{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T19:19:21Z","timestamp":1771010361928,"version":"3.50.1"},"reference-count":35,"publisher":"Public Library of Science (PLoS)","issue":"2","license":[{"start":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T00:00:00Z","timestamp":1770940800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"\n Background<\/jats:title>\n Online education gained its popularity in the education system during the COVID-19 pandemic lockdown. The online platform, including social media, was institutionalized globally for the purpose of tutoring to keep the education process ongoing under feasible circumstances. However, the post-pandemic continuation of online education and prolonged usage of electronic devices imposed a greater risk of health issues related to sensory impairment. Our study aimed to determine the impact of online education on students\u2019 hearing status and its associated factors.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A cross-sectional study was conducted among 1030 students of 11th grade and above who were undergoing online education in Dhaka and Chattogram. Data were collected through the online administration of a structured questionnaire containing questions on sociodemographic status, family history of diseases, personal history of diseases, information related to screentime exposure, and SSQ-12 (Speech, Spatial, and Qualities of Hearing \u221212) scale. Descriptive statistics, Pearson\u2019s chi-square test, two independent sample t-tests, and multiple linear regression analysis were employed to obtain the results.<\/jats:p>\n <\/jats:sec>\n \n Result<\/jats:title>\n The mean SSQ score of the study participants was 7.74\u2009\u00b1\u20091.37. In bivariate analysis, gender, family income, family history of diseases (e.g., obesity, headache, hearing problem), personal history of diseases (e.g., obesity, insomnia), device type (mobile\/tablet, computer), average daily screen time with sound, and break pattern during online learning were significantly (p\u2009<\u20090.05 for all) associated with hearing status. In multivariate analysis, being female (coefficient \u22120.293, p\u2009=\u20090.001), using mobile\/tablet (coefficient \u22120.836, p\u2009=\u20090.001), and continuous screen use (coefficient \u22120.348, p\u2009=\u20090.003) were significantly associated with poor hearing status.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n This current study indicates the detrimental effect of online education on the hearing of young students in Bangladesh. Future studies should explore the long-term hearing effects of online education and guide the policy makers towards necessary preventive approaches.<\/jats:p>\n <\/jats:sec>","DOI":"10.1371\/journal.pone.0342668","type":"journal-article","created":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T18:24:27Z","timestamp":1771007067000},"page":"e0342668","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Online education and its relation to hearing status among higher-secondary students in Bangladesh: A cross-sectional survey"],"prefix":"10.1371","volume":"21","author":[{"given":"Syeda Tasnim","family":"Tabassum Hridi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9073-5451","authenticated-orcid":true,"given":"Mohammad Azmain","family":"Iktidar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-4538-4693","authenticated-orcid":true,"given":"Kazi Sudipta","family":"Kabir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Punam","family":"Ghosh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arrafi","family":"Tamjid","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdullah","family":"Al Zaber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rifat Tasnim","family":"Babu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-5542-410X","authenticated-orcid":true,"given":"Maliha","family":"Mehzabeen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aysharja","family":"Das Gupta","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sreshtha","family":"Chowdhury","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7124-5043","authenticated-orcid":true,"given":"Simanta","family":"Roy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2026,2,13]]},"reference":[{"key":"pone.0342668.ref001","doi-asserted-by":"crossref","first-page":"143","DOI":"10.15215\/aupress\/9781897425084.008","article-title":"6. Technologies of online learning (E-learning).","volume-title":"The theory and practice of online learning","author":"R McGreal","year":"2008"},{"issue":"1","key":"pone.0342668.ref002","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1186\/s12909-018-1240-0","article-title":"Barriers and solutions to online learning in medical education - an integrative review","volume":"18","author":"D O\u2019Doherty","year":"2018","journal-title":"BMC Med Educ"},{"key":"pone.0342668.ref003","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1007\/s11125-020-09464-3","article-title":"Education and the COVID-19 pandemic","volume":"49","author":"SJ Daniel","year":"2020","journal-title":"Prospects (Paris)"},{"issue":"4","key":"pone.0342668.ref004","article-title":"Hearables for online learning","volume":"19","author":"R McGreal","year":"2018","journal-title":"Int Rev Res Open Distrib Learn"},{"key":"pone.0342668.ref005","first-page":"1","article-title":"A global outlook to the interruption of education due to COVID-19 