{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T15:18:01Z","timestamp":1783696681306,"version":"3.55.0"},"reference-count":38,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2024,7,10]],"date-time":"2024-07-10T00:00:00Z","timestamp":1720569600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,7,10]],"date-time":"2024-07-10T00:00:00Z","timestamp":1720569600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Examine associations between military blast exposures on hearing loss and self\u2010reported hearing difficulties among Active\u2010Duty Service Members (ADSM) and Veterans from the Noise Outcomes in Servicemembers Epidemiology (NOISE) study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Cross\u2010sectional.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Multi\u2010institutional tertiary referral centers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Blast exposure was assessed with a comprehensive blast questionnaire. Outcome measures included pure\u2010tone hearing thresholds; Speech Recognition in Noise Test; Hearing Handicap Inventory for Adults (HHIA); and Speech, Spatial and Qualities of Hearing Scale (SSQ)\u201012.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010one percent (102\/494) of ADSM and 36.8% (196\/533) of Veterans self\u2010reported blast exposure. Compared to ADSM without blast exposure, blast\u2010exposed ADSM had increased odds of high frequency (3\u20108\u2009kHz) and extended\u2010high frequency (9\u201016\u2009kHz) hearing loss (odds ratio [OR]\u2009=\u20092.5, CI: 1.3, 4.7; OR\u2009=\u20093.7, CI: 1.9, 7.0, respectively). ADSM and Veterans with blast exposure were more likely than their nonblast exposed counterparts to report hearing difficulty on the HHIA (OR\u2009=\u20091.9, CI: 1.1, 3.3; OR\u2009=\u20092.1, CI: 1.4, 3.2, respectively). Those with self\u2010reported blast exposure also had lower SSQ\u201012 scores (ADSM mean difference\u2009=\u2009\u22120.6, CI: \u22121.0, \u22120.1; Veteran mean difference: \u22120.9, CI: \u22121.3, \u22120.5).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Results suggest that blast exposure is a prevalent source of hearing injury in the military. We found that among ADSM, blast exposure was associated with hearing loss, predominately in the higher frequencies. Blast exposure was associated with poorer self\u2010perceived hearing ability in ADSM and Veterans.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>IRB<\/jats:title>\n                    <jats:p>#FWH20180143H Joint Base San Antonio (JBSA) Military Healthcare System; #3159\/9495 Joint VA Portland Health Care System (VAPORHCS) Oregon Health and Science University (OHSU).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.890","type":"journal-article","created":{"date-parts":[[2024,7,10]],"date-time":"2024-07-10T09:28:55Z","timestamp":1720603735000},"page":"1370-1378","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Blast Exposure Associations With Hearing Loss and Self\u2010Reported Hearing Difficulty"],"prefix":"10.1002","volume":"171","author":[{"given":"Aaron","family":"McIntire","sequence":"first","affiliation":[{"name":"Department of Otolaryngology Naval Medical Center San Diego San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanner","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Naval Hospital Camp Pendleton Camp Pendleton California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7465-3595","authenticated-orcid":false,"given":"Samrita","family":"Thapa","sequence":"additional","affiliation":[{"name":"VA RR&amp;D, National Center for Rehabilitative Auditory Research VA Portland Health Care\u00a0System Portland Oregon USA"},{"name":"Department of Otolaryngology Oregon Health &amp; Science University Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7740-620X","authenticated-orcid":false,"given":"Antony","family":"Joseph","sequence":"additional","affiliation":[{"name":"Hearing Loss Prevention Laboratory, Communication Sciences and Disorders Illinois State University Normal Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9261-7742","authenticated-orcid":false,"given":"Kathleen F.","family":"Carlson","sequence":"additional","affiliation":[{"name":"VA RR&amp;D, National Center for Rehabilitative Auditory Research VA Portland Health Care\u00a0System Portland Oregon USA"},{"name":"VA HSR&amp;D Center to Improve Veteran Involvement in Care (CIVIC), VA Portland Health Care\u00a0System Portland Oregon USA"},{"name":"OHSU\u2010PSU School of Public Health Oregon Health &amp; Science University Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4906-1010","authenticated-orcid":false,"given":"Kelly M.","family":"Reavis","sequence":"additional","affiliation":[{"name":"VA RR&amp;D, National Center for Rehabilitative Auditory Research VA Portland Health Care\u00a0System Portland Oregon USA"},{"name":"OHSU\u2010PSU School of Public Health Oregon Health &amp; Science University Portland Oregon USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotte K.","family":"Hughes","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology Naval Medical Center San Diego San Diego California USA"},{"name":"Department of Otolaryngology University of California San Diego San Diego California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,10]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3181a27e7f"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0067618"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-94080-0"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heares.2022.108459"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24169"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000002012"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1201\/b18126-53"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-28924-7"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heares.2016.11.014"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000974"},{"key":"e_1_2_8_12_1","unstructured":"Department of Veteran Affairs Veteran Health Administration. 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