Knowledge and Practices Regarding Personal Listening Device Use and Associated Health Risks among Medical Students

Authors

  • Rizka Fakhriani Department of Otorhinolaryngology-Head and Neck Surgery and Neck Surgery, Faculty of Medicine and Health Science, University of Muhammadiyah Yogyakarta, Yogyakarta, Indonesia
  • Asti Widuri Department of Otorhinolaryngology-Head and Neck Surgery and Neck Surgery, Faculty of Medicine and Health Science, University of Muhammadiyah Yogyakarta, Yogyakarta, Indonesia
  • Danu Yudistira Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Public Health and Nursing, University of Gadjah Mada, Yogyakarta, Indonesia

DOI:

https://doi.org/10.56338/mppki.v9i8.9199

Keywords:

Sound, Music, Noise-Induced Hearing Loss, Medical Students

Abstract

Introduction: The growing use of personal listening devices (PLDs) among young adults has raised concerns about unsafe listening practices, yet evidence on Indonesian medical students’ knowledge remains limited. This study aimed to assess undergraduate medical students’ knowledge of hearing-related risks and self-reported PLD listening practices.

Methods: An analytical cross-sectional study was conducted among undergraduate medical students at a university in Yogyakarta, Indonesia, from April to May 2022. A total of 182 students completed a structured self-administered questionnaire adapted from previous studies. The questionnaire covered demographic characteristics, knowledge of hearing-related risks, and safe listening practices. Chi-squared or Fisher’s exact tests were used to examine associations between categorical variables, with statistical significance set at p < 0.05.

Results: Most respondents (76.4%) had used PLDs for more than five years. Nearly half (49.5%) reported using PLDs for less than one hour per day, and 39.0% preferred a loud listening volume. Most participants recognised possible consequences of prolonged PLD use, including hearing loss (100%) and tinnitus (99.5%). Overall, 61.5% identified less than three hours as the safe limit at normal volume, and 72.0% identified less than one hour at loud volume.

Conclusion: Respondents generally recognised hearing-related risks; however, knowledge of safe-listening recommendations and exposure limits was incomplete, and potentially unsafe listening practices were reported. These findings support hearing-conservation education that emphasises practical safe-listening behaviours among university students.

Downloads

Download data is not yet available.

References

Alkharabsheh A, Alshurafa S, Alhanbali S, Garadat S. Personal listening device usage among university students and their audiometric profile during the shift to online learning post-COVID-19. PLoS One. 2025;20(3): e0319665. https://doi.org/10.1371/journal.pone.0319665

You S, Kwak C, Han W. Use of personal listening devices and knowledge/attitude for greater hearing conservation in college students: Data analysis and regression model based on 1009 respondents. Int J Environ Res Public Health. 2020;17(8):2934. https://doi.org/10.3390/ijerph17082934

Sliwinska-Kowalska M, Davis A. Noise-induced hearing loss. Noise Health. 2012;14(61):274-280. https://doi.org/10.4103/1463-1741.104893

Shim H, Lee S, Koo M, Kim J. Analysis of output levels of an MP3 player: effects of earphone type, music genre, and listening duration. J Audiol Otol. 2018;22(3):140-147. https://doi.org/10.7874/jao.2017.00339

Natarajan N, Batts S, Stankovic KM. Noise-induced hearing loss. J Clin Med. 2023;12(6):2347. https://doi.org/10.3390/jcm12062347

World Health Organization. WHO global standard for safe listening venues and events. Geneva: World Health Organization; 2022. Available from: https://www.who.int/publications/i/item/9789240043114

World Health Organization. World report on hearing. Geneva: World Health Organization; 2021. Available from: https://www.who.int/publications/i/item/world-report-on-hearing

Alkahtani R, Alghayhab R, Alanazi A, Alahmari L, Almohammadi L, Almanie A, et al. Awareness and practices related to ear health in university students: evidence from Riyadh, Saudi Arabia. Egypt J Otolaryngol. 2026;42(1). https://doi.org/10.1186/s43163-026-01005-7

Dillard LK, Arunda MO, Lopez-Perez L, Martinez RX, Jiménez L, Chadha S. Prevalence and global estimates of unsafe listening practices in adolescents and young adults: a systematic review and meta-analysis. BMJ Glob Health. 2022;7(11): e010501. https://doi.org/10.1136/bmjgh-2022-010501

Sabri Agustaputra MS, Kristanti AW, Sebong PH. Prevalensi gangguan dengar akibat bising dan safe listening pada mahasiswa kedokteran Universitas Katolik Soegijapranata. J Pranata Biomedika. 2023;2(1):48-69. https://doi.org/10.24167/jpb.v2i1.10134

