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Sociodemographic correlates of occupational, recreational and firearm noise exposure among adults in the USA

  • A P Knewitz (a1), M C Simpson (a1), D A Harris (a1), J M Sappington (a1) and N Osazuwa-Peters (a1)...



To determine sociodemographic factors associated with occupational, recreational and firearm-related noise exposure.


This nationally representative, multistage, stratified, cluster cross-sectional study sampled eligible National Health and Nutrition Examination Survey participants aged 20–69 years (n = 4675) about exposure to occupational and recreational noise and recurrent firearm usage, using a weighted multivariate logistic regression analysis.


Thirty-four per cent of participants had exposure to occupational noise and 12 per cent to recreational noise, and 13 per cent repeatedly used firearms. Males were more likely than females to have exposure to all three noise types (adjusted odds ratio range = 2.63–14.09). Hispanics and Asians were less likely to have exposure to the three noise types than Whites. Blacks were less likely than Whites to have occupational and recurrent firearm noise exposure. Those with insurance were 26 per cent less likely to have exposure to occupational noise than those without insurance (adjusted odds ratio = 0.74, 95 per cent confidence interval = 0.60–0.93).


Whites, males and uninsured people are more likely to have exposure to potentially hazardous loud noise.


Corresponding author

Author for correspondence: Dr Nosayaba Osazuwa-Peters, Department of Otolaryngology – Head and Neck Surgery, Saint Louis University School of Medicine, 3635 Vista Avenue, 6FDT, St Louis, MO63110-2539, USA E-mail: Fax: +1 (314) 268 7401


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Dr N Osazuwa-Peters takes responsibility for the integrity of the content of the paper

Presented in part at the American Public Health Association Annual Meeting and Expo, 10–14 November 2018, San Diego, California, USA.



