Affiliation:
1. Keck School of Medicine of the University of Southern California
2. Caruso Department of Otolaryngology—Head and Neck Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, CA
Abstract
Objectives
Excessive noise levels in music venues can negatively impact long-term hearing health. We investigated the prevalence, characteristics, and factors associated with hearing protection use among music event attendees.
Study Design
Cross-sectional cohort.
Methods
Adult participants (2,352) from online music forums completed a questionnaire assessing attendance at music events, hearing protection (HP) usage, type, and frequency, along with history of hearing-related symptoms and medical history. Primary outcome was defined as HP use at music venues. Data were characterized using descriptive statistics, paired t tests, and Pearson's chi-squared tests. Multivariable regression analysis elicited factors associated with any and regular HP use.
Results
Our 2,352 respondents were primarily male (61.3%) and on average 28.7 years old (SD = 7.0). Of the respondents, 60.6% reported using HP, and 33.2% reported regular use; high-fidelity earplugs were the most used HP type (57.5%). HP use was associated with significantly fewer reports of negative hearing-related symptoms. In a multivariable regression model, factors associated with less likelihood of HP use included being female (vs male, OR = 0.74, CI = [0.55–0.98]), less concern about effects on hearing (OR = 0.53, CI = [0.45–0.61]), and pop music event attendance (vs EDM, OR = 0.40, CI = [0.22–0.72]). Increased attendance frequency in the past year was associated with higher likelihood of regular HP use (OR = 1.07, CI = [1.04–1.09]). Decreased attendance duration was associated with decreased likelihood (OR = 0.09, CI = [0.03–0.33]).
Conclusion
HP use prevalence was high, while frequent use remained low. HP use was significantly associated with reduced hearing-related symptoms. Demographic factors, otologic symp-tomology, and attendance-related characteristics were associated with HP use. These findings may guide interventions to increase adoption at music venues.
Level of Evidence
4
Publisher
Ovid Technologies (Wolters Kluwer Health)