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Approximately 33% of working-age adults with a history of occupational noise exposure have audiometric evidence of noise-induced hearing damage, and 16% of noise-exposed workers have material hearing impairment. While the Mining, Construction, and Manufacturing sectors typically have the highest prevalence of noise exposure and hearing loss, there are noise-exposed workers in every sector and every sector has workers with hearing loss. Noise-induced hearing loss is preventable. Increased understanding of the biological processes underlying noise damage may lead to protective pharmacologic or genetic therapies. For now, an integrated public health approach that (1) emphasizes noise control over reliance on hearing protection, (2) illustrates the full impact of hearing loss on quality of life, and (3) challenges the cultural acceptance of loud noise can substantially reduce the impact of noise on worker health.<\/jats:p>","DOI":"10.1121\/1.5134465","type":"journal-article","created":{"date-parts":[[2019,11,27]],"date-time":"2019-11-27T16:30:59Z","timestamp":1574872259000},"page":"3879-3905","update-policy":"https:\/\/doi.org\/10.1063\/aip-crossmark-policy-page","source":"Crossref","is-referenced-by-count":357,"title":["Occupational noise exposure: A review of its effects, epidemiology, and impact with recommendations for reducing its burden"],"prefix":"10.1121","volume":"146","author":[{"given":"Christa L.","family":"Themann","sequence":"first","affiliation":[{"name":"National Institute for Occupational Safety and Health , 1090 Tusculum Avenue, MS C-27, Cincinnati, Ohio 45226, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth A.","family":"Masterson","sequence":"additional","affiliation":[{"name":"National Institute for Occupational Safety and Health , 1090 Tusculum Avenue, MS C-27, Cincinnati, Ohio 45226, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"231","published-online":{"date-parts":[[2019,11,27]]},"reference":[{"key":"2023080210280294000_c1","doi-asserted-by":"publisher","first-page":"351","DOI":"10.1007\/s10661-005-3107-1","article-title":"Influence of environmental factors on the evolution of industrial noise-induced hearing loss","volume":"107","year":"2005","journal-title":"Environ. 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