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1Basner, M, Babisch, W, Davis, A, Brink, M, Clark, C, Janssen, S et al. Auditory and non-auditory effects of noise on health. Lancet 2014;383:1325–32
2Masterson, EA, Bushnell, PT, Themann, CL, Morata, TC. Hearing impairment among noise-exposed workers - United States, 2003–2012. MMWR Morb Mortal Wkly Rep 2016;65:389–94
3Agrawal, Y, Platz, EA, Niparko, JK. Risk factors for hearing loss in US adults: data from the National Health and Nutrition Examination Survey, 1999 to 2002. Otol Neurotol 2009;30:139–45
4Alberti, P. Noise, the most ubiquitous pollutant. Noise Health 1998;1:35
5Johnson, TA, Cooper, S, Stamper, GC, Chertoff, M. Noise Exposure Questionnaire (NEQ): a tool for quantifying annual noise exposure. J Am Acad Audiol 2017;28:1435
6Chepesiuk, R. Decibel hell: the effects of living in a noisy world. Environ Health Perspect 2005;113:A3441
7Masterson, EA, Themann, CL, Luckhaupt, SE, Li, J, Calvert, GM. Hearing difficulty and tinnitus among U.S. workers and non-workers in 2007. Am J Ind Med 2016;59:290300
8Tak, S. Noise, hearing protector use, and hearing loss in American workers. Update: The Newsletter of the Council for Accreditation in Occupational Hearing Conservation 2009;21:56
9Myers, J, John, AB, Kimball, S, Fruits, T. Prevalence of tinnitus and noise-induced hearing loss in dentists. Noise Health 2016;18:347–54
10Vaisbuch, Y, Alyono, JC, Kandathil, C, Wu, SH, Fitzgerald, MB, Jackler, RK. Occupational noise exposure and risk for noise-induced hearing loss due to temporal bone drilling. Otol Neurotol 2018;39:693–9
11Ivory, R, Kane, R, Diaz, RC. Noise-induced hearing loss: a recreational noise perspective. Curr Opin Otolaryngol Head Neck Surg 2014;22:394–8
12Bhatt, JM, Lin, HW, Bhattacharyya, N. Epidemiology of firearm and other noise exposures in the United States. Laryngoscope 2017;127:E340–6
13Dalton, DS, Cruickshanks, KJ, Wiley, TL, Klein, BE, Klein, R, Tweed, TS. Association of leisure-time noise exposure and hearing loss. Audiology 2001;40:19
14McCombe, AW. Hearing loss in motorcyclists: occupational and medicolegal aspects. J R Soc Med 2003;96:79
15Carroll, YI, Eichwald, J, Scinicariello, F, Hoffman, HJ, Deitchman, S, Radke, MS et al. Vital signs: noise-induced hearing loss among adults - United States 2011–2012. MMWR Morb Mortal Wkly Rep 2017;66:139–44
16Le Prell, CG, Spankovich, C, Lobarinas, E, Griffiths, SK. Extended high-frequency thresholds in college students: effects of music player use and other recreational noise. J Am Acad Audiol 2013;24:725–39
17Rabinowitz, PM. Noise-induced hearing loss. Am Fam Physician 2000;61:2749–56, 2759–60
18Hoffman, HJ, Dobie, RA, Losonczy, KG, Themann, CL, Flamme, GA. Declining prevalence of hearing loss in US adults aged 20 to 69 years. JAMA Otolaryngol Head Neck Surg 2017;143:274–85
19Cruickshanks, KJ, Dhar, S, Dinces, E, Fifer, RC, Gonzalez, F 2nd, Heiss, G et al. Hearing impairment prevalence and associated risk factors in the Hispanic Community Health Study/Study of Latinos. JAMA Otolaryngol Head Neck Surg 2015;141:641–8
20Agrawal, Y, Platz, EA, Niparko, JK. Prevalence of hearing loss and differences by demographic characteristics among US adults: data from the National Health and Nutrition Examination Survey, 1999–2004. Arch Intern Med 2008;168:1522–30
21Centers for Disease Control and Prevention. About the National Health and Nutrition Examination Survey. In: [27 July 2018]
22National Health and Nutrition Examination Survey: 2011–2012 Data Documentation, Codebook, and Frequencies. Audiometry (AUQ_G). In: [27 July 2018]
23Centers for Disease Control and Prevention. National Health and Nutrition Examination Survey, Module 3: Weighting. In: [27 July 2018]
24Emmett, SD, Francis, HW. The socioeconomic impact of hearing loss in U.S. adults. Otol Neurotol 2015;36:545–50
25Pelegrin, AC, Canuet, L, Rodriguez, AA, Morales, MP. Predictive factors of occupational noise-induced hearing loss in Spanish workers: a prospective study. Noise Health 2015;17:343–9
26Kerr, MJ, McCullagh, M, Savik, K, Dvorak, LA. Perceived and measured hearing ability in construction laborers and farmers. Am J Ind Med 2003;44:431–7
27Paul, C, Tzelepis, F, Walsh, RA, Girgis, A, King, L, McKenzie, J. Has the investment in public cancer education delivered observable changes in knowledge over the past 10 years? Cancer 2003;97:2931–9
28Nondahl, DM, Cruickshanks, KJ, Dalton, DS, Klein, BE, Klein, R, Tweed, TS et al. The use of hearing protection devices by older adults during recreational noise exposure. Noise Health 2006;8:147–53
29Seidman, MD, Standring, RT. Noise and quality of life. Int J Environ Res Public Health 2010;7:3730–8
30Zelaya, CE, Lucas, JW, Hoffman, HJ. Self-reported Hearing Trouble in Adults Aged 18 and Over: United States, 2014. NCHS data brief, no 214. Hyattsville, MD: National Center for Health Statistics, 2015
31Blackwell, DL, Lucas, JW, Clarke, TC. Summary health statistics for U.S. adults: national health interview survey, 2012. Vital Health Stat 10 2014;(260):1161
32Chen, DS, Betz, J, Yaffe, K, Ayonayon, HN, Kritchevsky, S, Martin, KR et al. Association of hearing impairment with declines in physical functioning and the risk of disability in older adults. J Gerontol A Biol Sci Med Sci 2015;70:654–61
33Huddle, MG, Goman, AM, Kernizan, FC, Foley, DM, Price, C, Frick, KD et al. The economic impact of adult hearing loss: a systematic review. JAMA Otolaryngol Head Neck Surg 2017;143:1040–8
34Branas, CC, Flescher, A, Formica, MK, Galea, S, Hennig, N, Liller, KD et al. Academic public health and the firearm crisis: an agenda for action. Am J Public Health 2017;107:365–7
35Galea, S, Vaughan, RD. Learning from the evolving conversation on firearms: a public health of consequence, July 2018. Am J Public Health 2018;108:856–7
36Butkus, R, Doherty, R, Daniel, H; Health and Public Policy Committee of the American College of Physicians. Reducing firearm-related injuries and deaths in the United States: executive summary of a policy position paper from the American college of physicians. Ann Intern Med 2014;160:858–60
37Gius, M. An examination of the effects of concealed weapons laws and assault weapons bans on state-level murder rates. Appl Econ Lett 2014;21:265–7
38Planty, M, Truman, J. Firearm Violence, 1993–2011. Washington, DC: Bureau of Justice Statistics, US Department of Justice, 2013


Sociodemographic correlates of occupational, recreational and firearm noise exposure among adults in the USA

  • A P Knewitz (a1), M C Simpson (a1), D A Harris (a1), J M Sappington (a1) and N Osazuwa-Peters (a1)...


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