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He J, Smith LM, Shkembi A, Neitzel RL. Evaluating the impact of occupational noise exposure on workplace fatal and nonfatal injuries in the U.S. (2006-2020). Int J Hyg Environ Health 2024; 263:114468. [PMID: 39332352 DOI: 10.1016/j.ijheh.2024.114468] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2024] [Revised: 09/05/2024] [Accepted: 09/20/2024] [Indexed: 09/29/2024]
Abstract
OBJECTIVES This study assessed the relationship between occupational noise exposure and the incidence of workplace fatal injury (FI) and nonfatal injury (NFI) in the United States from 2006 to 2020. It also examined whether distinct occupational and industrial clusters based on noise exposure characteristics demonstrated varying risks for FI and NFI. METHODS An ecological study design was utilized, employing data from the U.S. Bureau of Labor Statistics for FI and NFI and demographic data, the U.S. Census Bureau for occupation/industry classification code lists, and the U.S./Canada Occupational Noise Job Exposure Matrix for noise measurements. We examined four noise metrics as predictors of FI and NFI rates: mean Time-Weighted Average (TWA), maximum TWA, standard deviation of TWA, and percentage of work shifts exceeding 85 or 90 dBA for 619 occupation-years and 591 industry-years. K-means clustering was used to identify clusters of noise exposure characteristics. Mixed-effects negative binomial regression examined the relationship between the noise characteristics and FI/NFI rates separately for occupation and industry. RESULTS Among occupations, we found significant associations between increased FI rates and higher mean TWA (IRR: 1.06, 95% CI: 1.01-1.12) and maximum TWA (IRR: 1.10, 95% CI: 1.07-1.14), as well as TWA exceedance (IRR: 1.04, 95% CI: 1.01-1.07). Increased rates of NFI were found to be significantly associated with maximum TWA (IRR: 1.06, 95% CI: 1.04-1.09) and TWA exceedance (IRR: 1.03, 95% CI: 1.01-1.05). In addition, occupations with both higher exposure variability (IRR with FI rate: 1.49, 95% CI: 1.23-1.80; IRR with NFI rate: 1.40, 95% CI: 1.14-1.73) and higher level of sustained exposure (IRR with FI rate: 1.27, 95% CI: 1.12-1.44; IRR with NFI rate: 1.21, 95% CI: 1.05-1.39) were associated with higher rates of FI and NFI compared to occupations with low noise exposure. Among industries, significant associations between increased NFI rates and higher mean TWA (IRR: 1.05, 95% CI: 1.02-1.08) and maximum TWA (IRR: 1.06, 95% CI: 1.04-1.08) were observed. Unlike the occupation-specific analysis, industries with higher exposure variability and higher sustained exposures did not display significantly higher FI/NFI rates compared to industries with low exposure. CONCLUSIONS The results suggest that occupational noise exposure may be an independent risk factor for workplace FIs/NFIs, particularly for workplaces with highly variable noise exposures. The study highlights the importance of comprehensive occupational noise assessments.
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Affiliation(s)
- Jie He
- Department of Environmental Health Sciences, School of Public Health, University of Michigan, Ann Abor, MI, 48109, USA
| | - Lauren M Smith
- Department of Environmental Health Sciences, School of Public Health, University of Michigan, Ann Abor, MI, 48109, USA
| | - Abas Shkembi
- Department of Environmental Health Sciences, School of Public Health, University of Michigan, Ann Abor, MI, 48109, USA
| | - Richard L Neitzel
- Department of Environmental Health Sciences, School of Public Health, University of Michigan, Ann Abor, MI, 48109, USA.
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Jeong YH, Jeong SM, Lee WJ, Kim KY. Noise exposure assessment of workers inspecting construction machinery vehicles in the Republic of Korea. Ann Work Expo Health 2024; 68:765-769. [PMID: 38772380 DOI: 10.1093/annweh/wxae037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2024] [Accepted: 04/24/2024] [Indexed: 05/23/2024] Open
Abstract
Previous studies have investigated the health hazards caused by exposure to the noise of heavy equipment used at construction sites. Korea's Ministry of Land, Infrastructure, and Transport operates a registration system for construction machinery, and regular safety inspections are mandatory. Although workers inspecting construction machinery vehicles are exposed to unwanted noise, no noise exposure assessment has been made regarding these workers in Korea. The time-weighted average (TWA) daily average noise exposure level among construction machinery inspectors at 18 inspection centers was 75.3 dB(A). Among the inspection steps, the exhaust gas inspection step was found to exhibit the highest noise exposure level, up to 100 dB(A). In Korea, if the noise level of a workplace exceeds 85 dB(A) as a TWA, workers are required to undergo special medical examinations. This study found that special medical examinations were required for two of the 18 target inspection centers (approximately 115 workers) as the 8-hour TWA noise level exceeded 85 dB(A). Therefore, regular noise exposure assessment and special medical examinations for noise are required to prevent inspectors from developing hearing disorders due to noise exposure.
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Affiliation(s)
- Yeon-Hee Jeong
- Department of Safety Engineering at the Graduate School of Seoul National University of Science and Technology, 232 Gongneung-ro, Nowon-gu, 01811 Seoul, Republic of Korea
| | - Seong-Mo Jeong
- Department of Safety Engineering at the Graduate School of Seoul National University of Science and Technology, 232 Gongneung-ro, Nowon-gu, 01811 Seoul, Republic of Korea
| | - Woo-Je Lee
- Department of Safety Engineering at the Graduate School of Seoul National University of Science and Technology, 232 Gongneung-ro, Nowon-gu, 01811 Seoul, Republic of Korea
| | - Ki-Youn Kim
- Department of Safety Engineering at the Graduate School of Seoul National University of Science and Technology, 232 Gongneung-ro, Nowon-gu, 01811 Seoul, Republic of Korea
- Department of Safety Engineering, Seoul National University of Science and Technology, 232 Gongneung-ro, Nowon-gu, 01811 Seoul, Republic of Korea
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3
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Masterson EA, Themann CL. Prevalence of Hearing Loss Among Noise-Exposed US Workers Within the Utilities Sector, 2010-2019. J Occup Environ Med 2024; 66:648-653. [PMID: 38664951 DOI: 10.1097/jom.0000000000003125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/06/2024]
Abstract
OBJECTIVE This study's objective was to estimate hearing loss prevalence for noise-exposed US Utilities workers. METHODS In this cross-sectional study of a retrospective cohort, audiograms were examined for 1.3 million workers (13,595 within utilities) from 2010-2019. Hearing loss prevalence and adjusted risk as compared with a reference industry were estimated. RESULTS The hearing loss prevalence for noise-exposed Utilities workers (25%) was higher than for noise-exposed workers in all industries combined (20%). Some subsectors surpassed the prevalence for all industries combined and/or had adjusted risks significantly higher than the reference industry. The highest prevalence subsectors were Hydroelectric Power Generation (37%) and steam and Air-Conditioning Supply (29%). CONCLUSIONS While often overlooked, noise-exposed workers in this sector have among the highest prevalences of hearing loss and significantly higher risks. Increased attention and better hearing conservation strategies are needed.
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Affiliation(s)
- Elizabeth A Masterson
- From the National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, Ohio
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Li X, Su S, Wen C, Wang T, Xu H, Liu M. Application of the occupational health risk assessment model in predicting the risk of noise-induced hearing loss in noise-polluted manufacturers in southern China. INTERNATIONAL JOURNAL OF OCCUPATIONAL SAFETY AND ERGONOMICS 2024:1-11. [PMID: 39075984 DOI: 10.1080/10803548.2024.2371695] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/31/2024]
Abstract
Objective. This study aimed to evaluate the correlation between occupational noise-induced hearing loss (ONIHL) and noise exposure in different positions within manufacturing facilities that primarily produce electronic devices, wooden furniture and hardware machinery in southern China and to investigate the practical application of the risk assessment model. Methods. Noise exposure data were collected from 115 workers in 10 manufacturing industries in southern China through on-site investigation. Subsequently, sample testing was conducted in accordance with Chinese standards. The 31 job positions investigated were classified into two similar exposure groups (SEGs). The occupational health risk assessment (OHRA) model was used to evaluate the risks of ONIHL in various job positions. Results. More than half of the positions in both groups had noise levels exceeding 85 dB. In both SEGs, male workers exhibited similar risk patterns of acquiring hearing impairment, with a more pronounced and earlier risk of hearing loss compared to female workers. Age was also found to be a risk factor for hearing impairments. Conclusion. The ORHA model demonstrated a positive correlation between noise exposure levels and NIHL. This model can help employers assess job management with noise exposure and take measures to implement an effective risk management system.
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Affiliation(s)
- Xiang Li
- Institute of Occupational Health Assessment, Guangdong Provincial Hospital for Occupational Disease Prevention and Treatment, China
| | - Shibiao Su
- Institute of Occupational Health Assessment, Guangdong Provincial Hospital for Occupational Disease Prevention and Treatment, China
| | - Cuiju Wen
- Department of Management of Research and Education, Guangdong Provincial Hospital for Occupational Disease Prevention and Treatment, China
| | - Tianjian Wang
- Institute of Occupational Health Assessment, Guangdong Provincial Hospital for Occupational Disease Prevention and Treatment, China
| | - Haijuan Xu
- Institute of Occupational Health Assessment, Guangdong Provincial Hospital for Occupational Disease Prevention and Treatment, China
| | - Ming Liu
- Institute of Occupational Health Assessment, Guangdong Provincial Hospital for Occupational Disease Prevention and Treatment, China
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Vijayakumar S, DiGuiseppi JA, Dabestani PJ, Ryan WG, Quevedo RV, Li Y, Diers J, Tu S, Fleegel J, Nguyen C, Rhoda LM, Imami AS, Hamoud ARA, Lovas S, McCullumsmith RE, Zallocchi M, Zuo J. In silico transcriptome screens identify epidermal growth factor receptor inhibitors as therapeutics for noise-induced hearing loss. SCIENCE ADVANCES 2024; 10:eadk2299. [PMID: 38896614 PMCID: PMC11186505 DOI: 10.1126/sciadv.adk2299] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/09/2023] [Accepted: 05/14/2024] [Indexed: 06/21/2024]
Abstract
Noise-induced hearing loss (NIHL) is a common sensorineural hearing impairment that lacks U.S. Food and Drug Administration-approved drugs. To fill the gap in effective screening models, we used an in silico transcriptome-based drug screening approach, identifying 22 biological pathways and 64 potential small molecule treatments for NIHL. Two of these, afatinib and zorifertinib [epidermal growth factor receptor (EGFR) inhibitors], showed efficacy in zebrafish and mouse models. Further tests with EGFR knockout mice and EGF-morpholino zebrafish confirmed their protective role against NIHL. Molecular studies in mice highlighted EGFR's crucial involvement in NIHL and the protective effect of zorifertinib. When given orally, zorifertinib was found in the perilymph with favorable pharmacokinetics. In addition, zorifertinib combined with AZD5438 (a cyclin-dependent kinase 2 inhibitor) synergistically prevented NIHL in zebrafish. Our results underscore the potential for in silico transcriptome-based drug screening in diseases lacking efficient models and suggest EGFR inhibitors as potential treatments for NIHL, meriting clinical trials.
