Methods This was an observational, cross-sectional, analytical study conducted during February-March 2021 in which conventional pure-tone audiometry (0.25–8 kHz) and EHFA (9–20 kHz) were performed in Afro-Colombian adolescents aged 13–17 years from Isla Barú, Colombia. Sociodemographic and risk factor questionnaires were applied to assess probable factors associated with acquired EHF hearing loss.