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Heart disease attributed to occupational noise, vibration and other co-exposure: Self-reported population-based
Angel M Dzhambov1, Donka D Dimitrova2
1Medical University of Plovdiv, Plovdiv, Bulgaria (Faculty of Public Health, Department of Hygiene and Ecomedicine). angelleloti@gmail.com.
Insights
Occupational vibration significantly increases heart disease risk in Bulgaria. Noise exposure poses a risk primarily for long-term workers and women, highlighting gender and job-specific occupational health concerns.
Area of Science:
- Occupational health
- Environmental epidemiology
- Cardiovascular epidemiology
Background:
- Cardiovascular disease (CVD) is a leading global cause of mortality.
- Occupational noise and vibration are recognized risk factors, but their specific cardiovascular impacts in Bulgaria, considering gender and profession, remain under-researched.
Purpose of the Study:
- To investigate the association between occupational noise and vibration exposure and the risk of prevalent cardiovascular disease in Bulgaria.
- To analyze these risks in relation to gender and different professional groups.
Main Methods:
- Secondary analysis of data from three waves (2001-2010) of the European Working Conditions Survey (EWCS) in Bulgaria.
- Inclusion of 3149 workers (aged ≥ 15 years) in a nationally-representative cross-sectional study.
- Meta-analysis using inverse variance heterogeneity (IVhet) to pool results from the three survey waves, linking self-reported heart disease with occupational exposures.
Main Results:
- Occupational vibration exposure was associated with an increased risk of heart disease across all participants (RR=1.56 for long-term workers).
- The risk from vibration was notably higher in men (RR=2.56) compared to women (RR=1.32).
- Occupational noise showed an elevated risk primarily among women (RR=1.26) and long-term workers (RR=1.01), but not significantly in men.
Conclusions:
- Occupational vibration exposure is confirmed as a significant risk factor for prevalent heart disease in the Bulgarian workforce.
- Occupational noise emerged as a potential risk factor, particularly for long-term workers and women, underscoring the need for targeted occupational health interventions.
Background:
Cardiovascular disease (CVD) is the main mortality cause worldwide. Noise and vibration are considered to be occupational risk factors, but little is known about their cardiovascular effects in Bulgaria in terms of gender and various professional groups. The aim of this study has been to investigate the risk of prevalent CVD, associated with occupational noise and vibration exposure.
Material And Methods:
We conducted a secondary analysis of the data from 3 waves of the European Working Conditions Survey (EWCS) 2001-2010 - a nationally-representative cross-sectional questionnaire survey covering 3149 workers aged ≥ 15 years in Bulgaria. Data on self-reported heart disease were linked to self-reported occupational noise and vibration, adjusting for other factors. Results from the 3 waves were pooled together using the inverse variance heterogeneity (IVhet) meta-analysis.
Results:
For noise, the risk was elevated among women (relative risk (RR) = 1.26, 95% confidence interval (CI): 0.53-3.01), but not men (RR = 0.49, 95% CI: 0.14-1.65). Long-term workers had RR = 1.01, 95% CI: 0.60-1.69. For vibration, the risk was increased in all participants. It was higher among men (RR = 2.56, 95% CI: 1.60-4.09) than it was among women (RR = 1.32, 95% CI: 0.77-2.27). Among long-term, industrial, and service workers it was RR = 1.56, 95% CI: 1.02-2.40; RR = 1.10, 95% CI: 0.61-1.98, and RR = 1.18, 95% CI: 0.57-2.46, respectively.
Conclusions:
Occupational vibration was a risk factor for prevalent heart disease in Bulgaria. Noise was an alleged risk factor only among long-term workers and women. Med Pr 2016;67(4):435-445.
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