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Affiliation(s)
- Sarath Vijayakumar
- Department of Biomedical Sciences, School of Medicine, Creighton University, Omaha, NE 68178, USA
| | - Joseph A. DiGuiseppi
- Department of Biomedical Sciences, School of Medicine, Creighton University, Omaha, NE 68178, USA
| | - Parinaz Jila Dabestani
- Department of Biomedical Sciences, School of Medicine, Creighton University, Omaha, NE 68178, USA
| | - William G. Ryan
- Department of Neurosciences, University of Toledo, Toledo, OH 43614, USA.
| | - Rene Vielman Quevedo
- Department of Biomedical Sciences, School of Medicine, Creighton University, Omaha, NE 68178, USA
| | - Yuju Li
- Department of Biomedical Sciences, School of Medicine, Creighton University, Omaha, NE 68178, USA
| | - Jack Diers
- Department of Biomedical Sciences, School of Medicine, Creighton University, Omaha, NE 68178, USA
| | - Shu Tu
- Department of Biomedical Sciences, School of Medicine, Creighton University, Omaha, NE 68178, USA
| | - Jonathan Fleegel
- Department of Biomedical Sciences, School of Medicine, Creighton University, Omaha, NE 68178, USA
| | - Cassidy Nguyen
- Department of Biomedical Sciences, School of Medicine, Creighton University, Omaha, NE 68178, USA
| | - Lauren M. Rhoda
- Department of Biomedical Sciences, School of Medicine, Creighton University, Omaha, NE 68178, USA
| | - Ali Sajid Imami
- Department of Neurosciences, University of Toledo, Toledo, OH 43614, USA.
| | | | - Sándor Lovas
- Department of Biomedical Sciences, School of Medicine, Creighton University, Omaha, NE 68178, USA
| | - Robert E. McCullumsmith
- Department of Neurosciences, University of Toledo, Toledo, OH 43614, USA.
- Neurosciences Institute, ProMedica, Toledo, OH 43606, USA
| | - Marisa Zallocchi
- Department of Biomedical Sciences, School of Medicine, Creighton University, Omaha, NE 68178, USA
| | - Jian Zuo
- Department of Biomedical Sciences, School of Medicine, Creighton University, Omaha, NE 68178, USA
- Ting Therapeutics, University of California San Diego, 9310 Athena Circle, San Diego, CA 92037, USA
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Ruan Y, Huang G, Zhang J, Mai S, Gu C, Rong X, Huang L, Zeng W, Wang Z. Risk analysis of noise-induced hearing loss of workers in the automobile manufacturing industries based on back-propagation neural network model: a cross-sectional study in Han Chinese population. BMJ Open 2024; 14:e079955. [PMID: 38760055 PMCID: PMC11103207 DOI: 10.1136/bmjopen-2023-079955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/13/2023] [Accepted: 04/30/2024] [Indexed: 05/19/2024] Open
Abstract
OBJECTIVES This study aims to predict the risk of noise-induced hearing loss (NIHL) through a back-propagation neural network (BPNN) model. It provides an early, simple and accurate prediction method for NIHL. DESIGN Population based, a cross sectional study. SETTING Han, China. PARTICIPANTS This study selected 3266 Han male workers from three automobile manufacturing industries. PRIMARY OUTCOME MEASURES Information including personal life habits, occupational health test information and occupational exposure history were collected and predictive factors of NIHL were screened from these workers. BPNN and logistic regression models were constructed using these predictors. RESULTS The input variables of BPNN model were 20, 16 and 21 important factors screened by univariate, stepwise and lasso-logistic regression. When the BPNN model was applied to the test set, it was found to have a sensitivity (TPR) of 83.33%, a specificity (TNR) of 85.92%, an accuracy (ACC) of 85.51%, a positive predictive value (PPV) of 52.85%, a negative predictive value of 96.46% and area under the receiver operating curve (AUC) is: 0.926 (95% CI: 0.891 to 0.961), which demonstrated the better overall properties than univariate-logistic regression modelling (AUC: 0.715) (95% CI: 0.652 to 0.777). The BPNN model has better predictive performance against NIHL than the stepwise-logistic and lasso-logistic regression model in terms of TPR, TNR, ACC, PPV and NPV (p<0.05); the area under the receiver operating characteristics curve of NIHL is also higher than that of the stepwise and lasso-logistic regression model (p<0.05). It was a relatively important factor in NIHL to find cumulative noise exposure, auditory system symptoms, age, listening to music or watching video with headphones, exposure to high temperature and noise exposure time in the trained BPNN model. CONCLUSIONS The BPNN model was a valuable tool in dealing with the occupational risk prediction problem of NIHL. It can be used to predict the risk of an individual NIHL.
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Affiliation(s)
- Yanmei Ruan
- Key Laboratory of Occupational Environment and Health, Guangzhou Twelfth People's Hospital, Guangzhou, China
| | - Guanhao Huang
- Department of Health care, BaiYun Women and Children's Hospital and Health Institute, Guangzhou, China
| | - Jinwei Zhang
- Key Laboratory of Occupational Environment and Health, Guangzhou Twelfth People's Hospital, Guangzhou, China
| | - Shiqi Mai
- Key Laboratory of Occupational Environment and Health, Guangzhou Twelfth People's Hospital, Guangzhou, China
| | - Chunrong Gu
- Department of anesthesia, People's Liberation Army Southern Theater Air Force Hospital, Guangzhou, China
| | - Xing Rong
- Key Laboratory of Occupational Environment and Health, Guangzhou Twelfth People's Hospital, Guangzhou, China
| | - Lili Huang
- Key Laboratory of Occupational Environment and Health, Guangzhou Twelfth People's Hospital, Guangzhou, China
| | - Wenfeng Zeng
- Key Laboratory of Occupational Environment and Health, Guangzhou Twelfth People's Hospital, Guangzhou, China
| | - Zhi Wang
- Key Laboratory of Occupational Environment and Health, Guangzhou Twelfth People's Hospital, Guangzhou, China
- The Institute of Occupational and Environmental Health, Guangzhou Medical University, Guangzhou, China
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7
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Jo H, Baek EM. Impacts of noise-induced hearing loss on sleep, health, and workplace: Multi-group analysis. Heliyon 2024; 10:e30861. [PMID: 38774066 PMCID: PMC11107223 DOI: 10.1016/j.heliyon.2024.e30861] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Revised: 05/05/2024] [Accepted: 05/07/2024] [Indexed: 05/24/2024] Open
Abstract
Noise-induced hearing loss (NIHL) is a significant occupational health concern, particularly in industries with high levels of noise exposure. This study examines the effects of NIHL on sleep quality, daily life health conditions, and workplace health problems among workers. A total of 1285 workers participated in the study, and the data were analyzed using partial least squares structural equation modeling (PLS-SEM) to assess the impacts of NIHL. The analysis included a multi-group analysis to differentiate the effects between workers who wear noise protection and those who do not. Our findings indicate that NIHL significantly affects sleep quality, with a coefficient of 0.263 (t = 9.957, p<0.001), daily life health conditions with a coefficient of 0.296 (t = 10.793, p<0.001), and workplace health problems with a coefficient of 0.345 (t = 13.814, p<0.001). The multi-group analysis revealed more severe impacts on sleep and health in the non-wearing group compared to the noise-protection-wearing group, with statistically significant differences in path coefficients for sleep disorders (-0.033), health problems in daily life (-0.184), and health problems in the workplace (-0.190), all showing p-values of 0.000. These results underscore the detrimental effects of NIHL on multiple aspects of workers' health and emphasize the importance of wearing noise protection to mitigate these effects. This study provides vital insights for both researchers and practitioners in public health, suggesting that improved noise protection strategies are essential for protecting workers in noisy environments.
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Affiliation(s)
- Hyeon Jo
- Headquarters, HJ Institute of Technology and Management, 71 Jungdong-ro 39, Bucheon-si, Gyeonggi-do, 14721, Republic of Korea
| | - Eun-Mi Baek
- Department of Preventive Medicine, College of Medicine, Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul, 06591, Republic of Korea
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Mehrotra A, Shukla SP, Shukla AK, Manar MK, Singh SK, Mehrotra M. A Comprehensive Review of Auditory and Non-Auditory Effects of Noise on Human Health. Noise Health 2024; 26:59-69. [PMID: 38904803 DOI: 10.4103/nah.nah_124_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2023] [Accepted: 08/03/2024] [Indexed: 06/22/2024] Open
Abstract
OBJECTIVE Excessive noise is unpleasant and induces several physiological and psychological effects. Noise pollution is a potential threat to humans, particularly those continuously exposed for extended periods throughout the day over many years. This review aims to examine the various auditory and non-auditory outcomes associated with prolonged exposure to noise pollution. MATERIALS AND METHODS The review utilized a combination of relevant keywords to search the electronic databases. After screening based on the applied selection criteria for title, abstract, and full text, 44 articles were finally selected for critical review. RESULTS We identified and analyzed research findings related to noise-induced hearing loss, tinnitus, and sleep disturbances along with non-auditory issues such as annoyance, cognitive impairments, and mental stress associated with cardiovascular disorders. Furthermore, the existing studies were compared and collated to highlight the unique challenges and significance of noise pollution as a distinctive environmental concern and to explore the ongoing efforts in its research and prevention, including the early detection and potential reversal of noise-induced hearing loss. CONCLUSION The fundamental health consequences of noise pollution underscore the need for extensive research encompassing emerging noise sources and technologies to establish a health management system tailored to address noise-related health concerns and reduce noise exposure risk among populations. Finally, further research is warranted to ensure improved measurement of noise exposure and related health outcomes, especially in the context of occupational noise.
