Prevention of noise-induced hearing loss in children – evidence-informed recommendations for safe listening at events.

Objective: Children's events are often perceived as excessively loud, with risks of noise-induced hearing loss and other adverse effects. In many countries, including Hungary, specific regulations for recreational noise levels are absent. This research aims to establish a scientific basis for safety...

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Publicado en:International Journal of Audiology Vol. 64; no. 10; pp. 1017 - 1027
Autores principales: Gáborján, Anita, Koscsó, Gábor, Garai, Réka, Tamás, László, Vicsi, Klára, Hacki, Tamás
Formato: questionnaire/scale research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Oct2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Oct2025
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      pub: Taylor & Francis Ltd
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        atl: Prevention of noise-induced hearing loss in children – evidence-informed recommendations for safe listening at events.
      aug:
        au:
          Gáborján, Anita
          Koscsó, Gábor
          Garai, Réka
          Tamás, László
          Vicsi, Klára
          Hacki, Tamás
        affil: Department of Otorhinolaryngology, Head- and Neck Surgery, Semmelweis University, Budapest, Hungary
      sug:
        subj:
          Hearing Loss, Noise-Induced Prevention and Control
          Noise Adverse Effects
          Sound Standards
          Legislation, Medical
          Acoustics
          Anniversaries and Special Events
          Hearing
          Safety
          Human
          Funding Source
          Hungary
          Male
          Female
          Child
          Descriptive Statistics
          Otoacoustic Emissions, Evoked
          Paired T-Tests
          Logistic Regression
          Odds Ratio
          Confidence Intervals
          Data Analysis Software
          Public Policy
          Health Education
          Primary Health Care
          Audiology
          Listening
          Child: 6-12 years
          Male
          Female
      ab: Objective: Children's events are often perceived as excessively loud, with risks of noise-induced hearing loss and other adverse effects. In many countries, including Hungary, specific regulations for recreational noise levels are absent. This research aims to establish a scientific basis for safety categories and noise level limits to protect children's hearing. Design: Noise levels were measured at events, and otoacoustic emissions were assessed to determine auditory impacts. Children and parents also completed loudness perception surveys. Study sample: Thirteen events were analysed with 25 noise-level measurement points. We included children aged 3-12 years, conducted 38 otoacoustic emission tests on both ears before and after the event, and collected 51 completed questionnaires. Results: Only seven measurement points were in the "safe" category, 40% were "risky", and 32% were "dangerous". While safe events did not alter inner ear function, it was reduced in several cases after risky events. High noise intensities were uncomfortable for 80% of the children. Conclusions: Children's events often exceed safe noise levels, underscoring the critical need for sound monitoring and control. We recommend implementing guidelines, public education, and warnings to prevent hearing loss, with proposed regulations and age-related safety recommendations, presenting sound intensity categories with letters A to F.
      pubtype: Academic Journal
      doctype:
        questionnaire/scale
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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