{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T01:01:51Z","timestamp":1767920511399,"version":"3.49.0"},"reference-count":32,"publisher":"Acoustical Society of America (ASA)","issue":"6","funder":[{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["G0701870"],"award-info":[{"award-number":["G0701870"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["pubs.aip.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,12,1]]},"abstract":"<jats:p>Millions of adults are at risk of hearing loss resulting from exposure to occupational and recreational noises. Data from the combined National Health and Nutrition Examination Survey (NHANES) 2011\u20132012 and 2015\u20132016 datasets were used to establish the prevalence of occupational and recreational noise exposures through self-report questions. For recreational noise exposures, NHANES asked about the use of firearms, including the use of hearing protection devices (HPDs) while shooting, and off-work exposures to very loud noise. For work exposures, NHANES asked about exposures to loud and very loud noise. For four of these five questions, graded responses on a 5- or 7-point scale were available. Receiver-operating-characteristic analyses were used to optimize the criterion response for identification of hearing loss for each question with graded responses using the unweighted data. Correlations among the graded responses supported reduction to two measures: (1) rounds fired combined with use of HPDs while shooting and (2) work exposure to loud and very loud noise combined. Logistic-regression analyses of various measures of pure-tone hearing loss were performed to examine the effects of recreational and occupational noise exposures on hearing loss. The odds of hearing loss were significantly greater for those who reported recreational and combined noise exposures.<\/jats:p>","DOI":"10.1121\/10.0016552","type":"journal-article","created":{"date-parts":[[2022,12,15]],"date-time":"2022-12-15T12:41:36Z","timestamp":1671108096000},"page":"3535-3547","update-policy":"https:\/\/doi.org\/10.1063\/aip-crossmark-policy-page","source":"Crossref","is-referenced-by-count":10,"title":["Estimation of all-cause noise exposure for U.S. adults from national survey data"],"prefix":"10.1121","volume":"152","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9668-3744","authenticated-orcid":false,"given":"Larry E.","family":"Humes","sequence":"first","affiliation":[{"name":"Department of Speech, Language and Hearing Sciences, Indiana University 1 , Bloomington, Indiana 47405, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7071-0671","authenticated-orcid":false,"given":"Brian C. J.","family":"Moore","sequence":"additional","affiliation":[{"name":"Cambridge Hearing Group, Department of Psychology, University of Cambridge 2 , Downing Street, Cambridge CB2 3EB, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"231","published-online":{"date-parts":[[2022,12,15]]},"reference":[{"key":"2023080215455491300_c1","doi-asserted-by":"publisher","first-page":"1522","DOI":"10.1001\/archinte.168.14.1522","article-title":"Prevalence of hearing loss and differences by demographic characteristics among US adults: Data from the National Health and Nutrition Examination Survey, 1999\u20132004","volume":"168","year":"2008","journal-title":"Arch. Intern. Med."},{"key":"2023080215455491300_c2","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1097\/MAO.0b013e318192483c","article-title":"Risk factors for hearing loss in US adults: Data from the National Health and Nutrition Examination Survey, 1999 to 2002","volume":"30","year":"2009","journal-title":"Otol. Neurotol."