{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T22:47:00Z","timestamp":1791672420482,"version":"4.3.4"},"reference-count":102,"publisher":"American Academy of Audiology","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["j am acad audiol"],"published-print":{"date-parts":[[2022,4,1]]},"abstract":"<jats:p><jats:bold>Abstract<\/jats:bold>  <jats:bold>Background<\/jats:bold>\u2003Over 1 billion young adults are at risk for developing noise-induced hearing loss (NIHL) due to their habit of listening to music at loud levels. The gold standard for detecting NIHL is the audiometric notch around 3,000 to 6,000\u2009Hz\n observed in pure tone audiogram. However, recent studies suggested that suprathreshold auditory measures might be more sensitive to detect early-stage NIHL in young adults. <jats:bold>Purpose<\/jats:bold>\u2003The present study compared suprathreshold measures in individuals with high and low noise exposure\n backgrounds (NEBs). We hypothesized that individuals with high NEB would exhibit reduced performance on suprathreshold measures than those with low NEB. <jats:bold>Study sample<\/jats:bold>\u2003An initial sample of 100 English-speaking healthy adults (18\u201035 years; females\u2009=\u200970) was\n obtained from five university classes. We identified 15 participants with the lowest NEB scores (10 females) and 15 participants with the highest NEB scores (10 females). We selected a sample of healthy young adults with no history of middle ear infection, and those in the low NEB group were\n selected with no history of impulse noise exposure. <jats:bold>Data collection and analysis<\/jats:bold>\u2003The study included conventional audiometry, extended high-frequency audiometry, middle ear muscle reflex (MEMR) thresholds, distortion-product otoacoustic emissions (DPOAEs), QuickSIN, and suprathreshold\n auditory brainstem response (ABR) measures. We used independent sample <jats:italic>t<\/jats:italic>-tests, correlation coefficients, and linear mixed model analysis to compare the audiometric measures between the NEB groups. <jats:bold>Results<\/jats:bold>\u2003The prevalence of audiometric notch was low in the study sample,\n even for individuals with high NEB. We found that: (1) individuals with high NEB revealed significantly reduced QuickSIN performance than those with low NEB; (2) music exposure via earphone revealed a significant association with QuickSIN; (3) individuals with high NEB revealed significantly\n reduced DPOAEs and ABR wave I amplitude compared with individuals with low NEB; (4) MEMR and ABR latency measures showed a modest association with NEB; and (5) audiometric thresholds across the frequency range did not show statistically significant association with NEB. <jats:bold>Conclusion<\/jats:bold>\u2003Our\n results suggest that young adults with high NEB might exhibit impaired peripheral neural coding deficits leading to reduced speech-in-noise (SIN) performance despite clinically normal hearing thresholds. SIN measures might be more sensitive than audiometric notch for detecting early-stage\n NIHL in young adults.<\/jats:p>","DOI":"10.1055\/s-0041-1740362","type":"journal-article","created":{"date-parts":[[2022,10,4]],"date-time":"2022-10-04T23:04:36Z","timestamp":1664924676000},"page":"185-195","source":"Crossref","is-referenced-by-count":13,"title":["Suprathreshold Auditory Measures for Detecting Early-Stage Noise-Induced Hearing Loss in Young Adults"],"prefix":"10.3766","volume":"33","author":[{"given":"Ishan S.","family":"Bhatt","sequence":"first","affiliation":[{"name":"Department of Communication Sciences and Disorders, The University of Iowa, Iowa City, Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nilesh","family":"Washnik","sequence":"additional","affiliation":[{"name":"Department of Communication Sciences & Disorders, Ohio University, Athens, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Torkamani","sequence":"additional","affiliation":[{"name":"Department of Integrative Structural and Computational Biology, Scripps Translational Science Institute, La Jolla, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2087","reference":[{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1542\/peds.108.1.40","article-title":"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","volume":"108","author":"A S Niskar","year":"2001","journal-title":"Pediatrics"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"309","DOI":"10.3109\/14992020903470809","article-title":"Prevalence of noise-induced hearing loss in student musicians","volume":"49","author":"S L Phillips","year":"2010","journal-title":"Int J Audiol"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"e39","DOI":"10.1542\/peds.2010-0926","article-title":"Prevalence of noise-induced hearing-threshold shifts and hearing loss among US youths","volume":"127","author":"E Henderson","year":"2011","journal-title":"Pediatrics"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1080\/14992027.2017.1278799","article-title":"Analysis of audiometric notch as a noise-induced hearing loss phenotype in US youth: data from the National Health and Nutrition Examination Survey, 2005-2010","volume":"56","author":"I S Bhatt","year":"2017","journal-title":"Int J Audiol"},{"issue":"05","key":"ref7","doi-asserted-by":"crossref","first-page":"491","DOI":"10.1097\/01.aud.0000451498.92871.20","article-title":"The leisure-noise dilemma: hearing loss or hearsay? 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