scholarly journals Interventions to prevent occupational noise-induced hearing loss: A Cochrane systematic review

2014 ◽  
Vol 53 (sup2) ◽  
pp. S84-S96 ◽  
Author(s):  
Jos H. Verbeek ◽  
Erik Kateman ◽  
Thais C. Morata ◽  
Wouter A. Dreschler ◽  
Christina Mischke
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):  
Katijah Khoza-Shangase ◽  
Nomfundo F Moroe ◽  
Anita Edwards

Noise-induced hearing loss is 100% preventable if the collaborative stakeholders in the prevention process are fully committed to the process and implement effective measures timely. Audiologists have within their scope of practice the prevention of hearing loss and this needs to be at the forefront of all advocacy campaigns to prevent occupational hearing loss (OHL). In a systematic review by Moroe, Khoza-Shangase, Kanji and Ntlhakana (2018), where literature into the exposure to occupational noise in developing countries suggested that the prevalence of occupational noise-induced hearing loss (ONIHL) is still high, significant gaps in locally relevant and responsive evidence were identified. There is also evidence that the mining industry is aware of this epidemic; however, the efforts to curb ONIHL are currently unsuccessful. These authors explored and documented current evidence reflecting trends in the management of ONIHL in the mining industry in Africa from 1994 to 2016 through the use of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. Findings from this systematic review indicated that there is a dearth of research on the management of ONIHL in Africa. The limited research on the management of ONIHL focuses on some aspects of the hearing conservation programme pillars and not on all the pillars as suggested by some scholars in the field. Furthermore, they found that published studies had small sample sizes, thereby minimising their generalisation. This systematic review’s findings highlighted a need for more studies on the management of ONIHL in the mining sector, as evidence suggests that this condition in African countries is still on the rise; hence, there is the importance of this Special Issue, based on South Africa.


2020 ◽  
Vol 6 (1) ◽  
pp. 25-31
Author(s):  
Pelden Wangchuk ◽  
Phuntsho Dendup

Introduction: Exposure to any type of noise has a potential risk. Higher the level of noise and longer duration of exposure, the more the risk for the hearing sensitivity and health as a whole. The objective of the study is to determine the prevalence of Occupational Noise Induced Hearing Loss (ONIHL) among the industrial workers in Bhutan and to ascertain high risk establishment and vulnerable occupations. Methods: The hearing assessment was conducted among 1638 workers considering different types of industries and occupations to ascertain the prevalence of occupational noise induced hearing loss and vulnerable group amongdifferent industries and occupations. Descriptive statistics and binary logistic regression were performed to test the significance of ONIHL among the various independent variables. Results: The study found that the prevalence of ONIHL stands at 27.9% among industrial workers in Bhutan. 42.45% of candidates who had ONIHL reported with tinnitus in either or both ears. This study founda significant association between the exposure duration and the severity of ONIHL among the industrial workers. Considering the type of industry, wood based industry, hydro services, cement and polymer were found to have a higher prevalence of ONIHL and similarly, higher prevalence of ONIHL were found among occupations such as blaster, chipper, carpenters, dryer (knife grinder) and crusher operators. Conclusions: This study conduces that prevalence of ONIHL among industrial workers is found to be at the higher side and some of the occupations and industries impose higher risk. The study suggests that there is need for intervention such as strict enforcement of the permissible exposure limit, monitor and evaluate hearing conservation programs, and providing advice and recommendation to address such issues by the relevant agencies and industries


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.


Author(s):  
Jos H Verbeek ◽  
Erik Kateman ◽  
Thais C Morata ◽  
Wouter A Dreschler ◽  
Christina Mischke

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