Evaluating Listening Behaviours of Nightclub Goers: An International Web-Based Study with Resident Advisor

Nightclubs expose nearly 40% of young adults in high- and middle-income countries to damaging levels of noise with attendant risk of noise-damage hearing symptoms and sequelae of mood disorders, social isolation and dementia. This study evaluated clubbers hearing symptoms, visiting behaviours and safe listening habits.

A web-based, population-specific data collection tool was shown to visitors of the dance music website Resident Advisor over a 7-hour period. It identified how often and for how long clubbers attend loud music venues (as this will influence their safe-noise dose) alongside their attitudes, use of safer listening practices and whether their visit frequency changed with the presence of hearing symptoms. For analysis, we used descriptive statistics, Chi-squared test, Fisher exact test and logistic regression analysis.

We collected 1020 (29.0%) responses from 3516 data collection tool invites. Key findings are as follows: 73.4% (n = 749) of respondents had permanent ear symptoms ('sometimes', 'often' or 'always'). Respondents attended loud music venues 1-5 times per month (78.5%, n = 801) for a duration of 5-6 hours a visit (41.1%, n = 419) on average. When in loud venues, 32.3% wore earplugs, 38.5% took regular listening breaks, 5.9% checked the noise level, 45.4% moved to a quieter spot and 13.2% had a hearing test in the last year. Two-thirds and one-half of those with no or temporary hearing symptoms, respectively, would attend music venues less often if they were to develop symptoms or if symptoms were to worsen.

Based on our visit data, the average music venue patron has some degree of permanent hearing-damage symptoms and should be aware that they are very likely to exceed their safe-noise dose (and risk irreversible hearing damage) even in venues adhering to the World Health Organization standard for safe listening loudness.