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J Am Acad Audiol 2017; 28(01): 014-035
DOI: 10.3766/jaaa.15070
Articles
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Noise Exposure Questionnaire: A Tool for Quantifying Annual Noise Exposure

Tiffany A. Johnson
*   Hearing and Speech Department, University of Kansas Medical Center, Kansas City, KS
,
Susan Cooper
†   CavCom, Inc., Walker, MN
,
Greta C. Stamper
‡   Otorhinolaryngology, Mayo Clinic Florida, Jacksonville, FL
,
Mark Chertoff
*   Hearing and Speech Department, University of Kansas Medical Center, Kansas City, KS
› Author Affiliations
Further Information

Publication History

Publication Date:
26 June 2020 (online)

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Abstract

Background:

Exposure to both occupational and nonoccupational noise is recognized as a risk factor for noise-induced hearing loss (NIHL). Although audiologists routinely inquire regarding history of noise exposure, there are limited tools available for quantifying this history or for identifying those individuals who are at highest risk for NIHL. Identifying those at highest risk would allow hearing conservation activities to be focused on those individuals.

Purpose:

To develop a detailed, task-based questionnaire for quantifying an individual’s annual noise exposure (ANE) arising from both occupational and nonoccupational sources (aim 1) and to develop a short screening tool that could be used to identify individuals at high risk of NIHL (aim 2).

Research Design:

Review of relevant literature for questionnaire development followed by a cross-sectional descriptive and correlational investigation of the newly developed questionnaire and screening tool.

Study Sample:

One hundred fourteen college freshmen completed the detailed questionnaire for estimating ANE (aim 1) and answered the potential screening questions (aim 2). An additional 59 adults participated in data collection where the accuracy of the screening tool was evaluated (aim 2).

Data Collection and Analysis:

In study aim 1, all participants completed the detailed questionnaire and the potential screening questions. Descriptive statistics were used to quantify participant participation in various noisy activities and their associated ANE estimates. In study aim 2, linear regression techniques were used to identify screening questions that could be used to predict a participant’s estimated ANE. Clinical decision theory was then used to assess the accuracy with which the screening tool predicted high and low risk of NIHL in a new group of participants.

Results:

Responses on the detailed questionnaire indicated that our sample of college freshmen reported high rates of participation in a variety of occupational and nonoccupational activities associated with high sound levels. Although participation rates were high, ANE estimates were below highest-risk levels for many participants because the frequency of participation in these activities was low in many cases. These data illustrate how the Noise Exposure Questionnaire (NEQ) could be used to provide detailed and specific information regarding an individual’s exposure to noise. The results of aim 2 suggest that the screening tool, the 1-Minute Noise Screen, can be used to identify those participants with high- and low-risk noise exposure, allowing more in-depth assessment of noise exposure history to be targeted at those most at risk.

Conclusions:

The NEQ can be used to estimate an individual’s ANE and the 1-Minute Noise Screen can be used to identify those participants at highest risk of NIHL. These tools allow audiologists to focus hearing conservation efforts on those individuals who are most in need of those services.

Key Words

hearing loss - noise - noise induced - screening - self-report

This work was supported by a Dissertation Fellowship from the University of Kansas Graduate School and a grant from the National Institutes of Health (NIH) National Institute on Deafness and Other Communication Disorders (NIDCD) R03 DC011367.


Portions of this work were presented at the 2013 Innovations in Noise-Induced Hearing Loss and Tinnitus Prevention in Kids Conference, St. Paul, MN, October 15–18, 2013.


 

