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The Relation between Hearing Loss and Smoking among Workers Exposed to Noise, Using Linear Mixed Models
Fatemeh Khaldari1, Narges Khanjani2, Abbas Bahrampour1
1Department of Biostatistics and Epidemiology, Faculty of Health, Kerman University of Medical Sciences, Kerman, Iran.
Industrial noise exposure causes significant hearing loss, particularly at higher frequencies. Factors like age at employment and smoking exacerbate this risk, highlighting the need for enhanced protective measures and surveillance.
Area of Science:
- Occupational Health
- Audiology
- Environmental Health
Background:
- Workplace noise is a prevalent occupational hazard with documented physical and psychological impacts.
- Understanding the long-term effects of noise exposure on hearing is critical for industrial worker well-being.
Purpose of the Study:
- To model audiometry results of industrial workers.
- To investigate the impact of noise and other occupational factors on hearing loss.
Main Methods:
- Longitudinal study design utilizing worker audiometry records.
- Inclusion criteria: minimum 10 years of industrial employment with documented audiometries.
- Statistical analysis performed using linear mixed models.
Main Results:
- Annual noise exposure correlated with progressive hearing loss: 1.9 dB at 4000 Hz, 0.62 dB in high frequencies, and 0.059 dB in low frequencies.
- Age at employment significantly affected hearing loss at 8000 Hz (P=0.014).
- A significant interaction between smoking and age at employment was linked to low-frequency hearing loss (P<0.001).
Conclusions:
- Industrial workers experience hearing loss despite safety measures, necessitating stricter surveillance for protective gear usage.
- Smoking identified as a potential contributing risk factor for occupational hearing loss.
- Further research into mitigating noise-induced hearing loss in industrial settings is recommended.
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