Understanding barriers to preventive health actions for occupational noise-induced hearing loss

Dhaval S. Patel, Kim Witte, Cynthia Zuckerman, Lisa Murray-Johnson, Victoria Orrego, Andrew M. Maxfield, Suzanne Meadows-Hogan, Julie Tisdale, Edward D. Thimons

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


A theoretically based formative evaluation was conducted with coal miners in the Appalachian Mountains who were at high risk for noise-induced hearing loss (NIHL). The results of four focus groups indicate that despite high levels of knowledge, strong perceived severity of negative consequences, and strong perceived susceptibility to hearing loss, two main categories of barriers (environmental and individual) keep coal miners from using their hearing protection devices (HPD). Further analysis suggests that the environmental factors, rather than individual variables, more strongly influence decisions against protective actions. Recommendations and practical implications are offered.

Original languageEnglish (US)
Pages (from-to)155-168
Number of pages14
JournalJournal of Health Communication
Issue number2
StatePublished - 2001

ASJC Scopus subject areas

  • Health(social science)
  • Communication
  • Public Health, Environmental and Occupational Health
  • Library and Information Sciences


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