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Moreover, current research emphasises the importance of representing different ethnic populations in science. This study aimed to determine the prevalence of acquired hearing loss through conventional pure-tone (0.25\u20138\u2009kHz) and extended high frequency (EHF) (9\u201320\u2009kHz) audiometry in Afro-Colombian adolescents from a rural area in Colombia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Observational, cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>230 Afro-Colombian adolescents aged 13\u201317 years who attended high school in a rural population from Cartagena, Colombia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Otoscopic examination, conventional (0.25\u20138\u2009kHz) and EHF (9\u201320\u2009kHz) audiometry tests were performed during February-March 2021. Sociodemographic and associated factor questionnaires were also applied to assess probable factors associated with EHF hearing loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome measures<\/jats:title>\n                    <jats:p>Prevalence of acquired hearing loss using conventional and EHF audiometry, and factors associated with hearing loss.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 230 adolescents who met the eligibility criteria, 133 (57.82%) were female. The mean age was 15.22 years (SD: 1.62). The prevalence of hearing loss in at least one ear assessed with conventional audiometry was 21.30% and with EHF audiometry 14.78%. The main abnormal otoscopic findings included: neotympanum (1.30%), myringosclerosis (0.87%) and monomeric scars (0.43%). Factors associated with a higher probability of EHF hearing loss found through logistic regression were older age (prevalence ratio (PR): 1.45; 95%\u2009CI 1.16 to 1.80), attending the \u2018Pic\u00f3\u2019 four or more times a month (PR: 6.63; 95%\u2009CI 2.16 to 20.30), attending bars more than three times a month (PR: 1.14; 95%\u2009CI 1.03 to 1.59) and self-reported hearing difficulties (PR: 1.24; 95%\u2009CI 1.22 to 4.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our results suggest that acquired hearing loss is already widespread among this young rural population.<\/jats:p>\n                  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