Over 10% of children falsely identified as having noise induced hearing loss

Research shows hearing loss percentage is much smaller due to limitations in the precision of hearing tests

New research from University of Minnesota hearing scientists shows that fewer than 20 percent of teenagers in the United States have a hearing loss as a result of exposure to loud sounds, thus offering a different analysis of data reported in the Journal of the American Medical Association (JAMA) in August.

The U of M's research, forthcoming in the Journal of Speech, Language, and Hearing Research, points out that the small hearing losses that audiologist are trying to identify with conventional hearing tests are subject to measurement error and that as many as 10 percent or more of children are falsely identified as having a noise induced hearing loss using these methods.

"Most media have emphasized the link between exposure to loud sounds and hearing loss when referring to the JAMA study," says Bert Schlauch, professor in the university's Department of Speech-Language-Hearing Sciences. "However, many of the findings of the JAMA study are not consistent with hearing loss caused by exposure to loud sounds." These conclusions were drawn from an ongoing study of the hearing of the University of Minnesota Marching Band and a forthcoming paper in the Journal of Speech, Language and Hearing Research authored by Schlauch and Edward Carney.

The U of M researchers measured the hearing of members of the university's marching band and found about 15 percent had hearing loss. Researchers followed the band members over the period of a year. When the results of multiple hearing tests were averaged, more than half of the apparent noise induced hearing losses disappeared, a finding consistent with measurement error.

The JAMA study examined two sets of data collected as part of a national study of health and nutrition. Schlauch and Carney examined the older data set that was included in the JAMA study. A highly cited study, published in the journal Pediatrics, examined the older data set and reported an estimated prevalence of 14.9 percent of 12 to 19-year-old children who had hearing loss consistent with noise exposure.

Schlauch and Carney report, based on computer simulations modeling the statistical properties of hearing tests, that as much as 10 percent of the 14.9 percent figure is consistent with false positive responses. In other words, people with normal hearing can produce spurious responses during a hearing test that look like a mild hearing loss, a result consistent with measurement error.

"Our findings do not mean that people should not be concerned about exposure to loud sounds, such as those from personal stereo devices, live music concerts or gun fire," Schlauch says. "The damage may build up over time and not appear until a person is older. For all sounds, the risk increases the more intense the sound and the longer the exposure, particularly from sustained or continuous sounds."