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studies are needed for the 12 other pesticides not yet studied as potential ASD risk factors according to our inclusion criteria.Background Hearing loss in adolescents is a serious public health problem with a high prevalence. Pyrethroids are one of the most widely applied insecticides that have been linked to neurotoxicity. However, there is no study about the effect of pyrethroid insecticide exposure on the auditory system in the general population. Objective To investigate the association between pyrethroid pesticide exposure and heari