title: Risky music listening, permanent tinnitus and depression, anxiety, thoughts about suicide and adverse general health.
abstract: OBJECTIVE
  To estimate the extent to which exposure to music through earphones or headphones with MP3 players or at discotheques and pop/rock concerts exceeded current occupational safety standards for noise exposure, to examine the extent to which temporary and permanent hearing-related symptoms were reported, and to examine whether the experience of permanent symptoms was associated with adverse perceived general and mental health, symptoms of depression, and thoughts about suicide.
  
  
  METHODS
  A total of 943 students in Dutch inner-city senior-secondary vocational schools completed questionnaires about their sociodemographics, music listening behaviors and health. Multiple logistic regression analyses were used to examine associations.
  
  
  RESULTS
  About 60% exceeded safety standards for occupational noise exposure; about one third as a result of listening to MP3 players. About 10% of the participants experienced permanent hearing-related symptoms. Temporary hearing symptoms that occurred after using an MP3 player or going to a discotheque or pop/rock concert were associated with exposure to high-volume music. However, compared to participants not experiencing permanent hearing-related symptoms, those experiencing permanent symptoms were less often exposed to high volume music. Furthermore, they reported at least two times more often symptoms of depression, thoughts about suicide and adverse self-assessed general and mental health.
  
  
  CONCLUSIONS
  Risky music-listening behaviors continue up to at least the age of 25 years. Permanent hearing-related symptoms are associated with people's health and wellbeing. Participants experiencing such symptoms appeared to have changed their behavior to be less risky. In order to induce behavior change before permanent and irreversible hearing-related symptoms occur, preventive measurements concerning hearing health are needed.
authors.affiliation: Dept of Public Health, Erasmus MC University Medical Center, Rotterdam, the Netherlands; Dept of Youth Policy, Municipal Public Health Service for Rotterdam Area, Rotterdam, the Netherlands.
authors.forename: Ineke
authors.initials: I
authors.lastname: Vogel
authors.affiliation: Dept of Youth Policy, Municipal Public Health Service for Rotterdam Area, Rotterdam, the Netherlands.
authors.forename: Petra M
authors.initials: PM
authors.lastname: van de Looij-Jansen
authors.affiliation: Dept of Youth Policy, Municipal Public Health Service for Rotterdam Area, Rotterdam, the Netherlands.
authors.forename: Cathelijne L
authors.initials: CL
authors.lastname: Mieloo
authors.affiliation: Dept of Public Health, Erasmus MC University Medical Center, Rotterdam, the Netherlands.
authors.forename: Alex
authors.initials: A
authors.lastname: Burdorf
authors.affiliation: Dept of Youth Policy, Municipal Public Health Service for Rotterdam Area, Rotterdam, the Netherlands.
authors.forename: Frouwkje
authors.initials: F
authors.lastname: de Waart
mesh_terms: D000293:Adolescent; D000328:Adult; D001007:Anxiety / Q000209:etiology*; D003863:Depression / Q000209:etiology*; D005260:Female; D006304:Health Status; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D009146:Music; D009426:Netherlands / Q000453:epidemiology; D015995:Prevalence; D012306:Risk; D012309:Risk-Taking; D057566:Self Report; D013334:Students; D059020:Suicidal Ideation; D014012:Tinnitus / Q000150:complications / Q000453:epidemiology* / Q000209:etiology*; D055815:Young Adult