Intentional exposure to loud music: the second MTV.com survey reveals an opportunity to educate.
ABSTRACT Music-induced hearing loss (MIHL), an unconsciously self-inflicted public health concern, could evolve into an epidemic because of the appeal of loud music. After media attention about a previous hearing-loss survey with Music Television (MTV.com), we hypothesized that a repeat survey could compare awareness and behavior trends.
We incorporated the 2002 survey into the new 73-question instrument presented to random visitors on the MTV.com website in 2007. A P < .05 value was used for independent t and z- tests.
A total of 2500 completed surveys were analyzed. Hearing loss was considered a problem by 32% of respondents compared with other health issues such as drug/alcohol use (62%). However, nearly half of the respondents admitted experiencing symptoms such as tinnitus or hearing loss after loud music exposure. Health care providers were the least likely source of MIHL awareness despite the respondents favoring provider education for hearing protection behavior modification.
Most respondents still could not recall learning about prevention of potential hearing loss, although the media has become the most informative source. Most respondents indicated that they would adopt protective ear behavior if made aware of hearing loss risk, especially if informed by health care professionals, revealing an educational opportunity.
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ABSTRACT: Objectives Many studies have documented a high incidence of hearing loss and tinnitus in adolescents after recreational noise exposure. The prevalence of noise-induced symptoms is in contradiction to the low preventive use of hearing protection. The effects of preventive campaigns on the attitudes towards noise in young people are under debate. The aim of the present study is to investigate whether a preventive campaign can alter attitudes towards noise in adolescents and whether this results in an increase of hearing protection use in this population. Methods. A cohort of 547 Flemish high school students, aged 14 to 18 years old, completed a questionnaire prior to and after a governmental campaign focusing on the harmful effects of recreational noise and the preventive use of hearing protection. At both occasions the attitudes towards noise and towards hearing protection were assessed by use of the Youth Attitudes towards Noise Scale (YANS) and the Beliefs About Hearing Protection and Hearing Loss (BAHPHL) respectively. These questionnaires fit into the model of the Theory of Planned Behavior which provides a more clear insight into the prediction of a certain behavior and the factors influencing that behavior. Results The score on the YANS and the BAHPHL decreased significantly (p < 0.001) implying a more negative attitude towards noise and a more positive attitude towards hearing protection. The use of hearing protection increased significantly from 3.6% prior to the campaign to 14.3% (p = 0.001) post campaign in students familiar with the campaign. Conclusions Measurable alteration of all the variables in the Theory of Planned Behavior caused an increase of the intentions to use hearing protection as well as the actual use of hearing protection. The present study shows the usefulness of the Theory of Planned Behavior to change and guide adolescents’ preventive actions towards noise damage. In addition, preventive campaigns can establish attitude and behavioral adjustments. However, the long term effects of preventive campaigns should be investigated in future research.International journal of pediatric otorhinolaryngology 04/2014; · 0.85 Impact Factor
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ABSTRACT: Researchers have highlighted the increasing problem of loud sounds among young people in leisure-time environments, recently even emphasizing portable music players, because of the risk of suffering from hearing impairments such as tinnitus. However, there is a lack of studies investigating compulsory-school students’ standpoints and explanations in connection with teaching interventions integrating school subject content with auditory health. In addition, there are few health-related studies in the international science education literature. This paper explores students’ standpoints on loud sounds including the use of hearing-protection devices in connection with a teaching intervention based on a teaching–learning sequence about sound, hearing and auditory health. Questionnaire data from 199 students, in grades 4, 7 and 8 (aged 10–14), from pre-, post- and delayed post-tests were analysed. Additionally, information on their experiences of tinnitus as well as their listening habits regarding portable music players was collected. The results show that more students make healthier choices in questions of loud sounds after the intervention, and especially among the older ones this result remains or is further improved one year later. There are also signs of positive behavioural change in relation to loud sounds. Significant gender differences are found; generally, the girls show more healthy standpoints and expressions than boys do. If this can be considered to be an outcome of students’ improved and integrated knowledge about sound, hearing and health, then this emphasizes the importance of integrating health issues into regular school science.International Journal of Science Education 11/2012; · 1.23 Impact Factor
Article: Trauma-Associated Tinnitus.[Show abstract] [Hide abstract]
ABSTRACT: Up to 53% of individuals suffering from traumatic brain injuries develop tinnitus. To review the current literature on trauma-associated tinnitus in order to provide orientation for the clinical management of patients with trauma-associated tinnitus. A systematic literature search has been conducted in PubMed database applying the search terms posttraumatic tinnitus and trauma-associated tinnitus. Results have been complemented by related studies, book chapters, and the authors' clinical experience. Not only mechanical, pressure-related, or noise-related head traumata but also neck injuries and emotional trauma can cause tinnitus. Exact diagnosis is essential. Disorders such as ossicular chain disruption, traumatic eardrum perforation, or perilymphatic fistula can be surgically treated. It should also be considered that pulsatile tinnitus can be a sign of life-threatening disorders such as carotid cavernous fistulas, arteriovenous malformations, and carotid dissections. Also, posttraumatic stress disorder should be taken into consideration as a potential contributing factor. There is an evident mismatch between the high incidence of trauma-associated tinnitus and scarce literature on the topic. A consistent and-at best-standardized assessment of tinnitus- and hearing-related sequelae of trauma is recommended both for the improvement of clinical care and for a deeper understanding of the various pathophysiological mechanisms of trauma-associated tinnitus.The Journal of head trauma rehabilitation 08/2013; · 2.39 Impact Factor