Published online May 26, 2009
PEDIATRICS Vol. 123 No. 6 June 2009, pp. e953-e958 (doi:10.1542/peds.2008-3179)
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ARTICLE

Adolescents and MP3 Players: Too Many Risks, Too Few Precautions

Ineke Vogel, MSca, Hans Verschuure, PhDb, Catharina P. B. van der Ploeg, PhDc, Johannes Brug, PhDa,d and Hein Raat, MD, PhDa

a Departments of Public Health
b Otolaryngology, Erasmus Medical Center, Rotterdam, Netherlands
c Department of Prevention and Healthcare, Quality of Life, Netherlands Organization for Applied Scientific Research, Leiden, Netherlands
d Institute for Research in Extramural Medicine, Free University Medical Center, Amsterdam, Netherlands

OBJECTIVE. The goal was to assess risky and protective listening behaviors of adolescent users of MP3 players and the association of these behaviors with demographic characteristics and frequency of use.

METHODS. In 2007, 1687 adolescents (12–19 years of age) in 68 classes in 15 Dutch secondary schools were invited to complete questionnaires about their music-listening behaviors.

RESULTS. Ninety percent of participants reported listening to music through earphones on MP3 players; 32.8% were frequent users, 48.0% used high volume settings, and only 6.8% always or nearly always used a noise-limiter. Frequent users were >4 times more likely to listen to high-volume music than were infrequent users, and adolescents in practical prevocational schools were more than twice as likely to listen to high-volume music as were those attending preuniversity education.

CONCLUSIONS. When using MP3 players, adolescents are very likely to engage in risky listening behaviors and are unlikely to seek protection. Frequent MP3 player use is an indicator of other risky listening behaviors, such as listening at high volumes and failing to use noise-limiters.

Key Words: adolescents • MP3 player-related behaviors • prevention and control

Abbreviations: OR—odds ratio • CI—confidence interval

Accepted Jan 30, 2009.


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