{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T15:02:13Z","timestamp":1784732533804,"version":"3.55.0"},"reference-count":91,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100014653","name":"Manchester Biomedical Research Centre","doi-asserted-by":"publisher","award":["NIHR203308"],"award-info":[{"award-number":["NIHR203308"]}],"id":[{"id":"10.13039\/100014653","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000265","name":"Medical Research Council UK","doi-asserted-by":"crossref","award":["MR\/V01272X\/1"],"award-info":[{"award-number":["MR\/V01272X\/1"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100013011","name":"Birzeit University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013011","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trends in Hearing"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>\n                    Noise-induced and age-related hearing loss involve partially similar pathophysiology, but their combined effects remain poorly understood, especially in under-regulated occupational settings. This study investigated the independent and interaction effects of lifetime noise exposure and age on audiometric, speech-in-noise, and tinnitus outcomes in Palestinian workers. Ninety-eight adult workers aged 18 \u2013 75 years completed standard (0.25 \u2013 8 kHz) and extended high-frequency (10 \u2013 14 kHz) audiometry, Arabic diotic and antiphasic digits-in-noise (DIN) testing, and an Arabic Noise Exposure Structured Interview. Regression models tested age \u00d7 noise interactions, adjusting for sex (and education for DIN), with Bonferroni\u2013Holm correction applied for multiple comparisons. The protocol was pre-registered (Open Science Framework;\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/osf.io\/v2c9z\">https:\/\/osf.io\/v2c9z<\/jats:ext-link>\n                    ). There was no significant age \u00d7 noise interaction for standard audiometric thresholds (3 \u2013 8 kHz; \u03b2 = 0.23 dB\/year per log\n                    <jats:sub>10<\/jats:sub>\n                    [noise], 95% CI 0.03 \u2013 0.42;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.02), after correction for multiple comparisons. Age-stratified analyses showed greater exposure was associated with worse standard audiometric thresholds in older adults (\u226544 years; \u03b2 = 8.1 dB per 10-fold increase, 95% CI 2.5 \u2013 13.6;\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    = 0.005) but not younger adults. No interaction or main effects of noise were observed for extended high-frequency thresholds, DIN, or tinnitus (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    &gt; 0.05). Age was significantly associated with standard and extended high-frequency audiometric thresholds and diotic and antiphasic DIN thresholds. Auditory outcomes were primarily age-driven, with limited noise effects. Greater noise-related threshold loss appeared in older adults, but age effects were larger, suggesting ageing as the dominant determinant. Hearing conservation should address age-related vulnerability alongside exposure control.\n                  <\/jats:p>","DOI":"10.1177\/23312165261470234","type":"journal-article","created":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T13:10:29Z","timestamp":1784553029000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Lifetime Noise Exposure and Its Interaction With Ageing: Effects on Audiometric Thresholds, Speech-In-Noise Perception, and Tinnitus for Palestinian Workers"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1707-4834","authenticated-orcid":false,"given":"Adnan M.","family":"Shehabi","sequence":"first","affiliation":[{"name":"Birzeit University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4981-6663","authenticated-orcid":false,"given":"Hannah","family":"Guest","sequence":"additional","affiliation":[{"name":"The University of Manchester"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amal Abu","family":"Kteish","sequence":"additional","affiliation":[{"name":"Birzeit University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Walaa","family":"Srour","sequence":"additional","affiliation":[{"name":"Birzeit University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2987-5332","authenticated-orcid":false,"given":"Christopher J.","family":"Plack","sequence":"additional","affiliation":[{"name":"The University of Manchester"},{"name":"Lancaster University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7255-6708","authenticated-orcid":false,"given":"Garreth","family":"Prendergast","sequence":"additional","affiliation":[{"name":"The University of Manchester"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,20]]},"reference":[{"key":"e_1_3_8_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/51.4.245"},{"key":"e_1_3_8_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/2331216519887614"},{"key":"e_1_3_8_4_1","doi-asserted-by":"publisher","DOI":"10.3233\/WOR-182797"},{"issue":"3","key":"e_1_3_8_5_1","first-page":"281","article-title":"High-frequency audiometry in monitoring individuals exposed to occupational noise: A systematic review","volume":"20","author":"Antonioli C. A. S.","year":"2016","unstructured":"Antonioli C. A. S., Momensohn-Santos T. M., Benaglia T. A. S. (2016). High-frequency audiometry in monitoring individuals exposed to occupational noise: A systematic review. International Archives of Otorhinolaryngology, 20(3), 281\u2013289. https:\/\/doi.org\/10.1055\/s-0035-1570072","journal-title":"International Archives of Otorhinolaryngology"},{"key":"e_1_3_8_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/23312165251343757"},{"issue":"8","key":"e_1_3_8_7_1","first-page":"47","article-title":"Tinnitus induced by occupational and leisure noise","volume":"2","author":"Axelsson A.","year":"2000","unstructured":"Axelsson A., Prasher D. (2000). Tinnitus induced by occupational and leisure noise. 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