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Hearing loss in migrant agricultural workers
Peter M Rabinowitz1, Kanta D Sircar, Sanela Tarabar
1Occupational and Environmental Medicine Program, Yale University School of Medicine, 135 College St, 3rd Floor, New Haven, CT, 06510, USA. peter.rabinowitz@yale.edu
Migrant farmworkers experience significant hearing loss, particularly high-frequency loss, with over half affected. Language barriers exacerbate speech understanding difficulties, highlighting an under-recognized occupational health issue.
Area of Science:
- Occupational Health
- Audiology
- Public Health
Background:
- Farmers exhibit high hearing loss rates, but migrant agricultural workers' hearing status is largely unknown.
- This study addresses the gap in understanding hearing loss prevalence and impact within this vulnerable population.
Purpose of the Study:
- To assess the prevalence and impact of hearing loss among migrant and seasonal agricultural workers.
- To identify risk factors associated with hearing loss in this demographic.
Main Methods:
- A cross-sectional survey involving 150 migrant and seasonal agricultural workers at health fairs.
- Bilingual questionnaires collected data on hearing loss risk factors and subjective difficulties.
- Pure tone audiometry and tympanometry were conducted using a mobile testing van.
Main Results:
- Over 50% of workers showed hearing loss, especially at higher frequencies.
- Hispanic males had a higher prevalence of high-frequency hearing loss compared to national data.
- Over 35% reported difficulty hearing/understanding speech; language barriers worsened impact. Age and abnormal tympanometry were risk factors. Noise/pesticide exposure was common, hearing protection rare.
Conclusions:
- Hearing loss is a significant, under-recognized issue among migrant workers.
- Further research and interventions are needed for prevention and treatment.
- Addressing occupational exposures and language barriers is crucial for this population.
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