<![CDATA[Noise-induced hearing loss (NIHL) is increasingly reported among adolescents and young adults, particularly due to recreational noise exposure from Personal Listening Devices (PLDs). NIHL may result in permanent threshold shift (PTS), which can adversely affect quality of life. The use of PLDs during exercise may increase the risk of excessive noise exposure. This study aimed to determine the association between PLD use during exercise and hearing screening results using the ScreenOut application among runners. This study employed a cross-sectional study. Data were collected using a structured questionnaire, otoscopic examination, and hearing screening with the ScreenOut application in a quiet environment. Logistic regression analysis was performed to evaluate the association between PLD use and hearing screening results. A total of 94 runners were examined, and 64 met the inclusion and exclusion criteria. The results showed that 65.6% of runners had normal hearing, while 34.4% had hearing impairment. Based on duration of use, 68.8% of runners used PLDs for ≤60 minutes and 31.3% for >60 minutes (OR = 2.59; 95% CI: 0.848–7.968; p = 0.095). Regarding listening volume, 59.4% of runners used PLDs at ≤60% of the maximum volume and 40.6% at >60% (OR = 1.13; 95% CI: 0.382–3.380; p = 0.819). No statistically significant association was found between PLD use and hearing impairment. However, longer duration and higher listening volume showed a trend toward increased odds of hearing impairment, suggesting that further studies with larger sample sizes are warranted. Keywords: Hearing Loss, Noise Induced, Personal Audio Devices, Running, Mass Screening]]>
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