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NIOSH - National Institute for Occupational Safety and Health
NIOSH Hearing Loss Research Program Review NIOSH Publications on Noise and Hearing The National Academies - Advisors to the Nation on Science, Engineering, and Medicine

What has the program achieved?

In this section ....

Research Goal 1

Research Goal 2

Research Goal 3

Research Goal 4

HLR Databases

Acronym Finder

Outputs and Transfer - Research Goal 1.2:
Develop a practical guide for preventing occupational hearing loss

NIOSH published two major “Practical Guides” for implementing hearing loss prevention programs in 1990 and 1996. The latter is available in print and as a download from the NIOSH noise and hearing loss prevention web pages.

Portions of the document have been repackaged as smaller documents. Smaller portions have been presented as lectures or workshops for the military, small businesses, and industry sectors typically underserved with regard to hearing conservation, such as construction and mining.

Intermediate Outcomes

From January, 2003 to June, 2005, over 13,000 visits to the web-based guide have taken place. Between 2000 and 2004, nearly 10,000 print copies were sent to more than 1100 requesting organizations and individuals. Some of the requestors of the guide were recorded by the NIOSH publications office, by type of organization. The distribution is:

Foreign                134

Industry                341

Government        60

Research             129

Academia             66

Other                     338

In addition, between January, 2000 and June, 2005, almost 15,000 copies of this guide were distributed to meetings of the NHCA, AAA, American Association of Occupational Health Nurses, National Safety Congress, AIHA, Ohio Safety Congress, Allied Construction Industries (ACI), and at other hearing health, service provider, or trade meetings.

The guide has been used as a mandatory text in the industrial audiology graduate courses at The Ohio State University and Miami University (Ohio). The HLR program staff also uses the guide when conducting train-the-trainer sessions on managing effective hearing loss prevention programs. Participants typically report intent to further disseminate the information they learn in these training sessions and often request multiple copies for use as they conduct their own classes and workshops.

>> View What's Ahead for this Research Subgoal

NIOSH Numbered Publications

NIOSH [1990]. A practical guide to effective hearing conservation programs in the workplace. Cincinnati, OH: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, DHHS (NIOSH) Publication No. 90-120.

Journal Articles

Lacerda ABM, Fiorini AC, Morata TC [2001].  Audiologic evaluation of fitness centers instructors in Curitiba (in Portuguese). Rev  Distúrbios Comunicação 13(1):9-18.

Lacerda ABM, Morata, TC, Fiorini AC [2001]. Characterization of sound pressure levels in fitness centers and complaints from instructors (in Portuguese). Rev Bras Otorrinolarin 65(5):656-659.


Merry CJ [2001].Why Training Needs Change. In Best Practices in Hearing Loss Prevention, Proceedings of the October 28, 1999 conference in Detroit, Michigan. DHHS (NIOSH) pub. 2001-157.

NIOSH [1996]. Preventing Occupational Hearing Loss—A Practical Guide. Cincinnati, OH: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, DHHS (NIOSH) Publication No. 96-110. (Revision of NIOSH [1990] A Practical Guide to Effective Hearing Conservation Programs in The Workplace [DHHS (NIOSH) 91-152]). [serial online ]

Stephenson MR, Merry CJ [1998]. Hearing loss among coal miners and measures to protect hearing. Holmes Safety Association Bulletin.

Stephenson MR, Merry CJ [January 2000]. “Listen Up! Learn how to protect your hearing. Today’s Supervisor, Vol. 64, Issue 2, National Safety Council. Brochure for managers.

Stephenson MR. Merry CJ [February 2000]. “Sound Advice- Protect your ears in noisy work environments.”  Vol. 74, Issue 2, National Safety Council. Brochure for workers.


Stephenson MR, Stephenson CM [2000]. Application of health communication theories to hearing loss prevention programs. Force Health Protection Conference sponsored by the U.S. Army Center for Health Promotion and Preventive Medicine, Baltimore, MD  8/9/2000.

Stephenson MR, Stephenson CM [2000]. Preventing occupational hearing loss: strategies for the United Brotherhood of carpenters. UBC National Health and safety conference, Palm Springs, CA, March 23, 2000.

Stephenson CM [2002]. Hearing loss prevention for non-English speaking workers. Invited presentation at NHCA Annual Conference, Dallas, TX, Feb. 21-23, 2002.


Stephenson CM. Stephenson MR [2000]. Practical tips for hearing loss prevention programs in the construction industry. 1.5 hour invited workshop presented at the National Safety Congress, Orlando FL, 10/16/00.

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