| Improving detection of adolescent hearing loss. | |
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MedLine Citation:
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PMID: 22147776 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To compare a protocol for pure-tone threshold testing, capable of detecting high-frequency hearing loss as indicated by notched audiometric configurations, with the current school rapid hearing screen and to determine typical adolescent noise exposures associated with notched audiometric configurations. DESIGN: In conjunction with required school rapid hearing screening, a pure-tone threshold testing protocol was administered, specifically to test hearing at high frequencies. A single audiologist reviewed the results. Students completed a survey assessing their noise exposures. SETTING: A public high school in Pennsylvania. PARTICIPANTS: Eleventh-grade students. MAIN OUTCOME MEASURE: Notched audiometric configurations on the pure-tone threshold test. RESULTS: Among 296 participants, 78 (26.4%) failed pure-tone threshold testing compared with 15 (5.1%) failing rapid hearing screening. Among those failing the pure-tone threshold testing, 67 (85.9%) failed due to notched audiometric configurations. Self-reported headphone use with an MP3 player was significantly associated with notched audiometric configurations compared with use of earbuds or stereo connection/docking systems. CONCLUSIONS: Pure-tone threshold testing incorporating high frequencies detects adolescent hearing loss more often than rapid hearing screens. Most state hearing screens omit high-frequency testing, potentially missing high-frequency losses, such as noise-induced hearing loss. Because noise-induced hearing loss in particular is preventable and hazardous noise exposures have increased, a reliable school hearing screen to detect high-frequency hearing loss in adolescents is warranted. |
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Authors:
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Deepa L Sekhar; Julie A Rhoades; Amy L Longenecker; Jessica S Beiler; Tonya S King; Mark D Widome; Ian M Paul |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Archives of pediatrics & adolescent medicine Volume: 165 ISSN: 1538-3628 ISO Abbreviation: Arch Pediatr Adolesc Med Publication Date: 2011 Dec |
Date Detail:
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Created Date: 2011-12-07 Completed Date: 2012-01-26 Revised Date: 2012-05-29 |
Medline Journal Info:
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Nlm Unique ID: 9422751 Medline TA: Arch Pediatr Adolesc Med Country: United States |
Other Details:
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Languages: eng Pagination: 1094-100 Citation Subset: AIM; IM |
Affiliation:
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Department of Pediatrics, Penn State College of Medicine, 500 University Dr, Mail Code HS83, Hershey, PA 17036, USA. dsekhar@hmc.psu.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Audiometry, Pure-Tone* Chi-Square Distribution Female Hearing Loss, Noise-Induced / diagnosis*, epidemiology Humans Logistic Models Male Mass Screening Risk Factors School Health Services |
| Comments/Corrections | |
Comment In:
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J Pediatr. 2012 May;160(5):882-3
[PMID:
22516331
]
Arch Pediatr Adolesc Med. 2011 Dec;165(12):1135-6 [PMID: 22147782 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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