Prolonged exposure to loud sounds can cause irreversible damage to the inner ear, resulting in tinnitus, hearing loss, or both, researchers said.
A New York City Health Department survey has found that nearly one out of four 18 to 44 year olds who frequently listen to loud headphones report hearing problems.
The department's report showed younger adults who frequently use headphones at high volume report more hearing problems than those who use them less frequently and/or at lower volume.
"Though hearing loss is preventable, more and more people are having trouble hearing," said New York Health Commissioner Dr Thomas Farley.
More From This Section
"With more people regularly using headphones, the message is loud and clear - New Yorkers need to turn down the volume to protect their ears," said Farley.
The new report is based on data collected from the 2011 New York City Community Health Survey.
Although adults aged 45 and older report more hearing problems, younger adults who frequently listen to headphones at high volume report a similar rate of hearing problems.
More than one-third (36 per cent) of younger adults who report listening to music with headphones listen every day.
Of the younger adults who listen every day, 16 per cent report listening at more than half the maximum volume for four or more hours, researchers said.
Researchers said hearing loss is preventable. To protect hearing when using headphones, one should reduce the volume, limit listening time, take regular breaks and never listen at maximum volume.