Mourad Abd El-Mawgoud. Personal audio devices and the risk of hearing loss in young adults. Electron Physician. 2020;12(1):7662-7667. https://doi.org/10.19082/7662

Shah P, MS V, Raja K. Awareness about noise-induced hearing loss and the use of unsafe listening practices among medical students. Indian J Otolaryngol Head Neck Surg. 2024;76(4):3458-3464. https://doi.org/10.1007/s12070-024-04727-3

Gajendran A, Devi Rajendiran G, Prateep A, Satindra H, Rajendran R. Prevalence of high-frequency noise-induced hearing loss among medical students using personalized listening devices. J Clin Med. 2025;14(1):49. https://doi.org/10.3390/jcm14010049

Wang D, Li C, Wang Y, Wang S, Wu S, Zhang S, et al. Health education intervention on hearing health risk behaviors in college students. Int J Environ Res Public Health. 2021;18(4):1560. https://doi.org/10.3390/ijerph18041560

Levey S, Levey T, Fligor BJ. Noise exposure estimates of urban MP3 player users. J Speech Lang Hear Res. 2011;54(1):263-277. https://doi.org/10.1044/1092-4388(2010/09-0283)

Seedat RY, Ehlers R, Lee Y, Mung’Omba C, Plaatjies K, Prins M, et al. Knowledge of the audiological effects, symptoms and practices related to personal listening devices of health sciences students at a South African university. J Laryngol Otol. 2020;134(1):20-23. https://doi.org/10.1017/S0022215120000092

Basu S, Garg S, Singh M, Kohli C. Knowledge and practices related to the use of personal audio devices and associated health risks among medical students in Delhi. J Educ Health Promot. 2019; 8:13. https://doi.org/10.4103/jehp.jehp_308_18

Sharma Y, Mishra G, Mahida DA. Effect on hearing due to amplified music exposure. Int J Otorhinolaryngol Clin. 2022;14(1):22-25. https://doi.org/10.5005/jp-journals-10003-1424

Khoza-Shangase K, Mokhethi K. Personal listening devices and hearing health: the psychological and social factors influencing undergraduate students' safe listening behaviors. Int J Behav Med. 2025. https://doi.org/10.1007/s12529-025-10401-x

Gopal S. A systematic literature review of music-induced hearing loss. Scholarly Journal of Otolaryngology. 2021;6(4). https://doi.org/10.32474/SJO.2021.06.000245

Gilles A, Van Hal G, De Ridder D, Wouters K, Van de Heyning P. Epidemiology of noise-induced tinnitus and the attitudes and beliefs towards noise and hearing protection in adolescents. PLoS One. 2013;8(7): e70297. https://doi.org/10.1371/journal.pone.0070297

Moore DR, Zobay O, Mackinnon RC, Whitmer WM, Akeroyd MA. Lifetime leisure music exposure associated with increased frequency of tinnitus. Hear Res. 2017; 347:18-27. https://doi.org/10.1016/j.heares.2016.10.030

Byeon H. Associations between adolescents' earphone usage in noisy environments, hearing loss, and self-reported hearing problems in a nationally representative sample of South Korean middle and high school students. Medicine (Baltimore). 2021;100(3): e24056. https://doi.org/10.1097/MD.0000000000024056

AlQahtani AS, Alshammari AN, Khalifah EM, Alnabri AA, Aldarwish HA, Alshammari KF, Alshammari HF, Almudayni AM. Awareness about the relation of noise-induced hearing loss and use of headphones at Hail region. Ann Med Surg (Lond). 2022; 73:103113. https://doi.org/10.1016/j.amsu.2021.103113

Alzhrani F, Al-Saleh S, Asrar S, Al-Dhafeeri A, Al-Baqami B, Al-Harbi M, et al. Community awareness of noise-induced hearing loss from portable listening devices and possible preventive measures. J Nat Sci Med. 2020;3(2):107-114. https://doi.org/10.4103/JNSM.JNSM_29_19

Ghosh PGV, Chowdri NV, M VD. Auditory effects of personal music systems in young adults: a questionnaire-based study. J Hear Sci. 2021;11(4):36-41. https://doi.org/10.17430/JHS.2021.11.4.4

Downloads

Published

2026-08-19

How to Cite

Rizka Fakhriani, Asti Widuri, & Danu Yudistira. (2026). Knowledge and Practices Regarding Personal Listening Device Use and Associated Health Risks among Medical Students. Media Publikasi Promosi Kesehatan Indonesia (MPPKI), 9(8), 1526–1533. https://doi.org/10.56338/mppki.v9i8.9199

Issue

Section

Research Article