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Results The weighted geometric mean of 3-PBA levels in urine had been 0.32 μg/g creatinine, and 7.62% of teenagers had hearing reduction. After adjusting for age, sex, race/ethnicity, BMI, serum cotinine, annual family income and exposure to loud noise/music, linear regression analyses unearthed that Ln-transformed 3-PBA had been positively correlated with enhance of hearing thresholds either in left (β = 0.61, 95% CI 0.20-1.01) or correct ear (β = 0.52, 95% CI 0.16-0.89)