Cost-Effective Hearing Conservation: Regulatory and Research Priorities.

Abstract:

:Hearing conservation programs (HCPs) mandated by the US Occupational Safety and Health Administration (OSHA) cost about $350/worker/year. Are they cost-effective? A cross-sectional model of the US adult population with and without HCPs incorporates (1) the American Medical Association's method for estimating binaural hearing impairment and whole-person impairment; (2) the model of the International Organization for Standardization (ISO) for estimating both age-related and noise-induced hearing loss; and (3) an acceptable cost of $50,000 per quality-adjusted life year. The ISO model's outputs were audiometric thresholds for groups of people with different age, sex, and noise exposure history. These thresholds were used to estimate cost per quality-adjusted life year saved for people in HCPs with different noise exposure levels. Model simulations suggest that HCPs may be cost-effective only when time-weighted average (TWA) noise exposures are ≥ 90 dBA. Enforcing existing regulations, requiring engineering noise control at high exposure levels, and using new methods that can document hearing protection device performance could improve cost-effectiveness. If the OSHA action level remains at 85 dBA-TWA, reducing the permissible exposure limit to the same level would simplify management and slightly improve cost-effectiveness. Research should evaluate employer compliance across industries, determine whether workers currently excluded from HCP regulations are at risk of noise-induced hearing loss, and develop cost-effective HCPs for mobile workers in construction, agriculture, and oil and gas drilling and servicing. Research on HCP cost-effectiveness could be extended to incorporate sensitivity analyses of the effects of a wider range of assumptions.

journal_name

Ear Hear

journal_title

Ear and hearing

authors

Dobie RA

doi

10.1097/AUD.0000000000000523

subject

Has Abstract

pub_date

2018-07-01 00:00:00

pages

621-630

issue

4

eissn

0196-0202

issn

1538-4667

journal_volume

39

pub_type

社论
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    abstract:OBJECTIVES:The long-term goal of this research is to determine whether the middle ear muscle reflex can be used to predict the number of healthy auditory nerve fibers in hearing-impaired ears. In this study, we develop a high-impedance source and an animal model of the middle ear muscle reflex and explore the influence...

    journal_title:Ear and hearing

    pub_type: 杂志文章

    doi:10.1097/AUD.0000000000000520

    authors: Chertoff ME,Martz A,Sakumura JT,Kamerer AM,Diaz F

    更新日期:2018-05-01 00:00:00

  • Sensory-Cognitive Interactions in Older Adults.

    abstract::The objective of this study was regarding sensory and cognitive interactions in older adults published since 2009, the approximate date of the most recent reviews on this topic. After an electronic database search of articles published in English since 2009 on measures of hearing and cognition or vision and cognition ...

    journal_title:Ear and hearing

    pub_type: 杂志文章,评审

    doi:10.1097/AUD.0000000000000303

    authors: Humes LE,Young LA

    更新日期:2016-07-01 00:00:00

  • Hearing function in patients living with HIV/AIDS.

    abstract:OBJECTIVES:During the earlier years of the HIV/AIDS epidemic, initial reports described sensorineural hearing loss in up to 49% of individuals with HIV/AIDS. During those years, patients commonly progressed to advanced stages of HIV disease and frequently had neurological complications. However, the abnormalities on pu...

    journal_title:Ear and hearing

    pub_type: 杂志文章

    doi:10.1097/AUD.0000000000000064

    authors: Luque AE,Orlando MS,Leong UC,Allen PD,Guido JJ,Yang H,Wu H

    更新日期:2014-11-01 00:00:00

  • The influence of contextual information on the perception of speech by postlingually and prelingually profoundly hearing-impaired Hebrew-speaking adolescents and adults.

    abstract:OBJECTIVE:To study linguistic context effects on speech perception by prelingually (N = 10) and postlingually (N = 10) hearing-impaired Hebrew-speaking adolescents and adults. DESIGN:Participants were cochlear implant surgery candidates with profound sensorineural hearing loss (95 dB HL+). Four levels of speech percep...

    journal_title:Ear and hearing

    pub_type: 杂志文章

    doi:10.1097/00003446-200106000-00008

    authors: Most T,Adi-Bensaid L

    更新日期:2001-06-01 00:00:00

  • Vestibular-evoked myogenic potential in the prediction of recovery from acute low-tone sensorineural hearing loss.