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Affiliation(s)
| | - Sheo Prasad Shukla
- Department of Civil Engineering, Rajkiya Engineering College, Banda, Uttar Pradesh, India
| | - A K Shukla
- Department of Civil Engineering, IET, Lucknow, Uttar Pradesh, India
| | - Manish K Manar
- Department of Community Medicine and Public Health, KGMU, Lucknow, Uttar Pradesh, India
| | - S K Singh
- Department of Community Medicine and Public Health, KGMU, Lucknow, Uttar Pradesh, India
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Li Y, Tuttle MA, Liu Q, Pang Y. An NIR-emitting cyanine dye with pyridinium groups: the impact of regio-bond connection on the photophysical properties. Chem Commun (Camb) 2024; 60:2208-2211. [PMID: 38304975 PMCID: PMC10878061 DOI: 10.1039/d3cc06189b] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Accepted: 01/17/2024] [Indexed: 02/03/2024]
Abstract
Two ESIPT-based isomeric cyanines were synthesized with significant bathochromic shift in the optical absorption λabs and emission λem, along with a very large Stokes shift. Probe 2 exhibited a longer conjugation and better photostability. Both compounds exhibited good selectivity for labeling the plasma membrane of prokaryotic cells and the hair cells of zebrafish.
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Affiliation(s)
- Yonghao Li
- Department of Chemistry, University of Akron, Akron, Ohio 44325, USA.
| | - Matthew A Tuttle
- Department of Biology, University of Akron, Akron, Ohio 44325, USA
| | - Qin Liu
- Department of Biology, University of Akron, Akron, Ohio 44325, USA
| | - Yi Pang
- Department of Chemistry, University of Akron, Akron, Ohio 44325, USA.
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10
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Tian C, Yang Y, Wang R, Li Y, Sun F, Chen J, Zha D. Norepinephrine protects against cochlear outer hair cell damage and noise-induced hearing loss via α 2A-adrenergic receptor. BMC Neurosci 2024; 25:5. [PMID: 38291397 PMCID: PMC10829207 DOI: 10.1186/s12868-024-00845-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Accepted: 01/16/2024] [Indexed: 02/01/2024] Open
Abstract
BACKGROUND The cochlear sympathetic system plays a key role in auditory function and susceptibility to noise-induced hearing loss (NIHL). The formation of reactive oxygen species (ROS) is a well-documented process in NIHL. In this study, we aimed at investigating the effects of a superior cervical ganglionectomy (SCGx) on NIHL in Sprague-Dawley rats. METHODS We explored the effects of unilateral and bilateral Superior Cervical Ganglion (SCG) ablation in the eight-ten weeks old Sprague-Dawley rats of both sexes on NIHL. Auditory function was evaluated by auditory brainstem response (ABR) testing and Distortion product otoacoustic emissions (DPOAEs). Outer hair cells (OHCs) counts and the expression of α2A-adrenergic receptor (AR) in the rat cochlea using immunofluorescence analysis. Cells culture and treatment, CCK-8 assay, Flow cytometry staining and analysis, and western blotting were to explore the mechanisms of SCG fibers may have a protective role in NIHL. RESULTS We found that neither bilateral nor unilateral SCGx protected the cochlea against noise exposure. In HEI-OC1 cells, H2O2-induced oxidative damage and cell death were inhibited by the application of norepinephrine (NE). NE may prevent ROS-induced oxidative stress in OHCs and NIHL through the α2A-AR. CONCLUSION These results demonstrated that sympathetic innervation mildly affected cochlear susceptibility to acoustic trauma by reducing oxidative damage in OHCs through the α2A-AR. NE may be a potential therapeutic strategy for NIHL prevention.
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Affiliation(s)
- Chaoyong Tian
- Department of Otolaryngology Head and Neck Surgery, Xijing Hospital, Air Force Medical University, Xi'an, Shaanxi, 710032, China
| | - Yang Yang
- Department of Otolaryngology Head and Neck Surgery, Xijing Hospital, Air Force Medical University, Xi'an, Shaanxi, 710032, China
| | - Renfeng Wang
- Department of Otolaryngology Head and Neck Surgery, Xijing Hospital, Air Force Medical University, Xi'an, Shaanxi, 710032, China
| | - Yao Li
- Department of Otolaryngology Head and Neck Surgery, Xijing Hospital, Air Force Medical University, Xi'an, Shaanxi, 710032, China
| | - Fei Sun
- Department of Otolaryngology Head and Neck Surgery, Xijing Hospital, Air Force Medical University, Xi'an, Shaanxi, 710032, China
| | - Jun Chen
- Department of Otolaryngology Head and Neck Surgery, Xijing Hospital, Air Force Medical University, Xi'an, Shaanxi, 710032, China
| | - Dingjun Zha
- Department of Otolaryngology Head and Neck Surgery, Xijing Hospital, Air Force Medical University, Xi'an, Shaanxi, 710032, China.
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Jo H, Baek EM. The sound of safety: exploring the determinants of prevention intention in noisy industrial workplaces. BMC Public Health 2024; 24:90. [PMID: 38178066 PMCID: PMC10768458 DOI: 10.1186/s12889-023-17618-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Accepted: 12/30/2023] [Indexed: 01/06/2024] Open
Abstract
Occupational noise exposure is a pervasive issue in many industries, leading to a range of health issues and sleep disturbances among workers. Additionally, there is a strong desire among these workers to prevent industrial accidents. This study, aimed at enhancing worker health and well-being, utilized a survey distributed by the Korean Confederation of Trade Unions to field workers. Data from 1285 workers were collected and analyzed using partial least squares structural equation modeling (PLS-SEM) to identify and understand the factors affecting prevention intention in noisy work environments. Our findings indicate that health problems resulting from occupational noise exposure significantly influence insomnia, perceived severity of potential accidents, perceived benefits of preventive measures, and perceived barriers. Perceived severity was significantly correlated with prevention intention, emphasizing the role of risk perception in motivating preventive behaviors. Perceived benefits were also significantly associated with prevention intention, highlighting the importance of positive outcomes in influencing workers' behaviors. Additionally, perceived barriers showed a significant relationship with prevention intention, suggesting that overcoming these barriers is crucial in promoting preventive behaviors. Demographic factors such as gender displayed a significant association with prevention intention, while age did not. This study provides valuable insights into the multifaceted factors influencing workers' intention to prevent industrial accidents in noisy environments, underlining the importance of comprehensive data collection tools in understanding these dynamics.
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Affiliation(s)
- Hyeon Jo
- Headquarters, HJ Institute of Technology and Management, 71 Jungdong-ro 39, 14721, Bucheon-si, Gyeonggi-do, Republic of Korea
| | - Eun-Mi Baek
- Department of Preventive Medicine, College of Medicine, Catholic University of Korea, 222 Banpo-daero, Seocho-gu, 06591, Seoul, Republic of Korea.
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Arnold ML, Sanchez VA, Carrasco DN, Martinez D, Dhar S, Stickel A, Perreira KM, Athanasios T, Lee DJ. Risk factors associated with occupational noise-induced hearing loss in the Hispanic community health study/study of Latinos: A cross-sectional epidemiologic investigation. JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL HYGIENE 2023; 20:586-597. [PMID: 37615410 DOI: 10.1080/15459624.2023.2250403] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/25/2023]
Abstract
The purpose of this study was to estimate the prevalence of occupational noise exposure and risk factors of occupational noise-induced hearing loss (NIHL) in Hispanic/Latino adults included in the baseline wave of the Hispanic Community Health Study/Study of Latinos collected from 2008 to 2011. Sequential multiple linear regression modeled the relationship between occupational NIHL (defined as a 3-, 4-, 6-kHz pure-tone average [PTA]) and occupation type, self-reported noise exposure, cardiovascular disease (CVD) risk score, and hearing protective device (HPD) use. The final model controlled for sex, age, and recreational noise exposure. Among 12,851 included participants, approximately 40% (n = 5036) reported occupational noise exposure "Sometimes" (up to 50% of the time) or "Frequently" (75-100% of the time). In the final fitted model, longest-held occupation and CVD risk were associated with poorer hearing. Specifically, those in non-skilled, service, skilled, and military/police/other job categories had between 2.07- and 3.29-dB worse PTA than professional/office workers. Additionally, a shift in the CVD risk score category from low to medium was associated with a 2.25- and 8.20-dB worse PTA for medium and high CVD risk, respectively. Age and sex were also significantly associated with poorer hearing, such that men presented with 6.08 dB worse PTA than women, and for every one-year increase in age, PTA increased by 0.62 dB (ps < .001). No interactions were seen between noise*sometimes or frequent exposure to other ototoxic agents and PTA (ps = .33 & .92, respectively). The prevalence of occupational noise exposure was high in this cross-sectional investigation of adults from Hispanic/Latino backgrounds. Findings contribute to the extant literature by demonstrating that risk factors for occupational NIHL in adults from varying Hispanic/Latino backgrounds are consistent with those of other previously studied groups.
