title: Dysfunctional thinking patterns and immigration status as predictors of hearing protection device usage.
abstract: BACKGROUND
  There is limited research on the role of dysfunctional/irrational thinking processes and immigration status on hearing protection device (HPD) usage.
  
  
  OBJECTIVE
  The aim of the study is to investigate the effects of low frustration tolerance (LFT) and immigration status on HPD usage among employees exposed to hazardous industrial noise.
  
  
  METHODS
  A total of 117 Israeli-borns and 80 new immigrants from former Soviet Union completed a questionnaire. The association between HPD usage and barriers to action, self-efficacy, and LFT (accounting for age, years of exposure, and immigration status) were assessed using ordered logistic regression models.
  
  
  RESULTS
  LFT was associated negatively (adjusted odds ratio [OR]=.25, 95%; confidence interval [CI]=.15-.41) with HPD usage. Self-efficacy was a modifier (adjusted OR=1.47, 95%; CI=1.34-1.63): the higher the self-efficacy for a given LFT level, the higher the extent of HPD usage. Immigration status was not a significant predictor.
  
  
  CONCLUSIONS
  HPD usage is associated with both rational and irrational motivations. The role of LFT in hearing protection should be further investigated.
authors.affiliation: Sociology of Health, Ben-Gurion University of the Negev and School of Health Professions, Tel Aviv University, Israel. talmak@bgu.ac.il
authors.forename: Talma
authors.initials: T
authors.lastname: Kushnir
authors.forename: Lela
authors.initials: L
authors.lastname: Avin
authors.forename: Alexandra
authors.initials: A
authors.lastname: Neck
authors.forename: Anna
authors.initials: A
authors.lastname: Sviatochevski
authors.forename: Svetlana
authors.initials: S
authors.lastname: Polak
authors.forename: Chava
authors.initials: C
authors.lastname: Peretz
mesh_terms: D000328:Adult; D003072:Cognition Disorders / Q000453:epidemiology*; D003710:Demography; D004430:Ear Protective Devices / Q000706:statistics & numerical data*; D004641:Emigration and Immigration / Q000331:legislation & jurisprudence*; D006801:Humans; D008297:Male; D009042:Motivation; D009622:Noise; D016273:Occupational Exposure; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D013850:Thinking