Part I: Factors influencing professional functioning 67 underlying cause of listening difficulties or difficulties with work participation, for example in employees that present with complaints of fatigue after work.This should be investigated by future research. Conclusion Our results confirmthatpoorerhearing is associatedwithhigherLE, butnotwithhigher NFR. These associations were unrelated to the perceived noise level at the workplace. Therefore, the value of occupational hearing screening appears to be primarily in early identification of hearing loss in employees, but not in the identification of subjective listening difficulties and/or difficulties withwork participation. Future research should investigate the value of occupational hearing screening for identifying hearing loss as a hidden cause of work participation difficulties.
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