pandemic: navigating in a time of uncertainty and crisis","volume":"15","author":"A Bozkurt","year":"2020","journal-title":"Asian J Distance Edu"},{"issue":"8","key":"pone.0342668.ref006","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1016\/j.puhe.2013.01.007","article-title":"Hearing risk associated with the usage of personal listening devices among urban high school students in Malaysia","volume":"127","author":"AH Sulaiman","year":"2013","journal-title":"Public Health"},{"issue":"1","key":"pone.0342668.ref007","doi-asserted-by":"crossref","DOI":"10.1186\/s43163-023-00396-1","article-title":"The impact of screen exposure among school-aged children in South India during the COVID-19 pandemic: an online survey","volume":"39","author":"TD Dessai","year":"2023","journal-title":"Egypt J Otolaryngol"},{"key":"pone.0342668.ref008","article-title":"Associations between adolescents\u2019 earphone usage in noisy environments, hearing loss, and self-reported hearing problems in a nationally representative sample of South Korean middle and high school students","year":"2023","journal-title":"PubMed"},{"issue":"5","key":"pone.0342668.ref009","article-title":"Epidemiology and risk factors for hearing damage among adults using headphones via mobile applications","volume":"14","author":"A Gupta","year":"2022","journal-title":"Cureus"},{"issue":"5","key":"pone.0342668.ref010","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1111\/j.1746-1561.2007.00197.x","article-title":"Noise and hearing loss: a review","volume":"77","author":"E Daniel","year":"2007","journal-title":"J Sch Health"},{"issue":"2","key":"pone.0342668.ref011","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1080\/14992020400050014","article-title":"The Speech, Spatial and Qualities of Hearing Scale (SSQ)","volume":"43","author":"S Gatehouse","year":"2004","journal-title":"Int J 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Audiol"},{"issue":"3","key":"pone.0342668.ref017","doi-asserted-by":"crossref","DOI":"10.2196\/jmir.6.3.e34","article-title":"Improving the quality of web surveys: the checklist for reporting results of internet E-surveys (CHERRIES)","volume":"6","author":"G Eysenbach","year":"2004","journal-title":"J Med Internet Res"},{"issue":"88","key":"pone.0342668.ref018","doi-asserted-by":"crossref","first-page":"125","DOI":"10.4103\/nah.NAH_65_16","article-title":"Headphone listening habits and hearing thresholds in swedish adolescents","volume":"19","author":"SE Widen","year":"2017","journal-title":"Noise Health"},{"key":"pone.0342668.ref019","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/S0378-5955(99)00098-2","article-title":"Mapping of estrogen receptors alpha and beta in the inner ear of mouse and rat","volume":"136","author":"AE Stenberg","year":"1999","journal-title":"Hear Res"},{"issue":"10","key":"pone.0342668.ref020","doi-asserted-by":"crossref","first-page":"1663","DOI":"10.1177\/1420326X20961802","article-title":"Effects of socio-economic indicators on perceptions of urban acoustic environments in Chinese megacities","volume":"30","author":"H Xie","year":"2020","journal-title":"Indoor and Built Environ"},{"issue":"3","key":"pone.0342668.ref021","doi-asserted-by":"crossref","first-page":"870","DOI":"10.1016\/j.clnu.2019.03.020","article-title":"Obesity and risk of hearing loss: a prospective cohort study","volume":"39","author":"H Hu","year":"2020","journal-title":"Clinical Nutrition"},{"issue":"4","key":"pone.0342668.ref022","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.1044\/2019_AJA-19-0026","article-title":"Evidence for an association between hearing impairment and disrupted sleep: scoping review","volume":"28","author":"NA Clarke","year":"2019","journal-title":"Am J Audiol"},{"issue":"2","key":"pone.0342668.ref023","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1044\/jshd.3702.176","article-title":"Speech audiometry: earphone and sound field","volume":"37","author":"DD Dirks","year":"1972","journal-title":"J Speech Hear Disord"},{"key":"pone.0342668.ref024","doi-asserted-by":"crossref","first-page":"623670","DOI":"10.3389\/fpsyg.2021.623670","article-title":"The \u201cMissing 6 dB\u201d revisited: influence of room acoustics and binaural parameters on the loudness mismatch between headphones and loudspeakers","volume":"12","author":"F Denk","year":"2021","journal-title":"Front Psychol"},{"issue":"4","key":"pone.0342668.ref025","doi-asserted-by":"crossref","first-page":"861","DOI":"10.1542\/peds.2004-0173","article-title":"Evaluation of noise-induced hearing loss in young people using a web-based survey technique","volume":"115","author":"JH Chung","year":"2005","journal-title":"Pediatrics"},{"issue":"11","key":"pone.0342668.ref026","article-title":"Impact on hearing due to prolonged use of audio devices: a literature review","volume":"14","author":"SS Dehankar","year":"2022","journal-title":"Cureus"},{"issue":"1","key":"pone.0342668.ref027","doi-asserted-by":"crossref","first-page":"29","DOI":"10.4103\/0971-7749.129808","article-title":"High frequency hearing loss in students used to ear phone music: A randomized trial of 1,000 students","volume":"20","author":"K Naik","year":"2014","journal-title":"Indian J Otol"},{"issue":"78","key":"pone.0342668.ref028","doi-asserted-by":"crossref","first-page":"245","DOI":"10.4103\/1463-1741.165026","article-title":"Hearing in young adults. 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