    abstract:OBJECTIVE:Click and galvanic stimulations of vestibular-evoked myogenic potential (c-VEMP and g-VEMP) were applied to measure the interaural difference (IAD) of saccular responses in patients with acute low-tone sensorineural hearing loss (ALHL). This study intended to explore the relationship between saccular asymmetr...

    journal_title:Ear and hearing

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/AUD.0b013e3181c5b743

    authors: Wang CT,Fang KM,Young YH,Cheng PW

    更新日期:2010-04-01 00:00:00

  • Labeling of musical interval size by cochlear implant patients and normally hearing subjects.

    abstract:OBJECTIVE:To compare the performance of cochlear implant patients and normal-hearing subjects on a musical interval labeling task, and to determine whether information regarding musical interval size is available to cochlear implant patients under realistic everyday listening conditions. DESIGN:Two Nucleus cochlear im...

    journal_title:Ear and hearing

    pub_type: 杂志文章

    doi:10.1097/00003446-199710000-00002

    authors: Pijl S

    更新日期:1997-10-01 00:00:00

  • Retest stability of the communication profile for the hearing impaired.

    abstract::Retest stability of the Communication Profile for the Hearing Impaired (CPHI) was assessed in a sample of 101 active-duty military personnel who attended the Aural Rehabilitation Program at Walter Reed Army Medical Center. Pretests were administered by referring audiologists; retests were administered from 6 to 40 wee...

    journal_title:Ear and hearing

    pub_type: 杂志文章

    doi:10.1097/00003446-198810000-00002

    authors: Demorest ME,Erdman SA

    更新日期:1988-10-01 00:00:00

  • Auditory Discrimination of Lexical Stress Patterns in Hearing-Impaired Infants with Cochlear Implants Compared with Normal Hearing: Influence of Acoustic Cues and Listening Experience to the Ambient Language.

    abstract:OBJECTIVES:To assess discrimination of lexical stress pattern in infants with cochlear implant (CI) compared with infants with normal hearing (NH). While criteria for cochlear implantation have expanded to infants as young as 6 months, little is known regarding infants' processing of suprasegmental-prosodic cues which ...

    journal_title:Ear and hearing

    pub_type: 杂志文章

    doi:10.1097/AUD.0000000000000243

    authors: Segal O,Houston D,Kishon-Rabin L

    更新日期:2016-03-01 00:00:00

  • Hearing in middle age: a population snapshot of 40- to 69-year olds in the United Kingdom.

    abstract:OBJECTIVES:To report population-based prevalence of hearing impairment based on speech recognition in noise testing in a large and inclusive sample of U.K. adults aged 40 to 69 years. The present study is the first to report such data. Prevalence of tinnitus and use of hearing aids is also reported. DESIGN:The researc...

    journal_title:Ear and hearing

    pub_type: 杂志文章

    doi:10.1097/AUD.0000000000000010

    authors: Dawes P,Fortnum H,Moore DR,Emsley R,Norman P,Cruickshanks K,Davis A,Edmondson-Jones M,McCormack A,Lutman M,Munro K

    更新日期:2014-05-01 00:00:00

  • Noise History and Auditory Function in Young Adults With and Without Type 1 Diabetes Mellitus.

    abstract:OBJECTIVES:The purpose of this study was to examine the relationship between noise exposure history, type 1 diabetes mellitus (DM), and suprathreshold measures of auditory function. DESIGN:A cross-sectional study was conducted; 20 normal-hearing participants without type 1 DM were matched on age and sex to 20 normal-h...

    journal_title:Ear and hearing

    pub_type: 杂志文章

    doi:10.1097/AUD.0000000000000457

    authors: Spankovich C,Le Prell CG,Lobarinas E,Hood LJ

    更新日期:2017-11-01 00:00:00

  • Hormonal influence on auditory function.

    abstract::This study examined whether female subjects who had balanced hormonal profiles and who were experiencing the characteristic fluctuation in estrogen and progesterone levels exhibited changes in auditory function unlike subjects who were using a low-dose combined estrogen and progesterone steroid. Threshold data at 500,...

    journal_title:Ear and hearing

    pub_type: 杂志文章

    doi:10.1097/00003446-198007000-00008

    authors: Cox JR

    更新日期:1980-07-01 00:00:00

  • Initial independent results with the Clarion cochlear implant.