  • REFERENCES

  • Airo E, Pekkarinen J, Olkinuora P. 1996; Listening to music with earphones: an assessment of noise exposure. Acta Acust United Acust 82: 885-894
    Google Scholar
  • Anttonen H, Virokannas H, Sorri M. 1994; Noise and hearing loss in reindeer herders. Arctic Med Res 53 (03) (Suppl) 35-40
    PubMedGoogle Scholar
  • Axelsson A. 1996; Recreational noise exposure and its effects. Noise Control Eng J 44: 127-134
    CrossrefGoogle Scholar
  • Axelsson A, Prasher D. 2000; Tinnitus induced by occupational and leisure noise. Noise Health 2 (08) 47-54
    PubMedGoogle Scholar
  • Banach J, Berger EH. 2003; What we do to ourselves: noise exposures beyond work. CAOHC Update 15: 6-7
    Google Scholar
  • Berger EH, Kieper RW. 1994; Representative 24-hour Leqs arising from a combination of occupational and non-occupational noise exposures. J Acoust Soc Am 95: 2890
    Google Scholar
  • Bess FH, Poynor RE. 1974; Noise-induced hearing loss and snowmobiles. Arch Otolaryngol 99 (01) 45-51
    CrossrefPubMedGoogle Scholar
  • Carter L, Williams W, Black D, Bundy A. 2014; The leisure-noise dilemma: hearing loss or hearsay? What does the literature tell us?. Ear Hear 35 (05) 491-505
    CrossrefPubMedGoogle Scholar
  • Chasin M. 2009. Hearing loss prevention for musicians. In: Chasin M. Hearing Loss in Musicians: Prevention and Management. San Diego, CA: Plural Publishing, 3;
    Google Scholar
  • Chung JH, Des Roches CM, Meunier J, Eavey RD. 2005; Evaluation of noise-induced hearing loss in young people using a web-based survey technique. Pediatrics 115 (04) 861-867
    CrossrefPubMedGoogle Scholar
  • Cohen A, Anticaglia J, Jones H. 1970; ‘Sociocusis’—hearing loss from non-occupational noise exposure. Sound Vibrat 4: 12-20
    Google Scholar
  • Dobie RA. 2001. Medical-Legal Evaluation of Hearing Loss. 2nd ed. San Diego, CA: Singular Publishing Group; 138-173
    Google Scholar
  • Dobie RA. 2008; The burdens of age-related and occupational noise-induced hearing loss in the United States. Ear Hear 29 (04) 565-577
    CrossrefPubMedGoogle Scholar
  • Environmental Protection Agency (EPA) 1974. Information on levels of environmental noise requisite to protect public health and welfare with an adequate margin of safety. EPA Rep. No. 550/9-74-004; Washington, DC:
    Google Scholar
  • Fallentin N, Juul-Kristensen B, Mikkelsen S, Andersen JH, Bonde JP, Frost P, Endahl L. 2001; Physical exposure assessment in monotonous repetitive work--the PRIM study. Scand J Work Environ Health 27 (01) 21-29
    CrossrefPubMedGoogle Scholar
  • Flamme GA, Stephenson MR, Deiters K, Tatro A, van Gessel D, Geda K, Wyllys K, McGregor K. 2012; Typical noise exposure in daily life. Int J Audiol 51 (01) (Suppl) S3-S11
    CrossrefPubMedGoogle Scholar
  • Fligor B. 2010; Recreational noise and its potential risk to hearing. Hear Rev 17: 48-55
    Google Scholar
  • Fligor B, Ives T. 2006 Does earphone type affect risk for recreational noise-induced hearing loss? Paper presented at Noise-Induced Hearing Loss in Children at Work and Play Conference, Cincinnati, OH, October 19, 2006
    PubMed
  • Franks JR, Davis RR, Kreig Jr EF. 1989; Analysis of a hearing conservation program data base: factors other than workplace noise. Ear Hear 10 (05) 273-280
    PubMedGoogle Scholar
  • Garcia A, Garcia AM. 1993; Measurements of noise exposure in daily life. Noise as a Public Health Problem 2: 367-370
    Google Scholar
  • Hammer MS, Swinburn TK, Neitzel RL. 2014; Environmental noise pollution in the United States: developing an effective public health response. Environ Health Perspect 122 (02) 115-119
    CrossrefPubMedGoogle Scholar
  • Healthy People 2020 (n.d.). Hearing and Other Sensory or Communication Disorders. Washington, DC: U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. http://www.healthypeople.gov/ . Accessed July 10, 2015.
  • Holgers KM, Pettersson B. 2005; Noise exposure and subjective hearing symptoms among school children in Sweden. Noise Health 7 (27) 27-37
