scholarly journals Occupational noise-induced hearing loss in China: a systematic review and meta-analysis

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e039576
Author(s):  
Jiena Zhou ◽  
Zhihao Shi ◽  
Lifang Zhou ◽  
Yong Hu ◽  
Meibian Zhang

ObjectiveMost of the Chinese occupational population are becoming at risk of noise-induced hearing loss (NIHL). However, there is a limited number of literature reviews on occupational NIHL in China. This study aimed to analyse the prevalence and characteristics of occupational NIHL in the Chinese population using data from relevant studies.DesignSystematic review and meta-analysis.MethodsFrom December 2019 to February 2020, we searched the literature through databases, including Web of Science, PubMed, MEDLINE, Scopus, the China National Knowledge Internet, Chinese Sci-Tech Journal Database (weip.com), WanFang Database and China United Library Database, for studies on NIHL in China published in 1993–2019 and analysed the correlation between NIHL and occupational exposure to noise, including exposure to complex noise and coexposure to noise and chemicals.ResultsA total of 71 865 workers aged 33.5±8.7 years were occupationally exposed to 98.6±7.2 dB(A) (A-weighted decibels) noise for a duration of 9.9±8.4 years in the transportation, mining and typical manufacturing industries. The prevalence of occupational NIHL in China was 21.3%, of which 30.2% was related to high-frequency NIHL (HFNIHL), 9.0% to speech-frequency NIHL and 5.8% to noise-induced deafness. Among manufacturing workers, complex noise contributed to greater HFNIHL than Gaussian noise (overall weighted OR (OR)=1.95). Coexposure to noise and chemicals such as organic solvents, welding fumes, carbon monoxide and hydrogen sulfide led to greater HFNIHL than noise exposure alone (overall weighted OR=2.36). Male workers were more likely to experience HFNIHL than female workers (overall weighted OR=2.26). Age, noise level and exposure duration were also risk factors for HFNIHL (overall weighted OR=1.35, 5.63 and 1.75, respectively).ConclusionsThe high prevalence of occupational NIHL in China was related to the wide distribution of noise in different industries as well as high-level and long-term noise exposure. The prevalence was further aggravated by exposure to complex noise or coexposure to noise and specific chemicals. Additional efforts are needed to reduce occupational noise exposure in China.

Author(s):  
J. Duarte ◽  
Jacqueline Castelo Branco ◽  
J. Santos Baptista

Occupational noise-induced hearing loss (ONIHL) is one of the most recognised occupational diseases globally. Mining and earthworks are among those with the greatest impact in this matter. A systematic review addressing the noise exposure characterisation, in order to develop a preventive design, is being proposed in this protocol. The Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) guidelines were used to draw the research outline, where the study and report characteristics are provided. All of the selected keywords and databases/journals were priorly identified and are now presented. The search methodology is clarified, and an example for Scopus is provided. A methodology to deal with bias within studies is proposed, and all the systematic review narrative processes of the systematic review are discussed in the protocol, including information that will be extracted from the selected records. The Preferred Reporting Items for Systematic Review and Meta-analysis guidelines will be used to help develop the review.


1985 ◽  
Vol 121 (4) ◽  
pp. 501-514 ◽  
Author(s):  
ELELYN TALBOTT ◽  
JAMES HELMKAMP ◽  
KARAN MATHEWS ◽  
LEWIS KULLER ◽  
ERIC COTTINGTON ◽  
...  

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A5.3-A6
Author(s):  
Zara Ann Stokholm ◽  
Inge Brosbøl Iversen ◽  
Henrik Kolstad

Current legislation and threshold limits for occupational noise exposure may not sufficiently account for higher vulnerability of the foetus. We conducted a systematic literature review and identified 20 relevant studies of prenatal noise exposure levels and health. Maternal tissues attenuate industrial noise by about 30 dB. The foetus responds the earliest to noise exposure from the 19th week of gestational age. There is some evidence of an increased risk of hearing loss at prenatal noise levels≥85 dBA (8 hour average) and little evidence at lower levels. Increased risks for preterm birth, small-for-gestational-age and congenital malformations are seen as single study findings at levels≥90 dBA. There is little evidence for how noise exposure may increase the risk of extra-auditive effects in the foetus. Methodological shortcomings and the scarce number of studies limit the conclusions that can be drawn. Still, we recommend pregnant women avoid working at noise levels≥85 dBA.


AAOHN Journal ◽  
2007 ◽  
Vol 55 (8) ◽  
pp. 313-319 ◽  
Author(s):  
OiSaeng Hong ◽  
Daniel G. Samo

Noise-induced hearing loss ranks among the most significant occupational health problems. In the united states, more than 1 million firefighters are at risk for noise-induced hearing loss due to exposure to hazardous levels of intermittent noise from sirens, air horns, and engines of emergency vehicles and fire trucks. Although irreversible, noise-induced hearing loss is entirely preventable through both engineering controls and personal protective equipment. This article describes occupational noise exposure, hearing loss, and strategies to prevent noise-induced hearing loss among firefighters.


2014 ◽  
Vol 53 (sup2) ◽  
pp. S84-S96 ◽  
Author(s):  
Jos H. Verbeek ◽  
Erik Kateman ◽  
Thais C. Morata ◽  
Wouter A. Dreschler ◽  
Christina Mischke

2021 ◽  
Author(s):  
Hyun Jin Lee ◽  
Juhyung Lee ◽  
Chulyoung Yoon ◽  
Yesai Park ◽  
Young-Hoon Joo ◽  
...  

Abstract Noise-induced hearing loss (NIHL) is a hearing impairment caused by various epidemiologic and clinical factors. Identifying the relationship between NIHL and nutrients could help reduce the prevalence of hearing loss. This study analyzed the relationship between NIHL and dietary factors using data of the Korea National Health and Nutrition Examination survey. The survey was taken by a total of 10,850 participants aged 20-65 years. Air conduction audiometry was measured at 500, 1000, 2000, and 4000Hz in both ears. Metabolic syndrome, noise exposure, drink, smoke, income, marital status, and nutritional intake were evaluated. The differences between non-HI and HI participants in noise-exposed group have shown statistically significant differences in age, sex, marital status, smoking status, alcohol consumption, fast glucose level, and triglyceride level (p<0.05). In a multiple regression analysis, the age factor showed a significant association with HI (OR: 0.604; 95% CI: 0.538-0.678). In multivariate analysis for dietary factors, Retinol (OR: 1.356; 95% CI: 1.068-1.722), Niacin (OR: 1.5; 95% CI: 1.022-2.201) and Carbohydrates (OR: 0.692; 95% CI: 0.486-0.985) showed a significant association with NIHL. When the dietary factors of the noise exposure group were analyzed, high intake of Niacin and Retinol and low intake of Carbohydrates appear to prevent hearing loss.


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