},{"key":"2023080215455491300_c3","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1078\/1438-4639-00291","article-title":"The accuracy of self-reported high noise exposure level and hearing loss in a working population in Eastern Saudi Arabia","volume":"207","year":"2004","journal-title":"Int. J. Hyg. Environ. Health"},{"key":"2023080215455491300_c4","doi-asserted-by":"publisher","first-page":"1318","DOI":"10.1136\/bmj.317.7168.1318","article-title":"Odds ratios should be avoided when events are common","volume":"317","year":"1998","journal-title":"Brit. Med. J"},{"key":"2023080215455491300_c5","volume-title":"Specifications for Audiometers","author":"ANSI","year":"1996"},{"key":"2023080215455491300_c6","volume-title":"Maximum Permissible Ambient Noise Levels for Audiometric Test Rooms","author":"ANSI","year":"1999"},{"key":"2023080215455491300_c7","unstructured":"CDC (2022a). https:\/\/www.cdc.gov\/ncbddd\/hearingloss\/noise.html (Last viewed December 8, 2022)."},{"key":"2023080215455491300_c8","unstructured":"CDC (2022b). https:\/\/wwwn.cdc.gov\/nchs\/nhanes\/continuousnhanes\/overview.aspx?BeginYear=2011 (Last viewed December 8, 2022)."},{"key":"2023080215455491300_c9","unstructured":"CDC (2022c). https:\/\/wwwn.cdc.gov\/nchs\/nhanes\/continuousnhanes\/default.aspx?BeginYear=2015 (Last viewed December 8, 2022)."},{"key":"2023080215455491300_c10","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1044\/2019_AJA-19-00021","article-title":"A novel method for classifying hearing impairment in epidemiological studies of aging: The Wisconsin Age-Related Hearing Impairment Classification Scale","volume":"29","year":"2020","journal-title":"Am. J. Audiol."},{"key":"2023080215455491300_c11","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1002\/sim.4780030207","article-title":"Regression modelling strategies for improved prognostic prediction","volume":"3","year":"1984","journal-title":"Stat. Med."},{"key":"2023080215455491300_c12","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1002\/(SICI)1097-0258(19960229)15:4&lt;361::AID-SIM168&gt;3.0.CO;2-4","article-title":"Multivariable prognostic models: Issues in developing models, evaluating assumptions and adequacy, and measuring and reducing errors","volume":"15","year":"1996","journal-title":"Statist. Med."},{"key":"2023080215455491300_c13","doi-asserted-by":"publisher","first-page":"725","DOI":"10.1097\/AUD.0b013e3181e9770e","article-title":"Americans hear as well or better today compared with 40 years ago: Hearing threshold levels in the unscreened adult population of the United States, 1959\u20131962 and 1999\u20132004","volume":"31","year":"2010","journal-title":"Ear Hear."},{"key":"2023080215455491300_c14","doi-asserted-by":"publisher","first-page":"274","DOI":"10.1001\/jamaoto.2016.3527","article-title":"Declining prevalence of hearing loss in US adults aged 20 to 69 years","volume":"143","year":"2017","journal-title":"JAMA Otolaryngol. Head Neck Surg."},{"key":"2023080215455491300_c15","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1044\/2021_AJA-20-00207","article-title":"Further evaluation and application of the Wisconsin age-related hearing impairment classification system","volume":"30","year":"2021","journal-title":"Am. J. Audiol."},{"key":"2023080215455491300_c16","first-page":"338","volume-title":"Noise and Military Service: Implications for Hearing Loss and Tinnitus","year":"2006"},{"key":"2023080215455491300_c17","doi-asserted-by":"publisher","first-page":"581","DOI":"10.1001\/archotol.1969.00770030583010","article-title":"Sensorineural hearing loss associated with firearms","volume":"90","year":"1969","journal-title":"Arch. Otolaryngol."},{"key":"2023080215455491300_c18","doi-asserted-by":"publisher","first-page":"a035493","DOI":"10.1101\/cshperspect.a035493","article-title":"Hidden hearing loss: A disorder with multiple etiologies and mechanisms","volume":"10","year":"2020","journal-title":"Cold Spring Harbor Perspect. Med."},{"key":"2023080215455491300_c19","doi-asserted-by":"publisher","first-page":"940","DOI":"10.1093\/aje\/kwg074","article-title":"Estimating the relative risk in cohort studies and clinical trials of common outcomes","volume":"157","year":"2003","journal-title":"Am. J. Epidem."},{"key":"2023080215455491300_c20","doi-asserted-by":"publisher","first-page":"267","DOI":"10.1055\/s-0037-1606323","article-title":"Prevention of noise-induced hearing loss from recreational firearms","volume":"38","year":"2017","journal-title":"Sem. Hear."