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Epidemiological Study (cross-sectional study)

Audiologic disturbances in long-term mobile phone users. epidemiol.

By: Panda NK, Jain R, Bakshi J, Munjal S
Published in: J Otolaryngol Head Neck Surg 2010; 39 (1): 5 - 11 ( open external web page PubMed Entry )

Aim of study (according to author)
A cross-sectional study was conducted in India to assess the possible health effects of exposure to radiofrequency electromagnetic waves emitted from GSM mobile phones on auditory functions.
Background/further details:
All participants were taken up for several audiologic investigations including pure-tone audiometry, speech discrimination score, speech reception threshold, impedance audiometry, distortion product otoacoustic emissions (DPOAE), auditory brainstem response (ABR) and middle latency response tests.

Endpoint/type of risk estimation

Estimate of prevalence

Exposure

groups of exposure:

Reference group 1:  control group: never used mobile phones 
group 2:  duration of mobile phone use: 1 - 2 years, < 60 min/day 
group 3:  duration of mobile phone use: 1 - 2 years, ≥ 60 min/day 
group 4:  duration of mobile phone use: 2 - 4 years, < 60 min/day 
group 5:  duration of mobile phone use: 2 - 4 years, ≥ 60 min/day 
group 6:  duration of mobile phone use: > 4 years, < 60 min/day 
group 7:  duration of mobile phone use: > 4 years, ≥ 60 min/day 
Reference group 8:  control group: never used mobile phones: ≤ 30 years old 
group 9:  mobile phone users: ≤ 30 years old 
Reference group 10:  control group: never used mobile phones: > 30 years old 
group 11:  mobile phone users: > 30 years old 

Population
Study group: men and women, aged from 18 to 45 years
Group characteristics: random hospital visitors, attendants of patients, people who responded to a general notice about an awareness campaign regarding mobile phone use
Observation period: July 2005 - November 2006
Study location: India (Chandigarh)
Source of data: Department of Otolaryngology Head and Neck Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh
Exclusion criteria: history of ear discharge, previous hearing loss, ear surgery, ototoxic medication, prolonged noise exposure, head trauma; use of CDMA mobile phones

Further parameters acquired by interview (history of hearing loss, tinnitus, vertigo, and aural fullness, general physical and ear examination)

Study size i  
number total 162

Statistical analysis using Chi-square test, Fisher's exact test, Mann-Whitney test, Kruskal-Wallis test

Results/conclusion (according to author)
There was no significant difference between users and non-users of mobile phones for any of the audiologic parameters. However, trends for audiologic disturbances were seen within the users. Risk factors could be age over 30 years, mobile phone use for more than 4 years and more than 60 min/day, presence of tinnitus or ear warmth during mobile phone use. The authors concluded that long-term and intensive mobile phone use may cause inner ear damage.

Limitations (according to author): The results should be interpreted with caution as a large sample size is required to reach definitive conclusions.

(Study character: epidemiological study, cross-sectional study)

Related articles i
Glossary: ABR, audiologic, audiometry, auditory, CDMA, chi-square test, cross-sectional study, digital, DPOAE, ear, electromagnetic waves, emitted, epidemiological, exposure, Fisher's exact test, GSM, health, inner ear, Kruskal-Wallis test, latency, Mann-Whitney test, mobile phone, noise, physical, prevalence, pure-tone audiometry, radiofrequency, risk factors, significant, statistical, surgery, TDMA, threshold, tinnitus, trauma, vertigo

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