Hearing Health at School: Analysis of Knowledge, Behaviors and Attitudes of Southern-Brazilian Children and Adolescents on Noise

Overview

Journal Codas

Date 2024 Aug 7

PMID 39109705

Authors

Lys Maria Allestein Gondim

Debora Luders

Milena Kovalski Oliveira

Cristiano Miranda de Araujo

Adriana Bender Moreira de Lacerda

Affiliations

Soon will be listed here.

Abstract

Purpose: to analyze the knowledge, behaviors, and attitudes of students on noise.

Methods: We used an observational method study, in 32 Schools from Itajaí/Brazil, with a convenience sample, comprising 1,835 students, 45.7% females and 54.3% males, mean age of 11.53 ± 0.8 years, was conducted. The Portuguese version of Dangerous Decibels® questionnaire was applied. For the data analysis, descriptive and inferential statistics were used, significance level of 5%.

Results: A large part of the sample part of the sample had harmful hearing habits; 62.6% reported knowledge on the subject, but only 25.4% answered the questions on the theme correctly; 58.9% reported that they did not know how to protect hearing if necessary. Regarding sex and age: males have more hazardous hearing habits (p < 0.001) and tinnitus complaint (p<0.001) and females have more knowledge (p < 0.001) and the intent to wear hearing protection (p<0.001), greater intention to wear hearing protection among younger students (10 and 11 years old) (p < 0.001), and the older ones (12 to 16 years old) get more exposed to noise (p < 0.001), and there are more tinnitus complaints (p < 0.05) among them.

Conclusion: A large part of the students in the study has hazardous noisy habits and scarce knowledge on the theme, with males and older subjects showing the worst attitudes and behaviors in face of the potential hearing risk caused by exposure to high noise levels.

References

Welch D, Fremaux G . Why Do People Like Loud Sound? A Qualitative Study. Int J Environ Res Public Health. 2017; 14(8). PMC: 5580611. DOI: 10.3390/ijerph14080908. View

Twardella D, Perez-Alvarez C, Steffens T, Bolte G, Fromme H, Verdugo-Raab U . The prevalence of audiometric notches in adolescents in Germany: The Ohrkan-study. Noise Health. 2013; 15(67):412-9. DOI: 10.4103/1463-1741.121241. View

Griest S, Folmer R, Martin W . Effectiveness of "Dangerous Decibels," a school-based hearing loss prevention program. Am J Audiol. 2007; 16(2):S165-81. DOI: 10.1044/1059-0889(2007/021). View

Niskar A, Kieszak S, Holmes A, Esteban E, Rubin C, Brody D . Estimated prevalence of noise-induced hearing threshold shifts among children 6 to 19 years of age: the Third National Health and Nutrition Examination Survey, 1988-1994, United States. Pediatrics. 2001; 108(1):40-3. DOI: 10.1542/peds.108.1.40. View

Kim M, Hong S, Shim H, Kim Y, Cha C, Yeo S . Hearing threshold of Korean adolescents associated with the use of personal music players. Yonsei Med J. 2010; 50(6):771-6. PMC: 2796402. DOI: 10.3349/ymj.2009.50.6.771. View

Vogel I, Brug J, van der Ploeg C, Raat H . Adolescents risky MP3-player listening and its psychosocial correlates. Health Educ Res. 2011; 26(2):254-64. DOI: 10.1093/her/cyq091. View

Knobel K, Lima M . Knowledge, habits, preferences, and protective behavior in relation to loud sound exposures among Brazilian children. Int J Audiol. 2012; 51 Suppl 1:S12-9. DOI: 10.3109/14992027.2011.637307. View

Widen S, Holmes A, Erlandsson S . Reported hearing protection use in young adults from Sweden and the USA: effects of attitude and gender. Int J Audiol. 2006; 45(5):273-80. DOI: 10.1080/14992020500485676. View

Martin W, Sobel J, Griest S, Howarth L, Becker T . Program Sustainability: Hearing Loss and Tinnitus Prevention in American Indian Communities. Am J Prev Med. 2017; 52(3 Suppl 3):S268-S270. DOI: 10.1016/j.amepre.2016.10.031. View

10.

Nunes A, Silva C, Balen S, Bezerra de Souza D, Barbosa I . Prevalence of hearing impairment and associated factors in school-aged children and adolescents: a systematic review. Braz J Otorhinolaryngol. 2018; 85(2):244-253. PMC: 9452222. DOI: 10.1016/j.bjorl.2018.10.009. View

11.

Martin W, Griest S, Sobel J, Howarth L . Randomized trial of four noise-induced hearing loss and tinnitus prevention interventions for children. Int J Audiol. 2013; 52 Suppl 1:S41-9. DOI: 10.3109/14992027.2012.743048. View

12.

Welch D, Reddy R, Hand J, Devine I . Educating teenagers about hearing health by training them to educate children. Int J Audiol. 2016; 55(9):499-506. DOI: 10.1080/14992027.2016.1178859. View

13.

Degeest S, Keppler H, Vinck B . Leisure Noise Exposure and Associated Health-Risk Behavior in Adolescents: An Explanatory Study among Two Different Educational Programs in Flanders. Int J Environ Res Public Health. 2021; 18(15). PMC: 8345458. DOI: 10.3390/ijerph18158033. View

14.

Widen S, Erlandsson S . Self-reported tinnitus and noise sensitivity among adolescents in Sweden. Noise Health. 2005; 7(25):29-40. View

15.

Coelho C, Sanchez T, Tyler R . Tinnitus in children and associated risk factors. Prog Brain Res. 2007; 166:179-91. DOI: 10.1016/S0079-6123(07)66016-6. View

16.

Plontke S, Dietz K, Pfeffer C, Zenner H . The incidence of acoustic trauma due to New Year's firecrackers. Eur Arch Otorhinolaryngol. 2002; 259(5):247-52. DOI: 10.1007/s00405-002-0451-4. View

17.

Portnuff C . Reducing the risk of music-induced hearing loss from overuse of portable listening devices: understanding the problems and establishing strategies for improving awareness in adolescents. Adolesc Health Med Ther. 2016; 7:27-35. PMC: 4754097. DOI: 10.2147/AHMT.S74103. View

18.

Beach E, Williams W, Gilliver M . Estimating young Australian adults' risk of hearing damage from selected leisure activities. Ear Hear. 2012; 34(1):75-82. DOI: 10.1097/AUD.0b013e318262ac6c. View

19.

Knobel K, Lima M . Effectiveness of the Brazilian version of the Dangerous Decibels(®) educational program. Int J Audiol. 2014; 53 Suppl 2:S35-42. DOI: 10.3109/14992027.2013.857794. View

20.

Folmer R . The importance of hearing conservation instruction. J Sch Nurs. 2003; 19(3):140-8. DOI: 10.1177/10598405030190030401. View