},{"key":"2023080215455491300_c21","doi-asserted-by":"publisher","first-page":"729","DOI":"10.1121\/1.1903322","article-title":"Effects of noise on people","volume":"56","year":"1974","journal-title":"J. Acoust. Soc. Am."},{"key":"2023080215455491300_c22","doi-asserted-by":"publisher","first-page":"884","DOI":"10.1121\/10.0001789","article-title":"Diagnosis and quantification of military noise-induced hearing loss","volume":"148","year":"2020","journal-title":"J. Acoust. Soc. Am."},{"key":"2023080215455491300_c23","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1093\/annhyg\/men071","article-title":"Comparison of perceived and quantitative measures of occupational noise exposure","volume":"53","year":"2009","journal-title":"Ann. Occup. Hyg."},{"key":"2023080215455491300_c24","doi-asserted-by":"publisher","first-page":"859","DOI":"10.1111\/1475-6773.12712","article-title":"Log odds and the interpretation of logit models","volume":"53","year":"2018","journal-title":"Health Serv. Res."},{"key":"2023080215455491300_c25","doi-asserted-by":"publisher","first-page":"1371","DOI":"10.1016\/S0895-4356(96)00236-3","article-title":"A simulation study of the number of events per variable in logistic regression analysis","volume":"49","year":"1996","journal-title":"J. Clin. Epidemiol."},{"key":"2023080215455491300_c26","doi-asserted-by":"publisher","first-page":"829","DOI":"10.1097\/AUD.0000000000000543","article-title":"Using thresholds in noise to identify hidden hearing loss in humans","volume":"39","year":"2018","journal-title":"Ear Hear."},{"key":"2023080215455491300_c27","first-page":"567","article-title":"Speech communications and signal detection in noise","volume-title":"The Noise Manual","author":"Berger","year":"2000"},{"key":"2023080215455491300_c28","doi-asserted-by":"publisher","first-page":"469","DOI":"10.1007\/s10654-009-9357-4","article-title":"Validity of self-reported occupational noise exposure","volume":"24","year":"2009","journal-title":"Eur. J. Epidemiol."},{"key":"2023080215455491300_c29","doi-asserted-by":"publisher","first-page":"1769","DOI":"10.1121\/10.0009675","article-title":"Auditory changes following firearm noise exposure, a review","volume":"151","year":"2022","journal-title":"J. Acoust. Soc. Am."},{"key":"2023080215455491300_c30","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1016\/j.heares.2017.12.001","article-title":"Self-reported hearing difficulty, tinnitus, and normal audiometric thresholds, the National Health and Nutrition Examination Survey 1999\u20132002","volume":"358","year":"2018","journal-title":"Hear. Res."},{"key":"2023080215455491300_c31","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1093\/eurpub\/ckr176","article-title":"Global and regional hearing impairment prevalence: An analysis of 42 studies in 29 countries","volume":"23","year":"2013","journal-title":"Euro. J. Pub. Health"},{"key":"2023080215455491300_c32","volume-title":"World Report on Hearing","author":"World Health Organization","year":"2021"}],"container-title":["The Journal of the Acoustical Society of America"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/pubs.aip.org\/asa\/jasa\/article-pdf\/152\/6\/3535\/18069881\/3535_1_10.0016552.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/pubs.aip.org\/asa\/jasa\/article-pdf\/152\/6\/3535\/18069881\/3535_1_10.0016552.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,2]],"date-time":"2023-08-02T15:46:41Z","timestamp":1690991201000},"score":1,"resource":{"primary":{"URL":"https:\/\/pubs.aip.org\/jasa\/article\/152\/6\/3535\/2840156\/Estimation-of-all-cause-noise-exposure-for-U-S"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,1]]},"references-count":32,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,12,1]]}},"URL":"https:\/\/doi.org\/10.1121\/10.0016552","relation":{},"ISSN":["0001-4966"],"issn-type":[{"value":"0001-4966","type":"print"}],"subject":[],"published-other":{"date-parts":[[2022,12]]},"published":{"date-parts":[[2022,12,1]]}}}