{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T09:12:24Z","timestamp":1765876344343,"version":"3.48.0"},"reference-count":74,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T00:00:00Z","timestamp":1750377600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100005380","name":"American Neurotology Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005380","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Studies suggest electronic dance music attendees (EDMAs) may use hearing protection (HP) more than non\u2010EDM attendees (non\u2010EDMAs), but reasons remain unclear. This study explores EDMA community characteristics that may explain this disparity and strategies to increase non\u2010EDMAs' HP use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      An anonymous survey was distributed to online music forums. Descriptive statistics,\n                      <jats:italic>t<\/jats:italic>\n                      tests, and Pearson's chi\u2010square tests were conducted alongside propensity\u2010score matching to analyze EDMA and non\u2010EDMAs, accounting for demographics and attendance characteristics. Multivariable logistic and ordinal regressions examined factors related to use and increased frequency of general HP and high\u2010fidelity earplugs (HFE), adjusting for sociodemographic, attendance, and symptom characteristics.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      2022 participants (EDMAs:\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091049; non\u2010EDMAs:\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20091153) were studied. EDMAs attended more live music events (&gt;\u200920 events,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) for longer durations and reported greater postevent tinnitus and trouble hearing others (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). After matching, EDMAs showed greater HP use (70.47% vs. 59.40%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), consistency (\u201coften or always\u201d: 48.49% vs. 29.56%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and preference for HFEs (64.52% vs. 31.45%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). They showed greater concern for hearing damage and belief in HP efficacy (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). More non\u2010EDMAs viewed HP as unnecessary or harmful to music quality (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). More EDMAs reported use of their selected modality of HP from social media or acquaintance referral (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). In multivariable regression models, EDMAs had increased odds of general HP use (OR:1.96, 95% CI: 1.53\u20132.51,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), specific HFE use (OR:2.98, 2.23\u20134.00,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001), and HP usage frequency (OR:1.60, 1.30\u20131.95,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Leveraging social networks and community\u2010driven awareness\u2014particularly promoting HFEs and addressing concerns about music quality\u2014may enhance non\u2010EDMA HP uptake.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Level of Evidence:<\/jats:bold>\n                      3\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.32347","type":"journal-article","created":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T08:39:45Z","timestamp":1750408785000},"page":"4858-4871","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Safe Sound: Highlighting Electronic Dance Music Attendees' Unique Hearing Protection Practices"],"prefix":"10.1002","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4824-7160","authenticated-orcid":false,"given":"Oluwatobiloba","family":"Ayo\u2010Ajibola","sequence":"first","affiliation":[{"name":"Keck School of Medicine of the University of Southern California  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-6440-4411","authenticated-orcid":false,"given":"Tyler","family":"Jung","sequence":"additional","affiliation":[{"name":"Keck School of Medicine of the University of Southern California  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9914-9670","authenticated-orcid":false,"given":"Matthew E.","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery David Geffen School of Medicine at University of California Los Angeles  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Long","sequence":"additional","affiliation":[{"name":"Keck School of Medicine of the University of Southern California  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Parsons","sequence":"additional","affiliation":[{"name":"Caruso Department of Otolaryngology\u2010Head &amp; Neck Surgery Keck School of Medicine of the University of Southern California  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8840-9411","authenticated-orcid":false,"given":"Janet S.","family":"Choi","sequence":"additional","affiliation":[{"name":"Caruso Department of Otolaryngology\u2010Head &amp; Neck Surgery Keck School of Medicine of the University of Southern California  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joni","family":"Doherty","sequence":"additional","affiliation":[{"name":"Caruso Department of Otolaryngology\u2010Head &amp; Neck Surgery Keck School of Medicine of the University of Southern California  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,20]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X15004598"},{"key":"e_1_2_9_3_1","unstructured":"\u201cIMS Business Report 2024\u2014FINAL (2) \u201d."},{"key":"e_1_2_9_4_1","unstructured":"J.Heffler \u201cIMS Business Report Values Dance Music Industry at Remarkable $11.8 Billion: Key Insights. 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