    CrossrefPubMedGoogle Scholar
  • Holt JJ, Broste SK, Hansen DA. 1993; Noise exposure in the rural setting. Laryngoscope 103 (03) 258-262
    PubMedGoogle Scholar
  • Institute of Medicine (IOM) 2005. Noise and Military Service: Implications for Hearing Loss and Tinnitus. Washington, DC: National Academies Press;
    Google Scholar
  • Johnson DL, Riffle C. 1982; Effects of gunfire on hearing level for selected individuals of the Inter-Industry Noise Study. J Acoust Soc Am 72 (04) 1311-1314
    CrossrefPubMedGoogle Scholar
  • Jokitulppo J, Bjork E. 2003; Estimated leisure-time noise exposure and hearing symptoms in a finnish urban adult population. Noise Health 5 (17) 53-62
    PubMedGoogle Scholar
  • Jones HH, Oser JL. 1968; Farm equipment noise exposure levels. Am Ind Hyg Assoc J 29 (02) 146-151
    CrossrefPubMedGoogle Scholar
  • Kono S, Sone T, Nimura T. 1982; Personal reaction to daily noise exposure. Noise Control Engineering 19: 4-16
    CrossrefGoogle Scholar
  • Kujawa SG, Liberman MC. 2009; Adding insult to injury: cochlear nerve degeneration after “temporary” noise-induced hearing loss. J Neurosci 29 (45) 14077-14085
    CrossrefPubMedGoogle Scholar
  • Landis JR, Koch GG. 1977; The measurement of observer agreement for categorical data. Biometrics 33 (01) 159-174
    CrossrefPubMedGoogle Scholar
  • Lempert B, Henderson TL. (1973) Occupational noise and hearing 1968-1972. NIOSH Report TR-201-74. NTIS No. PB-232 284, Cincinnati, OH.
  • Lin HW, Furman AC, Kujawa SG, Liberman MC. 2011; Primary neural degeneration in the Guinea pig cochlea after reversible noise-induced threshold shift. J Assoc Res Otolaryngol 12 (05) 605-616
    CrossrefPubMedGoogle Scholar
  • McClymont LG, Simpson DC. 1989; Noise levels and exposure patterns to do-it-yourself power tools. J Laryngol Otol 103 (12) 1140-1141
    CrossrefPubMedGoogle Scholar
  • McCombe AW, Binnington J, Nash D. 1994; Two solutions to the problem of noise exposure for motorcyclists. Occup Med (Lond) 44 (05) 239-242
    CrossrefPubMedGoogle Scholar
  • National Institute on Deafness and Other Communication Disorders (NIDCD) 2008. Fact Sheet: Work-Related Hearing Loss. Washington, DC: Health and Human Services;
    Google Scholar
  • National Institute for Occupational Safety and Health (NIOSH) 1998. Criteria for a Recommended Standard: Occupational Exposure to Noise. Cincinnati, OH: USDHHS, PHS, CDC, NIOSH; 98-126
    Google Scholar
  • Neitzel R, Seixas N, Goldman B, Daniell W. 2004; Contributions of non-occupational activities to total noise exposure of construction workers. Ann Occup Hyg 48 (05) 463-473
    PubMedGoogle Scholar
  • Neitzel R, Seixas N, Olson J, Daniell W, Goldman B. 2004; Nonoccupational noise: exposures associated with routine activities. J Acoust Soc Am 115 (01) 237-245
    CrossrefPubMedGoogle Scholar
  • O’Brien I, Wilson W, Bradley A. 2008; Nature of orchestral noise. J Acoust Soc Am 124 (02) 926-939
    CrossrefPubMedGoogle Scholar
  • Occupational Safety and Health Administration (OSHA) 1981; Occupational noise exposure; hearing conservation amendment. Occupational Safety and Health Administration, 29 CFR 1910.95. Fed Regist 46: 4078-4181
    Google Scholar
  • Portnuff C, Fligor B, Arehart K. 2009 Adolescent use of portable listening devices: a hazard to hearing? Paper presented at Annual Conference of the National Hearing Conservation Association, Atlanta, GA, February 13, 2009
    PubMed
  • Reeb-Whitaker CK, Seixas NS, Sheppard L, Neitzel R. 2004; Accuracy of task recall for epidemiological exposure assessment to construction noise. Occup Environ Med 61 (02) 135-142
    CrossrefPubMedGoogle Scholar
  • Rice CG, Breslin M, Roper RG. 1987; Sound levels from personal cassette players. Br J Audiol 21 (04) 273-278
    CrossrefPubMedGoogle Scholar
  • Roberts G. 1999; Noise impact from motor sport activities. Noise Control Eng J 47: 154-157
    CrossrefGoogle Scholar
  • Ross BC. 1989; Noise exposure of motorcyclists. Ann Occup Hyg 33 (01) 123-127
    PubMedGoogle Scholar
