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Review of interventions to increase hearing protective device use in youth who live or work on farms


  • Crystal R Sherman DNP, CNP, APHN-BC,

    Assistant Professor, Corresponding author
    1. Department of Nursing, Shawnee State University, Portsmouth, OH
    • Correspondence: Crystal R Sherman, Assistant Professor, Department of Nursing, Shawnee State University, 940 2nd Street, Portsmouth, OH 45662, USA. Telephone: +1 740 250 3955.


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  • Ilana R Azulay Chertok PhD, MSN, IBCLC

    Associate Professor
    1. School of Nursing, West Virginia University, Morgantown, WV, USA
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Aims and objectives

To identify and compare hearing protection interventions for youth working and living on farms.


Noise-induced hearing loss represents a significant risk factor for injury, disability and death in agricultural populations due to an inability to receive sensory information that can indicate dangerous situations. Despite the availability of hearing protection devices, rates of utilisation remain low, while rates of noise-induced hearing loss are high within the agricultural youth population.


Comprehensive review of the literature.


Electronic database searches were conducted to identify research studies of hearing protection interventions for youth living or working on farms.


Three intervention studies were identified as meeting the review criteria, with additional reanalysis studies based on the original intervention studies. The intervention studies demonstrated increased use of hearing protection devices among youth who received the interventions compared to the control groups although audiometry testing results were not improved as a result of the intervention.


The findings of this review highlight the need for additional research into the effectiveness of hearing protection device use as a noise-induced hearing loss preventative measure in youth who live or work on farms and the creation of effective interventions to increase hearing protection device use and decrease Noise-induced hearing loss risk.

Relevance to clinical practice

It is recommended that nurses be educated in the areas of health promotion relevant to farming communities to be able to effectively meet their rural clients' needs in relation to noise-induced hearing loss. Working with youth, families, and schools, as well as developing community partnerships, can facilitate the dissemination of hearing protection promotion.