    abstract:OBJECTIVE:This paper reports some preliminary findings from patients, implanted at the University of Iowa, using the Advanced Bionics Clarion cochlear implant (version 1.0). We compared the performance of patients using both simultaneous analog and nonsimultaneous pulsatile processing strategies. The performance of Cla...

    journal_title:Ear and hearing

    pub_type: 杂志文章

    doi:10.1097/00003446-199612000-00008

    authors: Tyler RS,Gantz BJ,Woodworth GG,Parkinson AJ,Lowder MW,Schum LK

    更新日期:1996-12-01 00:00:00

  • Status of school children's hearing aids relative to monitoring practices.

    abstract::Data concerning hearing aid monitoring practices and hearing aid malfunction were collected for three groups of mainstreamed hearing-impaired children: 248 children receiving services from itinerant teachers of the hearing impaired, 43 who participated in a study involving extensive psychoeducational evaluation, and 1...

    journal_title:Ear and hearing

    pub_type: 杂志文章,评审

    doi:10.1097/00003446-198808000-00007

    authors: Elfenbein JL,Bentler RA,Davis JM,Niebuhr DP

    更新日期:1988-08-01 00:00:00

  • Binaural Pitch Fusion in Children With Normal Hearing, Hearing Aids, and Cochlear Implants.

    abstract:OBJECTIVES:Binaural pitch fusion is the perceptual integration of stimuli that evoke different pitches between the ears into a single auditory image. Adults who use hearing aids (HAs) or cochlear implants (CIs) often experience abnormally broad binaural pitch fusion, such that sounds differing in pitch by as much as 3 ...

    journal_title:Ear and hearing

    pub_type: 杂志文章

    doi:10.1097/AUD.0000000000000874

    authors: Hartling CL,Fowler JR,Stark GN,Glickman B,Eddolls M,Oh Y,Ramsey K,Reiss LAJ

    更新日期:2020-11-01 00:00:00

  • Distortion product otoacoustic emission test performance for a priori criteria and for multifrequency audiometric standards.

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    更新日期:1999-08-01 00:00:00

  • Family Environment in Children With Hearing Aids and Cochlear Implants: Associations With Spoken Language, Psychosocial Functioning, and Cognitive Development.

    abstract:OBJECTIVES:To examine differences in family environment and associations between family environment and key speech, language, and cognitive outcomes in samples of children with normal hearing and deaf and hard-of-hearing (DHH) children who use hearing aids and cochlear implants. DESIGN:Thirty families of children with...

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    authors: Holt RF,Beer J,Kronenberger WG,Pisoni DB,Lalonde K,Mulinaro L

    更新日期:2020-07-01 00:00:00

  • The statistical basis for serial monitoring in audiology.

    abstract:OBJECTIVES:Audiologists regularly use serial monitoring to evaluate changes in a patient's auditory function over time. Observed changes are compared with reference standards to determine whether further clinical action is necessary. Reference standards are established in a control sample of otherwise healthy subjects ...

    journal_title:Ear and hearing

    pub_type: 临床试验,杂志文章

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    更新日期:2013-09-01 00:00:00

  • Human auditory steady state potentials.

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    journal_title:Ear and hearing

    pub_type: 杂志文章

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    authors: Stapells DR,Linden D,Suffield JB,Hamel G,Picton TW

    更新日期:1984-03-01 00:00:00

  • Perceptual consequences of cochlear hearing loss and their implications for the design of hearing aids.

    abstract::This paper provides an overview of changes in the perception of sound that result from cochlear damage. It starts with a brief introduction to the physiology of the cochlea, emphasizing the role of the "active mechanism" and describing how cochlear function is altered by cochlear damage. Then the effects of cochlear d...

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    pub_type: 杂志文章,评审

    doi:10.1097/00003446-199604000-00007

    authors: Moore BC

    更新日期:1996-04-01 00:00:00

  • Use of probe tube microphone measurements in hearing aid selection for children: some initial clinical experiences.

    abstract::Some initial experiences are described in which ear canal probe tube microphone measurements are used to determine hearing aid settings for children. Decisions are based upon ideas developed by Seewald and Ross (in Amplification for the Hearing Impaired, New York: Grune & Stratton, 1988: 213-267) and Seewald, Ross, an...