  • Royster LH, Berger EH, Royster JD. 2000. Noise surveys and data analysis. In: Berger EH, Royster LH, Royster JB, Driscoll DP, Layne M. The Noise Manual. 5th ed. Fairfax, VA: American Industrial Hygiene Association Press; 165-244
    Google Scholar
  • Schmidt JH, Pedersen ER, Paarup HM, Christensen-Dalsgaard J, Andersen T, Poulsen T, Bælum J.. 2014; Hearing loss in relation to sound exposure of professional symphony orchestra musicians. Ear Hear 35 (04) 448-460
    PubMedGoogle Scholar
  • Schori TR, McGatha EA. 1978; A real-world assessment of noise exposure. Sound Vibrat 12: 24-30
    Google Scholar
  • Seixas N. 2004. Final report: noise and hearing damage in construction apprentices. Seattle, WA: Department of Environmental and Occupational Health Sciences, University of Washington School of Public Health and Community Medicine;
    Google Scholar
  • Smith E, Burke D, Graf E. 1975 Cabin noise in light aircraft. Proceedings of 1975 IEEE Southeastern Region 3 Conference on Electricity and Expanding Technology. Charlotte, NC: IEEE
    PubMed
  • Smith PA, Davis A, Ferguson M, Lutman ME. 2000; The prevalence and type of social noise exposure in young adults in England. Noise Health 2 (06) 41-56
    PubMedGoogle Scholar
  • Stamper GC, Johnson TA. 2015; Auditory function in normal-hearing, noise-exposed human ears. Ear Hear 36 (02) 172-184
    CrossrefPubMedGoogle Scholar
  • Stephenson M. 1995 Noise exposure characterization via task-based analysis. Proceedings of Hearing Conservation Conference III/XX. Cincinnati, OH: March 22–25, 1995
    PubMed
  • Stewart M, Meinke DK, Snyders JK, Howerton K. 2014; Shooting habits of youth recreational firearm users. Int J Audiol 53 (02) (Suppl) S26-S34
    CrossrefPubMedGoogle Scholar
  • Susi P, Goldberg M, Barnes P, Stafford E. 2000; The use of a task-based exposure assessment model (T-BEAM) for assessment of metal fume exposures during welding and thermal cutting. Appl Occup Environ Hyg 15 (01) 26-38
    CrossrefPubMedGoogle Scholar
  • Suter A. 2000. Standards and regulations. In: Berger EH, Royster LH, Royster JD, Driscoll DP, Layne M. The Noise Manual. 5th ed. Fairfax, VA: American Industrial Hygiene Association Press; 639-668
    Google Scholar
  • Swets JA. 1988; Measuring the accuracy of diagnostic systems. Science 240 (4857) 1285-1293
    CrossrefPubMedGoogle Scholar
  • Swets JA, Pickett RM. 1982. Evaluation of Diagnostic Systems: Methods from Signal Detection. New York, NY: Academic Press;
    Google Scholar
  • Thompson E, Berger EH, Hipskind N. 2003 Reporting 24-hour Leqs arising from the non-occupational noise exposed population in the 21st century. Poster presented at the 28th Annual Conference of the National Hearing Conservation Association, Dallas, TX, February 21, 2003
    PubMed
  • Tobias JV. 1969; Cockpit noise intensity: fifteen single-engine light aircraft. Aerosp Med 40 (09) 963-966
    PubMedGoogle Scholar
  • U.S. Office of Noise Abatement and Control 1978. Protective Noise Levels: Condensed Version of EPA Levels Document. Springfield, VA: Environmental Protection Agency;
    Google Scholar
  • Ward WD, Royster JD, Royster LH. 2000. Auditory and non-auditory effects of noise. In: Berger EH, Royster LH, Royster JD, Driscoll DP, Layne M. The Noise Manual. 5th ed. Fairfax, VA: American Industrial Hygiene Association Press; 123-148
    Google Scholar
  • Williams W. 2005; Noise exposure levels from personal stereo use. Int J Audiol 44 (04) 231-236
    CrossrefPubMedGoogle Scholar
  • Worthington DA, Siegel JH, Wilber LA, Faber BM, Dunckley KT, Garstecki DC, Dhar S. 2009; Comparing two methods to measure preferred listening levels of personal listening devices. J Acoust Soc Am 125 (06) 3733-3741
    CrossrefPubMedGoogle Scholar
  • Yassi A, Pollock N, Tran N, Cheang M. 1993; Risks to hearing from a rock concert. Can Fam Physician 39: 1045-1050
    PubMedGoogle Scholar
  • Zheng D, Cai X, Song H, Chen T. 1996; Study on personal noise exposure in China. Appl Acoust 48: 59-70
    CrossrefGoogle Scholar