Earlier quoted context omitted.
I'm into sports shooting, and during winter our club has an indoor range that used to be an old bunker. So we're in this 25 foot by 60 foot concrete tunnel, that's about 8 feet tall at most. Not a giant cavern by any means. And closed doors, so just (forced) ventilation open to the outside. I've shot .357 magnum and shotguns in there. It's loud, yes. I wear ear plugs and ear muffs when doing that. But not by any mean…
An interesting thought popped off in my head: what if it does, and the crowd that leans heavily into enthusiast firearm usage is giving themselves micro-TBIs -- could that over the years create certain changes in personality and psychological workings that lead to certain, similar outcomes? E.g. could it be correlated with political affiliation? Don't read into it too much, though. This isn't snark or passive aggress…
Sports shooters who shoot larger calibers, ie a 7.62 NATO or higher in terms of sound energy, are typically shooting relatively few rounds at a time. Those who shoot a lot of rounds typically shoot smaller calibers.
Now, I think you might have a point when it comes to competitive practical/dynamic shooters[1], who shoot open division with hot .40 super loads or similar. Especially those, like in my club, who train a lot in indoor ranges.
However these would make up a relatively small percentage of the overall recreational shooters out there I imagine.