Almaayeh Mohammad, Al-Musa Abdulhalim, Khader Yousef S
Jordan Field Epidemiology Program, Amman, Jordan.
Jordan Ministry of Health, Amman, Jordan.
Work. 2018;61(2):267-271. doi: 10.3233/WOR-182797.
Exposure to excessive noise is the most common preventable cause of hearing loss. It has been estimated that more than 12% of the global population is at risk for hearing loss from noise and about one-third of all cases can be attributed to noise exposure.
Data on occupational noise and its associated hearing loss are lacking in Jordan. This study aimed to determine the prevalence of noise induced hearing loss (NIHL) among industrial workers in Jordan.
This study included all workers who had been exposed to noise at least three years or more in three plants in Madaba Governorate in Jordan. A structured questionnaire was used to collect the data. The occupational noise was measured using a portable calibrated sound meter. Pure-tone air conduction audiometry was performed to determine the hearing thresholds in the frequencies of 250, 500, 1000, 2000, 3000, 4000, 6000, and 8000 Hz for both ears of all subjectsRESULTS:This study included 196 workers aged between 20 and 54 years with a mean (SD) of 35.9 (7.2) year. Overall, the prevalence of NIHL among workers was 28.6% (35.0% among those exposed to high level of noise (>85 dB) and 12.5% among workers exposed to low level of noise (≤85 dB)). Age >35 years (OR = 2.7; 95% CI: 1.2-6.1), high noise level (OR = 4.2; 95% CI: 1.6-10.5), exposure of more than 10 years (OR = 2.0; 95% CI: 1.1-5.9), and not using hearing protective devices (OR = 2.7; 95% CI: 1.1-6.6) were significantly associated with increased odds of hearing loss.
About one quarter of noise-exposed industrial workers in Jordan has NIHL. Age >35 years, high noise level, exposure of more than 10 years, and not using hearing protective devices were significantly associated with increased risk of NIHL.
暴露于过度噪音是听力损失最常见的可预防原因。据估计,全球超过12%的人口面临因噪音导致听力损失的风险,所有病例中约三分之一可归因于噪音暴露。
约旦缺乏关于职业噪音及其相关听力损失的数据。本研究旨在确定约旦产业工人中噪音性听力损失(NIHL)的患病率。
本研究纳入了约旦马德巴省三家工厂中所有暴露于噪音至少三年或更长时间的工人。使用结构化问卷收集数据。使用便携式校准声级计测量职业噪音。对所有受试者双耳在250、500、1000、2000、3000、4000、6000和8000赫兹频率下进行纯音气导听力测定以确定听力阈值。
本研究纳入了196名年龄在20至54岁之间的工人,平均(标准差)年龄为35.9(7.2)岁。总体而言,工人中NIHL的患病率为28.6%(暴露于高水平噪音(>85分贝)的工人中患病率为35.0%,暴露于低水平噪音(≤85分贝)的工人中患病率为12.5%)。年龄>35岁(比值比(OR)=2.7;95%置信区间(CI):1.2 - 6.1)、高噪音水平(OR = 4.2;95% CI:1.6 - 10.5)、暴露超过10年(OR = 2.0;95% CI:1.1 - 5.9)以及未使用听力保护装置(OR = 2.7;95% CI:1.1 - 6.6)与听力损失几率增加显著相关。
约旦约四分之一暴露于噪音的产业工人患有NIHL。年龄>35岁、高噪音水平、暴露超过10年以及未使用听力保护装置与NIHL风险增加显著相关。