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Updated: Jun 23, 2026

Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
Noise-induced hearing loss in children: A 'less than silent' environmental danger
1Division of Neuroscience and Mental Health, The Hospital for Sick Children; Department of Otolaryngology - Head and Neck Surgery; Department of Physiology, University of Toronto, Toronto, Ontario.
Insights
Recreational noise exposure, particularly from personal devices, is increasing noise-induced hearing loss in children. Prevention strategies are crucial for protecting young people's hearing health.
Area of Science:
- Audiology
- Pediatric Health
- Public Health
Background:
- Noise-induced hearing loss (NIHL) is a growing concern in pediatric populations.
- Recreational noise exposure, including music and personal entertainment devices, is a significant risk factor.
- Associated issues like tinnitus can impact quality of life.
Purpose of the Study:
- To review the challenges of NIHL in children.
- To discuss the underlying mechanisms and consequences of NIHL.
- To provide actionable advice for NIHL prevention.
Main Methods:
- Literature review focusing on pediatric NIHL.
- Analysis of evidence for increasing NIHL trends in youth.
- Synthesis of prevention recommendations.
Main Results:
- Evidence suggests a rise in NIHL among children and adolescents.
- Personal entertainment devices and loud music are key contributors.
- Tinnitus is a common co-occurring symptom.
Conclusions:
- Urgent attention is needed to address rising NIHL in children.
- Implementing prevention strategies is essential for safeguarding hearing.
- Multifaceted approaches involving clinicians, caregivers, and children are recommended.
Abstract:
A review of the problems of noise-induced hearing loss in children, especially related to recreational music and the use of personal entertainment devices. The pathophysiology of noise-induced hearing loss and its associated problems (eg, tinnitus) are discussed. The evidence for an increase in noise-induced hearing loss in children and young people is reviewed. Some practical advice (for clinicians, caregivers and children) on hearing loss prevention is provided.
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