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Affiliation(s)
- Michelle L Arnold
- Department of Communication Sciences and Disorders, University of South Florida, Tampa, Florida
| | - Victoria A Sanchez
- Department of Otolaryngology - Head and Neck Surgery, University of South Florida, Morsani College of Medicine, Tampa, Florida
| | | | - Diane Martinez
- Department of Communication Sciences and Disorders, University of South Florida, Tampa, Florida
| | - Sumitrajit Dhar
- School of Communication, Northwestern University, Evanston, Illinois
| | - Ariana Stickel
- Department of Psychology, San Diego State University, San Diego, California
| | - Krista M Perreira
- Department of Health Policy, and Management, University of North Carolina, Chapel Hill, North Carolina
| | - Tsalatsanis Athanasios
- Biostatistics Core, University of South Florida - Morsani College of Medicine, Tampa, Florida
| | - David J Lee
- Miller School of Medicine, University of Miami, Coral Gables, Florida
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Yazdanirad S, Khoshakhlagh AH, Al Sulaie S, Drake CL, Wickwire EM. The effects of occupational noise on sleep: A systematic review. Sleep Med Rev 2023; 72:101846. [PMID: 37683554 DOI: 10.1016/j.smrv.2023.101846] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Revised: 08/06/2023] [Accepted: 08/31/2023] [Indexed: 09/10/2023]
Abstract
Noise exposure in the workplace is one of the most common occupational hazards, which can affect sleep in the human. The effects of occupational noise can be different than that of environmental or social noise. This study aimed to conduct a systematic review on the effects of occupational noise on various characteristics of sleep. In this study, three electronic bibliographic databases (Scopus, PubMed, and Web of Science) were systematically searched up to 14 December 2022. The search algorithm included two sets of keywords and possible combinations. The first group was keywords related to occupational noise, and the second group was keywords related to sleep. A total of 2082 articles were identified in the initial search, and 2034 articles were excluded based on exclusion criteria or lacking inclusion criteria. Finally, 48 articles met the inclusion criteria and were selected for final review. Among 13 articles identified as high quality, all studies (100%) showed that noise had a significant effect on sleep among workers in various occupations. Among 17 articles with moderate quality, thirteen studies (76.47%) indicated that noise had a significant effect on sleep among workers in different occupations. Among 18 low-quality articles, fifteen studies (83.33%) showed that noise had a significant effect on sleep. 41 out of 48 studies (85.42%) found that occupational noise can negatively impact sleep among employees in various occupations. There are at least four potential pathways for this effect, including the physiological effect of daytime noise exposure, the psychological effect of daytime noise exposure, the effect of nighttime noise exposure, and the effect of hearing problems due to noise.
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Affiliation(s)
- Saeid Yazdanirad
- Social Determinants of Health Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran; School of Health, Shahrekord University of Medical Sciences, Shahrekord, Iran.
| | - Amir Hossein Khoshakhlagh
- Department of Occupational Health, School of Health, Kashan University of Medical Sciences, Kashan, Iran.
| | - Saleh Al Sulaie
- Department of Industrial Engineering, College of Engineering in Al-Qunfudah, Umm Al-Qura University, Makkah, 21955, Saudi Arabia.
| | - Christopher L Drake
- Henry Ford Health System, Sleep Disorders and Research Center, Detroit, MI, USA.
| | - Emerson M Wickwire
- Psychiatry and Medicine, Section Head, Sleep Medicine, University of Maryland, School of Medicine, USA.
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Masterson EA, Wurzelbacher SJ, Bushnell PT, Tseng CY. Workers' Compensation Costs for Occupational Hearing Loss Claims in the United States, 2009-2013. Semin Hear 2023; 44:412-436. [PMID: 37818144 PMCID: PMC10562048 DOI: 10.1055/s-0043-1769587] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/12/2023] Open
Abstract
This study estimated the average annual number of U.S. workers' compensation (WC) claims for occupational hearing loss (OHL) and their associated cost and identified the industry/occupation classifications with the highest numbers of OHL claims. The most recent U.S. cost estimate ($242 million) was based on data from one state in 1 year (1991). WC data from the National Council on Compensation Insurance, Inc. (35 states) and two additional individual states were examined, incorporating data from 37 states and the District of Columbia. Costs and numbers of claims were estimated for the 13 missing states to develop estimates for the United States. Sensitivity analyses were also performed to develop ranges for the point estimates. The estimated U.S. average annual OHL claim cost fell within the range of $49 to $67 million during 2009-2013, with a point estimate of $60 million (2013 dollars). The estimated average annual number of OHL claims ranged from 4,114 to 5,986, with a point estimate of 4,965 claims. Based on data available from 36 states and DC, 18 of the 40 industry/occupation classifications with ≥50 OHL claims were in the manufacturing sector. WC data underestimate the true burden of OHL. Most OHL cases are not compensated. WC laws, industry composition and other factors vary widely by state, so estimates must employ data for many states. This study incorporated data from most states and utilized sensitivity and comparative analyses to obtain estimates. Workers in a wide range of industry/occupation classifications need special attention to prevent OHL.
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Affiliation(s)
- Elizabeth A. Masterson
- Division of Field Studies and Engineering, National Institute for Occupational Safety and Health (NIOSH), Cincinnati, Ohio
| | - Steven J. Wurzelbacher
- Center for Workers' Compensation Studies, Division of Field Studies and Engineering, National Institute for Occupational Safety and Health, Cincinnati, Ohio
| | - P. Timothy Bushnell
- Economic Research and Support Office, Office of the Director, National Institute for Occupational Safety and Health, Cincinnati, Ohio
| | - Chih-Yu Tseng
- Division of Field Studies and Engineering, National Institute for Occupational Safety and Health (NIOSH), Cincinnati, Ohio
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15
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Themann CL, Masterson EA, Peterson JS, Murphy WJ. Preventing Occupational Hearing Loss: 50 Years of Research and Recommendations from the National Institute for Occupational Safety and Health. Semin Hear 2023; 44:351-393. [PMID: 37818146 PMCID: PMC10562059 DOI: 10.1055/s-0043-1769499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/12/2023] Open
Abstract
For more than 50 years, the National Institute for Occupational Safety and Health (NIOSH), part of the United States (U.S.) Centers for Disease Control and Prevention (CDC), has been actively working to reduce the effects of noise and ototoxic chemicals on worker hearing. NIOSH has pioneered basic and applied research on occupational hearing risks and preventive measures. The Institute has issued recommendations and promoted effective interventions through mechanisms ranging from formal criteria documents to blogs and social media. NIOSH has conducted surveillance and published statistics to guide policy and target prevention efforts. Over the past five decades, substantial progress has been made in raising awareness of noise as a hazard, reducing the risk of occupational hearing loss, improving the use of hearing protection, and advancing measurement and control technologies. Nevertheless, noise remains a prevalent workplace hazard and occupational hearing loss is still one of the most common work-related conditions. NIOSH continues to work toward preventing the effects of noise and ototoxicants at work and has many resources to assist audiologists in their hearing loss prevention efforts.
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Affiliation(s)
- Christa L. Themann
- Noise and Bioacoustics Team, National Institute for Occupational Safety and Health, Cincinnati, Ohio
| | - Elizabeth A. Masterson
- Division of Field Studies and Engineering, National Institute for Occupational Safety and Health, Cincinnati, Ohio
| | - Jeffrey Shawn Peterson
- Pittsburgh Mining Research Division, National Institute for Occupational Safety and Health, Pittsburgh, Pennsylvania
| | - William J. Murphy
- Noise and Bioacoustics Team, National Institute for Occupational Safety and Health, Cincinnati, Ohio
- Stephenson and Stephenson Research and Consulting, LLC, Batavia, Ohio
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16
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Brueck SE, Eisenberg J, Zechmann EL, Murphy WJ, Krieg E, Morata TC. Noise Exposure and Hearing Loss among Workers at a Hammer Forge Company. Semin Hear 2023; 44:485-502. [PMID: 37818145 PMCID: PMC10562057 DOI: 10.1055/s-0043-1769498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/12/2023] Open
Abstract
The National Institute for Occupational Safety and Health (NIOSH) evaluated continuous and impact noise exposures and hearing loss among workers at a hammer forge company. Full-shift personal noise exposure measurements were collected on forge workers across 15 different job titles; impact noise characteristics and one-third octave band noise levels were assessed at the forge hammers; and 4,750 historic audiometric test records for 483 workers were evaluated for hearing loss trends. Nearly all workers' noise exposures exceeded regulatory and/or recommended exposure limits. Workers working in jobs at or near the hammers had full-shift time-weighted average noise exposures above 100 decibels, A-weighted. Impact noise at the hammers reached up to 148 decibels. Analysis of audiometric test records showed that 82% of workers had experienced a significant threshold shift, as defined by NIOSH, and 63% had experienced a standard threshold shift, as defined by the Occupational Safety and Health Administration (OSHA). All workers with an OSHA standard threshold shift had a preceding NIOSH significant threshold shift which occurred, on average, about 7 years prior. This evaluation highlights forge workers' exposures to high levels of noise, including impact noise, and how their hearing worsened with age and length of employment.
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Affiliation(s)
- Scott E. Brueck
- Division of Field Studies and Engineering, National Institute for Occupational Safety and Health, Cincinnati, Ohio
| | - Judith Eisenberg
- Division of Field Studies and Engineering, National Institute for Occupational Safety and Health, Cincinnati, Ohio
| | - Edward L. Zechmann
- Division of Field Studies and Engineering, National Institute for Occupational Safety and Health, Cincinnati, Ohio
| | - William J. Murphy
- Stephenson and Stephenson Research and Consulting, LLC, Batavia, Ohio
| | - Edward Krieg
- Division of Field Studies and Engineering, National Institute for Occupational Safety and Health, Cincinnati, Ohio
| | - Thais C. Morata
- Division of Field Studies and Engineering, National Institute for Occupational Safety and Health, Cincinnati, Ohio
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Gong W, Murphy WJ, Meinke DK, Feng HA, Stephenson MR. Evaluating Earplug Performance over a 2-Hour Work Period with a Fit-Test System. Semin Hear 2023; 44:470-484. [PMID: 37818150 PMCID: PMC10562054 DOI: 10.1055/s-0043-1769586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/12/2023] Open
Abstract
Workers rely on hearing protection devices to prevent occupational noise-induced hearing loss. This study aimed to evaluate changes in attenuation over time for properly fit devices when worn by workers exposed to hazardous noise. Earplug fit testing was accomplished on 30 workers at a brewery facility with three types of foam and three types of premolded earplugs. The personal attenuation ratings (PARs) were measured before and after a 2-hour work period while exposed to hazardous noise levels. The minimum acceptable initial PAR was 15 dB. Average decreases in PAR ranged from -0.7 to -2.6 dB across all six earplug types. Significant changes in PAR were observed for the Foam-1 ( p = 0.009) and Premold-3 ( p = 0.004) earplugs. A linear mixed regression model using HPD type and study year as fixed effects and subject as random effect was not significant for either fixed effect ( α = 0.05). Ninety-five percent of the final PAR measurements maintained the target attenuation of 15 dB. Properly fitting earplugs can be effective at reducing worker's noise exposures over time. The potential for a decrease in attenuation during the work shift should be considered when training workers and establishing the adequacy of protection from hazardous noise exposures.
