Patterns of Recreational Noise Exposure in Youth.

Abstract

This study aimed to investigate patterns of recreational noise exposure among youth (15 to 24 years of age), inquire about early signs of hearing loss, and assess awareness and attitudes towards hearing protection. An observational cross-sectional study was conducted among individuals aged 15 to 24 years using a structured questionnaire. The survey included participant demographics, otological complaints, usage patterns of personal listening devices, engagement in recreational activities involving noise exposure, and awareness and attitudes towards hearing protection. Data were collated and analysed. Among the 792 participants, the mean age was 20.73 years, with 46% females and 54% males. Diagnosed chronic ear disease was reported by 5.1% of participants, while 8.6% had documented hearing loss. Tinnitus was experienced by 5.8%, and ear discharge by 4.8%. Nearly all participants (98.7%) used earphones daily, with a majority preferring in-ear devices. Active noise cancellation was used always by 20.2%, and sometimes by 20.7%. Regular use of audio speakers was reported by 47.47%. The mean loudness level for personal listening devices was 5.78 on a 10-point scale. Engagement in recreational activities involving noise exposure included music listening (89.90% participants), watching entertainment content (70.45% participants), academic engagements involving use of personal listening devices (66.16% participants), and watching instructional videos (57.07% participants). Additionally, 32.32% regularly engaged in activities involving exposure to loud noise bursts, and 60.1% encountered continuous disturbing environmental noise. Early indicators of hearing impairment were common, with 411 individuals (56.15%) frequently or consistently experiencing one or more symptoms suggesting the same. A majority of participants (89.6%) were aware of the hazards associated with loud sounds, yet only 25.8% used hearing protection in loud environments. After learning about the effects of loud sounds, 79.8% expressed willingness to use hearing protection. The study highlights significant non-occupational noise exposure and early symptoms of hearing loss among youth. Despite high awareness of noise hazards, the use of hearing protection remains low. Educational interventions are needed to emphasize the importance of safe listening practices and hearing conservation measures to mitigate the risk of noise-induced hearing loss in youth.