목적: Noise-induced hearing loss is uniquely preventable. Hands-free devices typically operate between 94-110 decibels at high volumes, despite sounds above 70 decibels considered harmful. The rampant abuse of hands-free devices raises concern as a risk factor for premature hearing loss. Once considered an occupational health disorder, now threatens to become a widespread public health concern, akin to the 'common cold' of the future. 방법:A two-part survey was circulated amongst young individuals, part 1 including consent form, biodata, existing health conditions, smoking status, details of hands free usage habit and awareness on the topic. Second part was the Self-test for hearing loss questionnaire by American Speech-Language-Hearing Association for hearing evaluation. Data was analysed using JMP, Version 13, p<0.05 considered significant. 결과:We surveyed 2297 young individuals (mean age: 21.4 2.2 years, 55.4% female) to assess hearing loss and the use of hands-free devices. The majority of participants (60.4%) reported regular use of hands-free devices. The mean score on the hearing loss questionnaire was 3.99 1.8, indicating a moderate level of hearing impairment. A significant association was found between regular hands-free use and greater hearing loss by Mann-Whitney test (p=0.01), with users of earphones at higher volumes experiencing more severe hearing loss (p< 0.01). Participants who used earphones at higher volumes (p< 0.01) or increased the volume during (p< 0.01) use showed greater hearing impairment. Those who agreed that earphones could negatively impact hearing had lower degrees of hearing loss (p< 0.01). However, awareness of good hearing practices was not significantly associated with hearing loss (p=0.15). 결론:To ensure minimal damage, new technology must be introduced which controls the noise level within appropriate limits. Mass education of the public on the proper standard operating procedures of hands free use as currently recommended by the World Health Organization may also help reduce the potential burden of NIHL in the future.