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Affiliation(s)
- Wei Gong
- Division of Field Studies and Engineering, National Institute for Occupational Safety and Health, Cincinnati, Ohio
| | - William J. Murphy
- Division of Field Studies and Engineering, National Institute for Occupational Safety and Health, Cincinnati, Ohio
- Stephenson and Stephenson Research and Consulting, LLC, Batavia, Ohio
| | - Deanna K. Meinke
- Audiology and Speech-Language Sciences, University of Northern Colorado, Greeley, Colorado
| | - Huiling Amy Feng
- Division of Field Studies and Engineering, National Institute for Occupational Safety and Health, Cincinnati, Ohio
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Shkembi A, Smith LM, Neitzel RL. Risk perception or hazard perception? Examining misperceptions of miners' personal exposures to noise. Int J Hyg Environ Health 2023; 254:114263. [PMID: 37742520 DOI: 10.1016/j.ijheh.2023.114263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2023] [Revised: 09/18/2023] [Accepted: 09/19/2023] [Indexed: 09/26/2023]
Abstract
While perceptions of risk have been examined in the workplace to understand safety behavior, hazard perception has been overlooked, particularly for chemical, physical, and biological agents. This study sought to establish the prevalence of one type of mismatch in hazard perception, - noise misperception - among miners, to examine whether different types of noisy environments (e.g., continuous, highly variable, etc.) alter workers' misperception of their noise exposures, and to evaluate whether noise misperception is associated with hearing protection device (HPD) use behavior. In this cross-sectional study across 10 surface mines in the USA, 135 normal-hearing participants were surveyed on their perceptions of exposure to noise at work and were monitored for three shifts, each with personal noise dosimetry, to examine which workers had a mismatch in perceived versus true noise exposure by 8-hr, time-weighted average, NIOSH exposure limits (TWANIOSH). Mixed effects logistic regression and probit Bayesian Kernel Machine Regression (BKMR) models examining on the odds of noise misperception associated with four different noise metrics (kurtosis, crest factor, variability, and number of peaks >135 dB) were used to determine which types of noisy environments may influence noise misperception. The relationship between noise misperception and odds of not wearing HPDs during a work shift was further examined. Our findings showed that nearly 1 in 3 workers underestimated their exposure to noise when their true exposure was in fact hazardous (TWANIOSH≥85 dBA) for at least one shift, and 6% misperceived hazardous exposures for all shifts. Work shifts with highly kurtotic noise distributions (>3) had 3.1 (95% CI: 1.1 to 8.4) times significantly higher odds of resulting in misperceived noise; no other noise metric was significantly associated with noise misperception. BKMR modeling provided further evidence that kurtosis dominates this relationship, with an IQR increase in kurtosis significantly associated with 1.68 (95% CI: 1.13 to 2.50) higher odds of noise misperception. Although not statistically significant, misperception of hazardous noise exposure was associated with 3.2 (95% CI: 0.8 to 12.5) times higher odds of not using earplugs during a work shift. Misperception of noise occurs in the workplace, and likely occurs for other physical, chemical, and biological exposures. This hazard misperception may influence risk perceptions and worker behavior and reduce the effectiveness of behavior-related training. Elimination, substitution, or engineering controls of exposures is the best way to prevent hazard misperceptions and exposure-related diseases.
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Affiliation(s)
- Abas Shkembi
- Department of Environmental Health Sciences, School of Public Health, University of Michigan, Ann Arbor, MI, 48109, USA.
| | - Lauren M Smith
- Department of Environmental Health Sciences, School of Public Health, University of Michigan, Ann Arbor, MI, 48109, USA
| | - Richard L Neitzel
- Department of Environmental Health Sciences, School of Public Health, University of Michigan, Ann Arbor, MI, 48109, USA
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Torén K, Neitzel RL, Eriksson HP, Andersson E. Occupational exposure to noise and dust in Swedish soft paper mills and mortality from ischemic heart disease and ischemic stroke: a cohort study. Int Arch Occup Environ Health 2023; 96:965-972. [PMID: 37261594 PMCID: PMC10361880 DOI: 10.1007/s00420-023-01980-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2023] [Accepted: 05/11/2023] [Indexed: 06/02/2023]
Abstract
OBJECTIVE To elucidate whether occupational noise exposure increases the mortality from ischemic heart disease (IHD) and stroke, and if exposure to paper dust modified the risks. METHODS We studied 6686 workers from soft paper mills, with occupational noise exposure, < 85 dBA, 85-90 dBA and > 90 dBA, and high (> 5 mg/m3) exposure to paper dust. Person-years 1960-2019 were stratified according to gender, age, and calendar-year. Expected numbers of deaths were calculated using the Swedish population as the reference and standardized mortality ratios (SMR) with 95% confidence intervals (95% CI) were assessed. RESULTS SMR for IHD was 1.12 (95% CI 0.88-1.41) for noise < 85 dBA, 1.18 (95% CI 0.90-1.55) for 85-90 dBA, and 1.27 (95% CI 1.10-1.47) among workers exposed > 90 dBA. Joint exposure to high noise exposure and high exposure to paper dust resulted in slightly higher IHD mortality (SMR 1.39, 95% CI 1.15-1.67). SMR for ischemic stroke was 0.90 (95% CI 0.37-2.15) for noise < 85 dBA, 1.08 (95% CI 0.45-2.59) for 85-90 dBA, and 1.48 (95% CI 0.99-2.00) among workers exposed > 90 dBA. High noise exposure and high exposure to paper dust resulted in higher ischemic stroke mortality (SMR 1.83, 95% CI 1.12-2.98). CONCLUSION Noise levels > 90 dBA was associated with increased IHD mortality. Combined exposures of noise and paper dust may further increase the risks. Our results do not provide support for a causal relationship for ischemic stroke. Residual confounding from smoking has to be considered. Workers need to be protected from occupational noise levels exceeding 90 dBA.
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Affiliation(s)
- Kjell Torén
- Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Box 414, 405 30, Gothenburg, Sweden.
- Discipline of Occupational and Environmental Health, University of KwaZulu-Natal, Durban, South Africa.
| | - Richard L Neitzel
- Department of Environmental Health Sciences, University of Michigan, Ann Arbor, MI, USA
| | - Helena P Eriksson
- Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden
| | - Eva Andersson
- Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden
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20
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Robinson T, Sussell A, Scott K, Poplin G. Health conditions among male workers in mining and other industries reliant on manual labor occupations: National Health Interview Survey, 2007-2018. Am J Ind Med 2023; 66:692-704. [PMID: 37132409 PMCID: PMC11175619 DOI: 10.1002/ajim.23483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2022] [Revised: 03/24/2023] [Accepted: 04/09/2023] [Indexed: 05/04/2023]
Abstract
INTRODUCTION Mining is an industry with diverse, demanding occupational exposures. Understanding the prevalence of chronic health conditions in working miners is an area of active research. Of particular interest is how the health of miners compares to that of workers in other industry sectors with a high proportion of manual labor occupations. By comparing similar industries, we can learn what health conditions may be associated with manual labor and with individual industries. This study analyzes the prevalence of health conditions in miners compared to workers employed in other manual-labor-reliant industries. METHODS National Health Interview Survey public data were analyzed for the years 2007-2018. Mining and five other industry groups with a high proportion of manual labor occupations were identified. Female workers were excluded because of small sample sizes. The prevalence of chronic health outcomes was calculated for each industry group and compared to that of nonmanual labor industries. RESULTS Currently-working male miners showed increased prevalence of hypertension (in those age <55 years), hearing loss, lower back pain, leg pain progressing from lower back pain, and joint pain, compared to nonmanual labor industries workers. Construction workers also demonstrated a high prevalence of pain. CONCLUSION Miners demonstrated increased prevalence of several health conditions, even when compared to other manual labor industries. Given previous research on chronic pain and opioid misuse, the high pain prevalence found among miners suggests mining employers should reduce work factors that cause injury while also providing an environment where workers can address pain management and substance use.
