Yes, it's coming out that driving around at high speeds with the windows down is a major contributor.

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I figured it out years ago when I came across an anecdote somewhere that explained that elderly people in remote, non-industrialized societies had no age-related hearing loss.

> driving around at high speeds with the windows down

That's been well known for decades. I wish I knew that when I was younger. I avoided rock concert and gunshot sounds with earplugs, but always drove with the window down. My left ear is much worse than my right.

I also don't listen to loud music anymore. Sigh.

I wear ear protection whenever I vacuum or use power tools.