estimates calculated from self-reported listening volume and durations. Listening patterns and hearing difficulties were examined in relation to risk status. Results indicated differences in listening volumes and durations with respect to age, with higher listening volumes reported for environments with greater background noise. Fifteen percent of participants' usage was classified as posing a potential risk to hearing, with a significantly greater proportion of younger people in higher-risk categories. Forty-one percent of participants reported feeling they have a hearing loss, with ∼20% reporting difficulties with speech in noise. For 18- to 35-year-olds, higher-risk status was associated with a greater proportion of self-reported hearing difficulties, including perceived poorer speech perception. These results have implications for hearing health promotion activities and suggest that messages should focus on either volume levels or durations depending on the particular activity in which the PLD is used. In addition, the results underline the importance of placing PLD exposure in the context of individuals' wider noise exposure. Although PLD use alone is not placing the majority of users at risk, it may be increasing the likelihood that individuals' cumulative noise exposure will exceed safe levels.

 
  • References

  • 1 Daniel E. Noise and hearing loss: a review. J Sch Health 2007; 77 (05) 225-231
  • 2 Sliwinska-Kowalska M, Davis A. Noise-induced hearing loss. Noise Health 2012; 14 (61) 274-280
  • 3 Fligor BJ, Levey S, Levey T. Cultural and demographic factors influencing noise exposure estimates from use of portable listening devices in an urban environment. J Speech Lang Hear Res 2014; 57 (04) 1535-1547
  • 4 Levey S, Levey T, Fligor BJ. Noise exposure estimates of urban MP3 player users. J Speech Lang Hear Res 2011; 54 (01) 263-277
  • 5 Moller AR. Hearing: Anatomy, Physiology, and Disorders of the Auditory System. Burlington, MA: Academic Press; 2006
  • 6 Arlinger S. Negative consequences of uncorrected hearing loss—a review. Int J Audiol 2003; 42 (Suppl. 02) S17-S20
  • 7 Serra MR, Biassoni EC, Richter U. , et al. Recreational noise exposure and its effects on the hearing of adolescents. Part I: an interdisciplinary long-term study. Int J Audiol 2005; 44 (02) 65-73
  • 8 Nelson DI, Nelson RY, Concha-Barrientos M, Fingeruhut M. The global burden of occupational noise induced hearing loss. Am J Ind Med 2005; 48: 446-458
  • 9 Gilliver M, Williams W, Beach EF. Noise exposure in the balance: Managing occupational and leisure risks to hearing health. Journal of Health, Safety, and Environment 2014; 30 (01) 203-208
  • 10 Statista. Global Apple iPod sales from 2006 to 2014 (in million units). Available at: https://www.statista.com/statistics/263405/global-apple-ipod-sales-since-1st-quarter-2006/ . Accessed February 27, 2017
  • 11 Drumm J, White N, Swiegers M. Mobile Consumer Survey 2016—The Australian Cut Hyper Connectivity: Clever Consumption. Deloitte Touche Tohmatsu 2016. Available at: https://www2.deloitte.com/content/dam/Deloitte/au/Documents/technology-media-telecommunications/deloitte-au-tmt-mobile-consumer-survey-2016-smartphone-091116.pdf . Accessed January 23, 2017
  • 12 Dehnert K, Raab U, Perez-Alvarez C. , et al. Total leisure noise exposure and its association with hearing loss among adolescents. Int J Audiol 2015; 54 (10) 665-673
  • 13 Fligor BJ, Cox LC. Output levels of commercially available portable compact disc players and the potential risk to hearing. Ear Hear 2004; 25 (06) 513-527
  • 14 Keith SE, Michaud DS, Chiu V. Evaluating the maximum playback sound levels from portable digital audio players. J Acoust Soc Am 2008; 123 (06) 4227-4237
  • 15 Portnuff CDF, Fligor BJ, Arehart KH. Teenage use of portable listening devices: a hazard to hearing?. J Am Acad Audiol 2011; 22 (10) 663-677
  • 16 Williams W, Purnell J. The statistical distribution of expected noise level output from commonly available personal stereo players. Acoust Aust 2010; 38 (03) 119-122
  • 17 Williams W. Trends in listening to personal stereos. Int J Audiol 2009; 48 (11) 784-788
  • 18 Portnuff CDF, Fligor BJ, Arehart KH. Self-report and long-term field measures of MP3 player use: how accurate is self-report?. Int J Audiol 2013; 52 (Suppl. 01) S33-S40
  • 19 Airo E, Pekkarinen J, Olkinuora P. Listening to music with earphones: an assessment of noise exposure. Acta Acust United Acust 1996; 82 (06) 885-894
  • 20 Fligor BJ, Ives T. . Does earphone type affect risk for recreational noise-induced hearing loss? Available at: https://www.etymotic.com/media/publications/erl-0136-2006.pdf . Accessed January 1, 2017
  • 21 Jiang W, Zhao F, Guderley N, Manchaiah V. Daily music exposure dose and hearing problems using personal listening devices in adolescents and young adults: a systematic review. Int J Audiol 2016; 55 (04) 197-205
  • 22 Smith PA, Davis A, Ferguson M, Lutman ME. The prevalence and type of social noise exposure in young adults in England. Noise Health 2000; 2 (06) 41-56
  • 23 Torre III P. Young adults' use and output level settings of personal music systems. Ear Hear 2008; 29 (05) 791-799
  • 24 Williams W. Noise exposure levels from personal stereo use. Int J Audiol 2005; 44 (04) 231-236
  • 25 Beach EF, Gilliver M, Williams W. Leisure noise exposure: participation trends, symptoms of hearing damage, and perception of risk. Int J Audiol 2013; 52 (Suppl. 01) S20-S25
  • 26 Chung JH, Des Roches CM, Meunier J, Eavey RD. Evaluation of noise-induced hearing loss in young people using a web-based survey technique. Pediatrics 2005; 115 (04) 861-867
  • 27 Shargorodsky J, Curhan SG, Curhan GC, Eavey R. Change in prevalence of hearing loss in US adolescents. JAMA 2010; 304 (07) 772-778
  • 28 Widén SE, Holmes AE, Johnson T, Bohlin M, Erlandsson SI. Hearing, use of hearing protection, and attitudes towards noise among young American adults. Int J Audiol 2009; 48 (08) 537-545