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Affiliation(s)
- Tashina Robinson
- Centers for Disease Control and Prevention, National
Institute for Occupational Safety and Health, Spokane, Washington, USA
| | - Aaron Sussell
- Centers for Disease Control and Prevention, National
Institute for Occupational Safety and Health, Spokane, Washington, USA
| | - Kenneth Scott
- Centers for Disease Control and Prevention, National
Institute for Occupational Safety and Health, Denver, Colorado, USA
| | - Gerald Poplin
- Centers for Disease Control and Prevention, National
Institute for Occupational Safety and Health, Spokane, Washington, USA
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Vijayakumar S, DiGuiseppi JA, Dabestani J, Ryan WG, Vielman Quevedo R, Li Y, Diers J, Tu S, Fleegel J, Nguyen C, Rhoda LM, Imami AS, Hamoud AAR, Lovas S, McCullumsmith R, Zallocchi M, Zuo J. In Silico Transcriptome-based Screens Identify Epidermal Growth Factor Receptor Inhibitors as Therapeutics for Noise-induced Hearing Loss. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2023:2023.06.07.544128. [PMID: 37333346 PMCID: PMC10274759 DOI: 10.1101/2023.06.07.544128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/20/2023]
Abstract
Noise-Induced Hearing Loss (NIHL) represents a widespread disease for which no therapeutics have been approved by the Food and Drug Administration (FDA). Addressing the conspicuous void of efficacious in vitro or animal models for high throughput pharmacological screening, we utilized an in silico transcriptome-oriented drug screening strategy, unveiling 22 biological pathways and 64 promising small molecule candidates for NIHL protection. Afatinib and zorifertinib, both inhibitors of the Epidermal Growth Factor Receptor (EGFR), were validated for their protective efficacy against NIHL in experimental zebrafish and murine models. This protective effect was further confirmed with EGFR conditional knockout mice and EGF knockdown zebrafish, both demonstrating protection against NIHL. Molecular analysis using Western blot and kinome signaling arrays on adult mouse cochlear lysates unveiled the intricate involvement of several signaling pathways, with particular emphasis on EGFR and its downstream pathways being modulated by noise exposure and Zorifertinib treatment. Administered orally, Zorifertinib was successfully detected in the perilymph fluid of the inner ear in mice with favorable pharmacokinetic attributes. Zorifertinib, in conjunction with AZD5438 - a potent inhibitor of cyclin dependent kinase 2 - produced synergistic protection against NIHL in the zebrafish model. Collectively, our findings underscore the potential application of in silico transcriptome-based drug screening for diseases bereft of efficient screening models and posit EGFR inhibitors as promising therapeutic agents warranting clinical exploration for combatting NIHL. Highlights In silico transcriptome-based drug screens identify pathways and drugs against NIHL.EGFR signaling is activated by noise but reduced by zorifertinib in mouse cochleae.Afatinib, zorifertinib and EGFR knockout protect against NIHL in mice and zebrafish.Orally delivered zorifertinib has inner ear PK and synergizes with a CDK2 inhibitor.
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22
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Ahmad JG, Allen DZ, Erickson S, Hasan S, Shenouda M, Jiang ZY, Huang Z, Yuksel S, Roy S. Noise exposure in pediatric otolaryngology clinic: A sound survey of a single-institution tertiary care facility. Am J Otolaryngol 2023; 44:103913. [PMID: 37172457 DOI: 10.1016/j.amjoto.2023.103913] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2023] [Revised: 04/19/2023] [Accepted: 04/29/2023] [Indexed: 05/15/2023]
Abstract
BACKGROUND The Occupational Safety and Health Administration (OSHA) considers acoustic exposure of 90 decibels (dB) an occupational risk for noise-induced hearing loss. Pediatric healthcare clinicians are exposed to considerable noise especially during invasive procedures, predisposing them to noise-induced hearing loss, increased work-related stress, and increased complications associated with intense noise exposure. While there has been extensive research in noise exposure in dentistry, to date there has been no research on noise exposure in the pediatric otolaryngology clinic setting. The objective of this study is to quantify the degree of noise exposure that pediatric otolaryngologists encounter in the clinical setting. METHODS A sound survey was performed of 420 pediatric otolaryngology clinic visits within a single-institution tertiary care facility from January 2022 to March 2022, with a total of 409 visits included. At each visit, noise was measured using a calibrated National Institute for Occupational Safety and Health (NIOSH) Sound Meter application, an iPad, and a microphone. The Equivalent Continuous Sound Pressure Level (LAeq), peak sound pressure level (SPL), C-weighted peak noise level (LCpeak), and the 8-hour time-weighted average (TWA) sound level were recorded. RESULTS The average LAeq was 61.1 dB, the median LAeq was 60.3 dB, and the average peak SPL was 80.5 dB. Only 0.5 % of visits reached an LAeq above 80 dB, however, 51 % were above 60 dB and 99 % were above 45 dB. No clinicians were exposed to noise exceeding established limits of safety. Patients younger than ten years old (p < 0.001) and those who underwent procedures such as cerumen removal (p < 0.001) elicited higher ranges of elevated noise. Multivariate analysis confirmed that increased age decreased acoustic exposure while procedures increased acoustic exposure. CONCLUSIONS The results of this study suggest that pediatric otolaryngology clinicians do not exceed hazardous noise limit exposure. However, they are exposed to levels above those which have been linked to stress, poor productivity, and stress-related disorders. This analysis also reports that patients who are younger and those that undergo procedures, specifically cerumen removal, tend to expose their providers to the highest levels of noise. This is the first study examining noise exposure in pediatric otolaryngology, and further research should evaluate the risks of noise exposure in this environment.
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Affiliation(s)
- Jumah G Ahmad
- The Department of Otorhinolaryngology-Head and Neck Surgery, The University of Texas Health Science Center at Houston, Houston, TX 77040, United States of America
| | - David Z Allen
- The Department of Otorhinolaryngology-Head and Neck Surgery, The University of Texas Health Science Center at Houston, Houston, TX 77040, United States of America.
| | - Samuel Erickson
- The Department of Otolaryngology, The University of Oklahoma, Oklahoma City, OK, United States of America
| | - Salman Hasan
- McGovern Medical School, Houston, TX 77040, United States of America
| | - Marina Shenouda
- McGovern Medical School, Houston, TX 77040, United States of America
| | - Zi Yang Jiang
- The Department of Otorhinolaryngology-Head and Neck Surgery, The University of Texas Health Science Center at Houston, Houston, TX 77040, United States of America
| | - Zhen Huang
- The Department of Otorhinolaryngology-Head and Neck Surgery, The University of Texas Health Science Center at Houston, Houston, TX 77040, United States of America
| | - Sancak Yuksel
- The Department of Otorhinolaryngology-Head and Neck Surgery, The University of Texas Health Science Center at Houston, Houston, TX 77040, United States of America
| | - Soham Roy
- The Department of Pediatric Otolaryngology, Colorado Children's Hospital, Denver, CO, United States of America
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Williams EC, Ma Y, Loo DM, Schaefer Solle N, Millet B, Harris K, Snapp HA, Rajguru SM. Monitoring Occupational Noise Exposure in Firefighters Using the Apple Watch. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:2315. [PMID: 36767682 PMCID: PMC9915343 DOI: 10.3390/ijerph20032315] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/19/2022] [Revised: 01/18/2023] [Accepted: 01/25/2023] [Indexed: 06/18/2023]
Abstract
Occupational noise exposure and hearing loss are prominent in the fire service. Firefighters are routinely exposed to hazardous levels of noise arising from the tools and equipment they use, from sirens and alarm tones to the emergency response vehicles they drive. The present study utilized the Apple Watch to continuously measure environmental noise levels for on-duty firefighters. Participants included 15 firefighters from the metropolitan South Florida area, and 25 adult non-firefighter control subjects. Firefighters were recruited from a variety of roles across two stations to ensure noise exposure profiles were appropriately representative of exposures in the fire service. All participants wore an Apple Watch for up to three separate 24 h shifts and completed a post-shift survey self-reporting on perceived exposures over the 24 h study period. Cumulative exposures were calculated for each shift and noise dose was calculated relative to the NIOSH recommended exposure limit of 85 dBA as an 8 h time-weighted average. The maximum dBA recorded on the Apple Watches was statistically significant between groups, with firefighters experiencing a median of 87.79 dBA and controls a median of 77.27 dBA. Estimated Exposure Time at 85 dBA (EET-85) values were significantly higher for firefighters when compared to controls: 3.97 h (range: 1.20-14.7 h) versus 0.42 h (range: 0.05-8.21 h). Only 2 of 16 firefighters reported the use of hearing protection devices during their shifts. Overall, our results highlight the utility of a commonly used personal device to quantify noise exposure in an occupationally at-risk group.
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Affiliation(s)
- Erin C. Williams
- Department of Otolaryngology, University of Miami, Miami, FL 33136, USA
- Department of Biomedical Engineering, University of Miami, Coral Gables, FL 33136, USA
| | - Yiran Ma
- Department of Biomedical Engineering, University of Miami, Coral Gables, FL 33136, USA
| | - Daniela M. Loo
- Department of Biomedical Engineering, University of Miami, Coral Gables, FL 33136, USA
| | | | - Barbara Millet
- Department of Interactive Media, University of Miami, Coral Gables, FL 33146, USA
| | - Kristine Harris
- Department of Otolaryngology, University of Miami, Miami, FL 33136, USA
| | - Hillary A. Snapp
- Department of Otolaryngology, University of Miami, Miami, FL 33136, USA
| | - Suhrud M. Rajguru
- Department of Otolaryngology, University of Miami, Miami, FL 33136, USA
- Department of Biomedical Engineering, University of Miami, Coral Gables, FL 33136, USA
- RestorEar Devices LLC, Bozeman, MT 59715, USA
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Using mobile audiometry (Wulira App) to assess noise induced hearing loss among industrial workers in Kampala, Uganda: A cross-sectional study. PLoS One 2023; 18:e0279407. [PMID: 36608035 PMCID: PMC9821776 DOI: 10.1371/journal.pone.0279407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2022] [Accepted: 12/04/2022] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND Occupational noise is a common cause of hearing loss in low-income countries. Unfortunately, screening for hearing loss is rarely done due to technical and logistical challenges associated with pure tone audiometry. Wulira app is a valid and potentially cost-effective alternative to pure tone audiometry in screening for occupational hearing loss. We aimed to determine the prevalence of occupational hearing loss among workers in a metal industry company in Kampala district. METHODOLOGY We recruited 354 participants conveniently from a steel and iron manufacturing industry in Kampala. All eligible participants answered a pretested and validated questionnaire and were assessed for noise induced hearing loss in a quiet office room approximately 500 meters from the heavy machinery area using the Wulira app. Descriptive statistics such as proportions were used to describe the study population while inferential statistics were used to determine associations. RESULTS Of the 354 participants sampled, 333 (94.1%) were male, and the median age was 27, IQR (25-30). Regarding the risk factors of hearing loss, fourteen (3.9%) had history of smoking and more than half (65.5%) had worked in the industry for more than 2 years. The overall prevalence of hearing loss among industrial workers was 11.3% (40/354). 16.2% and 9% had mild hearing loss in the right and left ear respectively. Bilateral audiometric notch was present where fourteen (4%) of the participants had notch in their right ear while seven (2%) had notch in their left ear. Residing outside Kampala district was associated with hearing loss (OR, 95% CI, 0.213 (0.063-0.725), p = 0.013). CONCLUSION One in 10 workers in a metal manufacturing industry in Kampala had occupational hearing loss. Industrial workers residing outside Kampala were likely to develop hearing loss. Periodic screening should be done for early detection and intervention to prevent progression of hearing loss in this population.
