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The Effectiveness of Hearing Protection Devices: A Systematic Review and Meta-Analysis

To prevent intensive noise exposure in advance and be safely controlled during such exposure, hearing protection devices (HPDs) have been widely used by workers. The present study evaluates the effectiveness of these HPDs, partitioned into three different outcomes, such as sound attenuation, sound l...

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Autores principales: Kwak, Chanbeom, Han, Woojae
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8583416/
https://www.ncbi.nlm.nih.gov/pubmed/34770206
http://dx.doi.org/10.3390/ijerph182111693
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author Kwak, Chanbeom
Han, Woojae
author_facet Kwak, Chanbeom
Han, Woojae
author_sort Kwak, Chanbeom
collection PubMed
description To prevent intensive noise exposure in advance and be safely controlled during such exposure, hearing protection devices (HPDs) have been widely used by workers. The present study evaluates the effectiveness of these HPDs, partitioned into three different outcomes, such as sound attenuation, sound localization, and speech perception. Seven electronic journal databases were used to search for published articles from 2000 to 2021. Based on inclusion criteria, 20 articles were chosen and then analyzed. For a systematic review and meta-analysis, standardized mean differences (SMDs) and effect size were calculated using a random-effect model. The funnel plot and Egger’s regression analysis were conducted to assess the risk of bias. From the overall results of the included 20 articles, we found that the HPD function performed significantly well for their users (SMDs: 0.457, 95% confidence interval (CI): 0.034–0.881, p < 0.05). Specifically, a subgroup analysis showed a meaningful difference in sound attenuation (SMDs: 1.080, 95% CI: 0.167–1.993, p < 0.05) when to wear and not to wear HPDs, but indicated no significance between the groups for sound localization (SMDs: 0.177, 95% CI: 0.540–0.894, p = 0.628) and speech perception (SMDs: 0.366, 95% CI: −0.100–1.086, p = 0.103). The HPDs work well for their originally designated purposes without interfering to find the location of the sound sources and for talking between the workers. Taking into account various factors, such as the characteristics of the users, selection of appropriate types, and fitting methods for wearing in different circumstances, seems to be necessary for a reliable systematic analysis in terms of offering the most useful information to the workers.
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spelling pubmed-85834162021-11-12 The Effectiveness of Hearing Protection Devices: A Systematic Review and Meta-Analysis Kwak, Chanbeom Han, Woojae Int J Environ Res Public Health Systematic Review To prevent intensive noise exposure in advance and be safely controlled during such exposure, hearing protection devices (HPDs) have been widely used by workers. The present study evaluates the effectiveness of these HPDs, partitioned into three different outcomes, such as sound attenuation, sound localization, and speech perception. Seven electronic journal databases were used to search for published articles from 2000 to 2021. Based on inclusion criteria, 20 articles were chosen and then analyzed. For a systematic review and meta-analysis, standardized mean differences (SMDs) and effect size were calculated using a random-effect model. The funnel plot and Egger’s regression analysis were conducted to assess the risk of bias. From the overall results of the included 20 articles, we found that the HPD function performed significantly well for their users (SMDs: 0.457, 95% confidence interval (CI): 0.034–0.881, p < 0.05). Specifically, a subgroup analysis showed a meaningful difference in sound attenuation (SMDs: 1.080, 95% CI: 0.167–1.993, p < 0.05) when to wear and not to wear HPDs, but indicated no significance between the groups for sound localization (SMDs: 0.177, 95% CI: 0.540–0.894, p = 0.628) and speech perception (SMDs: 0.366, 95% CI: −0.100–1.086, p = 0.103). The HPDs work well for their originally designated purposes without interfering to find the location of the sound sources and for talking between the workers. Taking into account various factors, such as the characteristics of the users, selection of appropriate types, and fitting methods for wearing in different circumstances, seems to be necessary for a reliable systematic analysis in terms of offering the most useful information to the workers. MDPI 2021-11-07 /pmc/articles/PMC8583416/ /pubmed/34770206 http://dx.doi.org/10.3390/ijerph182111693 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Systematic Review
Kwak, Chanbeom
Han, Woojae
The Effectiveness of Hearing Protection Devices: A Systematic Review and Meta-Analysis
title The Effectiveness of Hearing Protection Devices: A Systematic Review and Meta-Analysis
title_full The Effectiveness of Hearing Protection Devices: A Systematic Review and Meta-Analysis
title_fullStr The Effectiveness of Hearing Protection Devices: A Systematic Review and Meta-Analysis
title_full_unstemmed The Effectiveness of Hearing Protection Devices: A Systematic Review and Meta-Analysis
title_short The Effectiveness of Hearing Protection Devices: A Systematic Review and Meta-Analysis
title_sort effectiveness of hearing protection devices: a systematic review and meta-analysis
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8583416/
https://www.ncbi.nlm.nih.gov/pubmed/34770206
http://dx.doi.org/10.3390/ijerph182111693
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