In 2018, the U.S. Centers for Disease Control and Prevention published the results of a survey of U.S. adults related to the use of a hearing protection device during exposure to loud sounds at recreational events.[62] Overall, more than four of five reported never or seldom wearing hearing protection devices when attending a loud athletic or entertainment event. Adults aged 35 years and older were significantly more likely to not wear hearing protection than were young adults aged 18–24 years.