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Lee HJ, Lee J, Yoon C, Park Y, Joo YH, Park JO, Seo YJ, Park KH. Association of dietary factors with noise-induced hearing loss in Korean population: A 3-year national cohort study. PLoS One 2022; 17:e0279884. [PMID: 36584228 PMCID: PMC9803270 DOI: 10.1371/journal.pone.0279884] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2022] [Accepted: 12/16/2022] [Indexed: 12/31/2022] Open
Abstract
Noise-induced hearing loss (NIHL) is a hearing impairment (HI) caused by various clinical factors. Identifying the relationship between NIHL and nutrient consumption could help in reducing the prevalence of hearing loss. The aim of this study was to analyze the relationship between NIHL and dietary factors using data of the Korea National Health and Nutrition Examination survey (KNHANES). The data were collected from The Fifth KNHANES 2010-2012. The survey was taken by a total of 10,850 participants aged 20-65 years. Air conduction audiometry was measured at 500, 1000, 2000, and 4000 Hz in both ears. Metabolic syndrome, noise exposure, alcohol consumption, smoking, income level, marital status, and nutritional intake were evaluated. The differences between non-HI and HI participants in the noise-exposed group showed statistically significant differences in age, sex, marital and smoking status, alcohol consumption, and fasting glucose and triglyceride levels (p<0.05). In a multiple regression analysis of the noise-exposed group, age showed a significant association with HI (OR: 0.604; 95% CI: 0.538-0.678) after adjusting for confounders. In multivariate analysis for dietary factors affecting HI in noise-exposed groups, retinol (OR: 1.356; 95% CI: 1.068-1.722), niacin (OR: 1.5; 95% CI: 1.022-2.201), and carbohydrates (OR: 0.692; 95% CI: 0.486-0.985) showed a significant association with NIHL. Age was identified as the only factor significantly affecting NIHL. When the dietary factors of the noise-exposed group were analyzed, high intake of niacin and retinol and low intake of carbohydrates appeared to reduce the risk of hearing loss.
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Affiliation(s)
- Hyun Jin Lee
- Department of Otorhinolaryngology-Head and Neck Surgery, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Juhyung Lee
- Department of biostatistics, Yonsei University Wonju College of Medicine, Wonju, Korea
| | - Chulyoung Yoon
- Department of biostatistics, Yonsei University Wonju College of Medicine, Wonju, Korea
| | - Yesai Park
- Department of Otorhinolaryngology-Head and Neck Surgery, Incheon St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Young-Hoon Joo
- Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea
| | - Jun-Ook Park
- Department of Otolaryngology-Head and Neck Surgery, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea
| | - Young Joon Seo
- Department of Otorhinolaryngology, Yonsei University Wonju College of Medicine, Wonju, South Korea
| | - Kyoung Ho Park
- Department of Otolaryngology-Head and Neck Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea
- * E-mail:
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Zhang Y, Yin H. Willingness to Pay for Green Office: Evidence from Shanghai. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2022; 29:84345-84356. [PMID: 35779220 DOI: 10.1007/s11356-022-21555-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/29/2022] [Accepted: 06/14/2022] [Indexed: 06/15/2023]
Abstract
The construction sector is a critical contributor to energy consumption and greenhouse gas emission. Promotion of green buildings may be a good way to tackle environmental problems. In this study, a choice experiment was undertaken to explore preferences and willingness to pay (WTP) for various attributes of green office buildings in Shanghai, with a sample of 309 respondents. Results of the mixed logit reveal that respondents value attributes relating to indoor comfortability and health, including Quiet Office Environment, Eco-Friendly Construction and Decoration Material, and Indoor Air Purification. Higher WTP is also observed for features of Power Saving and Water Saving, which provide both private and public benefits. According to heterogeneity analysis, people working in offices with a higher rent are more likely to pay for air purifier installation. In general, construction & manufacturing firms have higher WTP for Power Saving while lower WTP for Soundproof. On average, foreign firms are willing to pay more for eco-friendly materials. Finally, implications and suggestions for policymakers and building developers are discussed.
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Affiliation(s)
- Yanan Zhang
- China-UK Low Carbon College, Shanghai Jiao Tong University, Shanghai, 201306, China
| | - Haitao Yin
- Antai College of Economics and Management, Shanghai Jiao Tong University, Shanghai 200030, China; Institute of Eco-Chongming, 20 Cuiniao Rd.Chenjia Zhen, Chongming, Shanghai, 202162, China.
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Lin YC, Lin YW. An Index to Assess Overwork-Related Adverse Effects on Employees Under the Occupational Safety and Health Act in Taiwan. Saf Health Work 2022; 13:401-407. [PMID: 36579013 PMCID: PMC9772476 DOI: 10.1016/j.shaw.2022.10.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2022] [Revised: 09/21/2022] [Accepted: 10/09/2022] [Indexed: 11/13/2022] Open
Abstract
Background The present study aimed to digitally evaluate the risk of overwork-related adverse effects (OrAEs) among employees from various occupational categories in Taiwan. Methods Anonymous data of employees from seven companies/factories providing occupational health services were analyzed. The studied population comprised 5505 employees, and the data analyzed included employment duration, working hours, shift work schedules, and health checkup results. The risk for OrAEs was assessed by an index, Karo index (0-4, the larger the value, the higher the risk for OrAEs) obtained using a risk matrix made up of cardiocerebral and occupational risk factors. Karo index values of 3 and 4 were categorized as at high risk for OrAEs (h-OrAEs). Results The 5505 employees had an average employment duration of 8.5 years and a mean age of 39.4 years. The prevalence rates for h-OrAEs of the seven companies/factories ranged from 3.9% to 34.2%. There were significant differences in prevalence rates for h-OrAEs between employees of retail stores and high-tech manufacturing factories. Multivariate analysis results indicated that workers of high-tech manufacturing factories had significantly higher risk for h-OrAEs compared with retail store workers. Conclusion In terms of satisfying health risk management and legal requirements in Taiwan, the newly issued Karo index, which covers a wide range of occupational risk factors, can serve as an assessment and a warning tool for managing the risk of OrAEs in workplaces. To reduce risks for h-OrAEs, active and prudent control of cerebrocardiovascular risks and working hours is recommended.
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Affiliation(s)
- Yu-Cheng Lin
- Department of Occupational Medicine, Fu Jen Catholic University Hospital, Fu Jen Catholic University, Taiwan,School of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan,Department of Occupational Medicine, En Chu Kong Hospital, New Taipei, Taiwan,Corresponding author. Department of Occupational Medicine, Fu Jen Catholic University Hospital, Fu Jen Catholic University, Taiwan.
| | - Yu-Wen Lin
- College of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan
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Shkembi A, Smith LM, Bregg S, Neitzel RL. Evaluating Occupational Noise Exposure as a Contributor to Injury Risk among Miners. Ann Work Expo Health 2022; 66:1151-1161. [PMID: 36053031 DOI: 10.1093/annweh/wxac059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Revised: 07/21/2022] [Accepted: 08/03/2022] [Indexed: 12/14/2022] Open
Abstract
OBJECTIVES This study: (i) assessed the relationship between noise exposure and injury risk, comprehensively adjusting for individual factors, psychosocial stressors, and organizational influences; (ii) determined the relative importance of noise on injuries; (iii) estimated the lowest observed adverse effect level (LOAEL) of noise on injury risk to determine the threshold of noise considered hazardous to injuries; and (iv) quantified the fraction of injuries that could be attributed to hazardous noise exposure. METHODS In this cross-sectional study at 10 US surface mine sites, traditional mixed effects, Poisson regression, and boosted regression tree (BRT) models were run on the number of reported work-related injuries in the last year. The LOAEL of noise on injuries was identified by estimating the percent increase in work-related injuries at different thresholds of noise exposure using a counterfactual estimator through the BRT model. A population attributable fraction (PAF) was quantified with this counterfactual estimator to predict reductions in injuries at the LOAEL. RESULTS Among 18 predictors of work-related injuries, mine site, perceived job safety, age, and sleepiness were the most important predictors. Occupational noise exposure was the seventh most important predictor. The LOAEL of noise for work-related injuries was a full-shift exposure of 88 dBA. Exposure ≥88 dBA was attributed to 20.3% (95% CI: 11.2%, 29.3%) of reported work-related injuries in the last year among the participants. CONCLUSIONS This study further supports hypotheses of a dose-response relationship between occupational noise exposure and work-related injuries, and suggests that exposures ≥88 dBA may increase injury risk in mining.