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    pub_type: 杂志文章

    doi:10.1097/00003446-198910000-00002

    authors: Hawkins DB,Morrison TM,Halligan PL,Cooper WA

    更新日期:1989-10-01 00:00:00

  • Identification of middle ear effusion by aural acoustic admittance and otoscopy.

    abstract::The ability of aural acoustic immittance measures and validated pneumatic otoscopy to identify middle ear effusion (MEE) was determined for a group of children with chronic or recurrent otitis media. The measures were made immediately prior to surgery for placement of tympanostomy tubes, with the validating diagnosis ...

    journal_title:Ear and hearing

    pub_type: 杂志文章

    doi:10.1097/00003446-199408000-00005

    authors: Nozza RJ,Bluestone CD,Kardatzke D,Bachman R

    更新日期:1994-08-01 00:00:00

  • The influence of RECD transducer when deriving real-ear sound pressure level.

    abstract:OBJECTIVE:The main aim of the present study was to compare the derived and directly measured real-ear hearing instrument performance for a range of commonly used hearing instruments. A secondary aim was to compare the real-ear to coupler difference (RECD) measured using the ER-3A insert earphone and a selection of hear...

    journal_title:Ear and hearing

    pub_type: 杂志文章

    doi:10.1097/01.aud.0000224123.22568.82

    authors: Munro KJ,Millward KE

    更新日期:2006-08-01 00:00:00

  • Judgments of hearing aid processed music.

    abstract::Paired comparison perception and preference judgments of hearing aid processed music were examined under conditions of extended and reduced high and low-frequency ranges. The performance of 20 subjects with mild to moderate hearing impairment was compared with an equal number of normal hearing controls. Subjects with ...

    journal_title:Ear and hearing

    pub_type: 杂志文章

    doi:10.1097/00003446-198201000-00004

    authors: Franks JR

    更新日期:1982-01-01 00:00:00

  • A Bayesian perspective on tinnitus pitch matching.

    abstract:OBJECTIVES:New tinnitus therapies are being developed and marketed that target the patient's tinnitus frequency. This frequency is estimated clinically by pitch matching, which has the patient identify the pure tone that is closest to the perceived tinnitus frequency. Though widely used, pitch matching is heavily criti...

    journal_title:Ear and hearing

    pub_type: 杂志文章

    doi:10.1097/AUD.0000000000000081

    authors: McMillan GP,Thielman EJ,Wypych K,Henry JA

    更新日期:2014-11-01 00:00:00

  • Qualities of Single Electrode Stimulation as a Function of Rate and Place of Stimulation with a Cochlear Implant.

    abstract:OBJECTIVES:Although it has been shown previously that changes in temporal coding produce changes in pitch in all cochlear regions, research has suggested that temporal coding might be best encoded in relatively apical locations. The authors hypothesized that although temporal coding may provide useable information at a...

    journal_title:Ear and hearing

    pub_type: 杂志文章

    doi:10.1097/AUD.0000000000000250

    authors: Landsberger DM,Vermeire K,Claes A,Van Rompaey V,Van de Heyning P

    更新日期:2016-05-01 00:00:00

  • The risks of amplified music for disc-jockeys working in nightclubs.

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    journal_title:Ear and hearing

    pub_type: 杂志文章

    doi:10.1097/AUD.0b013e31819769fc

    authors: Potier M,Hoquet C,Lloyd R,Nicolas-Puel C,Uziel A,Puel JL

    更新日期:2009-04-01 00:00:00

  • Development of the Connected Speech Test (CST).

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    journal_title:Ear and hearing

    pub_type: 杂志文章

    doi:10.1097/00003446-198710001-00010

    authors: Cox RM,Alexander GC,Gilmore C

    更新日期:1987-10-01 00:00:00

  • The effect of hearing aid microphone mode on performance in an auditory orienting task.

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    journal_title:Ear and hearing

    pub_type: 杂志文章

    doi:10.1097/AUD.0000000000000053

    authors: Brimijoin WO,Whitmer WM,McShefferty D,Akeroyd MA

    更新日期:2014-09-01 00:00:00

  • The Benefits of Increased Sensation Level and Bandwidth for Spatial Release From Masking.

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    doi:10.1097/AUD.0000000000000352

    authors: Jakien KM,Kampel SD,Gordon SY,Gallun FJ

    更新日期:2017-01-01 00:00:00

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    更新日期:2010-02-01 00:00:00