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Affiliation(s)
- Abas Shkembi
- Department of Environmental Health Sciences, University of Michigan, Ann Arbor, MI, USA
| | - Lauren M Smith
- Department of Environmental Health Sciences, University of Michigan, Ann Arbor, MI, USA
| | - Sandar Bregg
- Department of Environmental Health Sciences, University of Michigan, Ann Arbor, MI, USA.,Michael & Associates, Inc., State College, PA, USA
| | - Richard L Neitzel
- Department of Environmental Health Sciences, University of Michigan, Ann Arbor, MI, USA
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Alshubaith IH, Alhajri S, Alhajri A, Alsultan RA, Azhar EI, Alhussaini BH, Al Solami LS, de Oliveira MC, Khafaga AF, Alqurashi AD, Attia YA. The impact of COVID-19 on the sustainability of the environment, animal health and food security, and safety. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2022; 29:70822-70831. [PMID: 36066798 PMCID: PMC9446590 DOI: 10.1007/s11356-022-22468-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Accepted: 08/06/2022] [Indexed: 06/15/2023]
Abstract
COVID-19 pandemic influenced the environment, animal health, and food security. Due to reduced human mobility, the air and water quality increased. Other environmental consequences were the personal protective types of equipment and their haphazard disposal. Atmospheric pollution could be a cofactor leading to an increased COVID-19 mortality rate. Lockdown, however, caused a reduction in air and water pollution. Noise pollution affects the health of individuals and communities in terms of cardiovascular disorders and sleeping problems. Meanwhile, the COVID-19 lockdown controls human activities that reduce noise pollution. Municipal waste affects the environment. Recycling has been reduced in some countries but not in Saudi Arabia. COVID-19 had a drastic effect on livestock production on national, regional, and global levels, affecting countries' capacities to prevent and control diseases of animals and increasing global poverty, becoming a threat to the sustainability of global food security and safety. Many lessons have been learned from the COVID-19 pandemic, so it is wise to study and analyze the previous lessons and shed some light on past pandemics such as the Spanish flu to understand the readings and earn experiences. This paper is focused on the interaction between the pandemic and environmental health from the public health concern rather than other health classifications.
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Affiliation(s)
| | - Salah Alhajri
- Ministry of Environment, Water, and Agriculture, Hofuf, Ahsa 31982, Saudi Arabia
| | - Ahlam Alhajri
- Department of Food and Nutrition Sciences, King Faisal University, Ahsa, 31982, P.O. Box 60066, Hofuf, Saudi Arabia
| | - Raed A. Alsultan
- Ministry of Environment, Water, and Agriculture, Riyadh, 11195 Saudi Arabia
| | - Esam I. Azhar
- Special Infectious Agents Unit - BSL3, King Fahd Medical Research Center and Medical Laboratory Technology Department, Faculty of Applied Medical Sciences, King Abdulaziz University, P.O. Box: 128442, Jeddah, 21362 Saudi Arabia
| | - Bakr Hussain Alhussaini
- Faculty of Medicine, Pediatric Department, Gastroenterology Hepatology and Clinical Nutrition Unit, King Abdulaziz University, P.O. Box 80200, 21589 Jeddah, Saudi Arabia
- The Strategic Center to Kingdom Vision Realization, King Abdulaziz University, P.O. Box 80200, 21589 Jeddah, Saudi Arabia
| | - Lafi S. Al Solami
- The Strategic Center to Kingdom Vision Realization, King Abdulaziz University, P.O. Box 80200, 21589 Jeddah, Saudi Arabia
- Department of Marine Science Biology, Faculty of Marine Sciences, King Abdulaziz University, P.O. Box 80208, Jeddah, 21589 Saudi Arabia
| | | | - Asmaa F. Khafaga
- Department of Pathology, Faculty of Veterinary Medicine, Alexandria University, Edfina, 22758 Egypt
| | - Adel D. Alqurashi
- Sustainable Agriculture Research Group, Department of Agriculture, Faculty of Environmental Sciences, King Abdulaziz University, P.O. Box: 80208, 21589 Jeddah, Saudi Arabia
| | - Youssef A. Attia
- The Strategic Center to Kingdom Vision Realization, King Abdulaziz University, P.O. Box 80200, 21589 Jeddah, Saudi Arabia
- Sustainable Agriculture Research Group, Department of Agriculture, Faculty of Environmental Sciences, King Abdulaziz University, P.O. Box: 80208, 21589 Jeddah, Saudi Arabia
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Ridge LJ, Stefanovsky NJ, Trautner KL, McCullagh MC. Motivational Interviewing to Encourage Agricultural Producers' Use of Hearing Protection Devices: A Mixed-Method Feasibility Study. Workplace Health Saf 2022; 70:446-451. [PMID: 35673706 PMCID: PMC9511903 DOI: 10.1177/21650799221096992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Workers in production agriculture are frequently exposed to high noise levels and face unique barriers to implementing hearing protection, leading to occupational hearing loss. Motivational interviewing is a promising approach to assist workers in preserving their hearing. METHODS This pilot study used a mixed-method approach to evaluate the feasibility of an innovative motivational interviewing intervention for agricultural producers from February to May 2021. Qualitative data included coaches' and participants' comments and were coded using a structural coding approach. Quantitative data included Likert-type-style responses given by participants in a post-intervention survey. Data types were then integrated. RESULTS Sixteen participants were recruited during the 4-month pilot. Participants' satisfaction scores averaged above six on a 7-point scale for all satisfaction questions. Implementation factors included the intervention's flexibility, services provided by the coaches beyond motivational interviewing, and difficulties with recruitment. CONCLUSIONS/APPLICATIONS TO PRACTICE This motivational interviewing intervention was highly acceptable to participants, but factors affecting implementation may challenge scalability.
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Chakraborty A, Lahiri A, Dasgupta U, Saha A, Bhattacharya SK. Cumulative Noise Exposure and Perceived Effects: A Comparative Study Among Different Occupational Groups in Kolkata. Indian J Occup Environ Med 2022; 26:240-244. [PMID: 37033747 PMCID: PMC10077720 DOI: 10.4103/ijoem.ijoem_51_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Accepted: 04/03/2022] [Indexed: 12/24/2022] Open
Abstract
Background Adverse short-term and long-term health effects following a high level of noise have been established. The current study aims to find the relationship of these effects with an environment-specific level of noise exposure. Materials and Methods A comparative cross-sectional study was conducted among 50 auto-rickshaw drivers and 51 age-matched service-sector employees. The peak average noise exposure in decibels (dB) was measured. The duration of exposure and response regarding perceptions following noise exposure was assessed through a pre-designed pre-tested semi-structured questionnaire. Results The mean age of the participants was 42.24 (±13.72) years. Among the auto-rickshaw drivers, 82% perceived stress, 64% had hearing difficulty, and 74% complained of lack of sleep following exposure to a high level of noise. However, the perceptions were comparable among the comparison group and the differences were not statistically significant. The mean average peak level of noise exposure among drivers and their comparison group was 91.64 (±7.37) dB and 91.98 (± 8.06) dB, respectively, but were not different statistically. Around 52.94% of the service-sector respondents and 48% of the drivers were exposed to the lower cumulative noise levels. Those having a higher level of cumulative noise exposure, had a higher odds of feeling irritated (Odds ratio [OR]: 2.182, 95% confidence interval [CI]: 0.845-5.636), feeling stressed (OR: 5.805, 95% CI: 1.552-21.708), having palpitation (OR: 3.694, 95% CI: 1.264-10.793), and lack of sleep (OR: 3.020, 95% CI: 1.006-9.066). Conclusion Stress and lack of sleep were the most important perceived effects of noise exposure. The exposures to the higher cumulative noise level in specified groups were more important in relation to quantifying perceived symptoms than the average peak noise level.
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Affiliation(s)
- Arup Chakraborty
- Department of Community Medicine, Medical College and Hospital, Kolkata, West Bengal, India
| | - Arista Lahiri
- Community Medicine, Dr. B. C. Roy Multi-Speciality Medical Research Centre, Indian Institute of Technology Kharagpur, West Bengal, India
| | - Urmila Dasgupta
- Department of Community Medicine, Medical College and Hospital, Kolkata, West Bengal, India
| | - Asim Saha
- Scientist F, Regional Occupational Health Centre (E), Kolkata, West Bengal, India
| | - Salil K. Bhattacharya
- Department of Community Medicine, Medical College and Hospital, Kolkata, West Bengal, India
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Fan Y, Liang J, Cao X, Pang L, Zhang J. Effects of Noise Exposure and Mental Workload on Physiological Responses during Task Execution. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191912434. [PMID: 36231736 PMCID: PMC9566815 DOI: 10.3390/ijerph191912434] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Revised: 09/24/2022] [Accepted: 09/26/2022] [Indexed: 05/23/2023]
Abstract
Twelve healthy male students were recruited to investigate the physiological response to different noise exposure and mental workload (MW) conditions, while performing multi-attribute task battery (MATB) tasks. The experiments were conducted under three noise exposure conditions, with different sound pressure levels and sharpness. After adaptation to each noise condition, the participants were required to perform the resting test and the MATB task tests with low, medium, and high MW. The electroencephalogram (EEG), electrocardiogram (ECG), and eye movement data were obtained, during the periods when participants were in the resting and task taking state. The results showed that subjects' physiological responses at rest were unaffected by noise exposure conditions. However, during the execution of MATB tasks, the elevated sound pressure level and increased sharpness were significantly correlated with increased mean pupil diameter and heart rate variability (HRV). These responses suggested that the human body defends itself through physiological regulation when noise causes adverse effects. If the negative effects of noise were more severe, this could damage the body's health and result in a significant drop in task performance. The elevated mental demands led to increased stress on the subjects, which was reflected in a considerable increase in theta relative power. Either high or low MW was related with reduced saccade amplitude and a decrease in weighted task performance, indicating an inverted U-shaped relationship between workload level and work performance.
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Affiliation(s)
- Yurong Fan
- School of Aeronautic Science and Engineering, Beihang University, Beijing 100191, China
| | - Jin Liang
- Marine Human Factors Engineering Lab, China Institute of Marine Technology & Economy, Beijing 100081, China
| | - Xiaodong Cao
- School of Aeronautic Science and Engineering, Beihang University, Beijing 100191, China
| | - Liping Pang
- School of Aeronautic Science and Engineering, Beihang University, Beijing 100191, China
| | - Jie Zhang
- College of Aeronautics and Astronautics, Taiyuan University of Technology, Taiyuan 030024, China
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Liu X, Matthews TA, Chen L, Li J. The associations of job strain and leisure-time physical activity with the risk of hypertension: the population-based Midlife in the United States cohort study. Epidemiol Health 2022; 44:e2022073. [PMID: 36108671 PMCID: PMC9849846 DOI: 10.4178/epih.e2022073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Accepted: 09/07/2022] [Indexed: 01/29/2023] Open
Abstract
OBJECTIVES Job strain is positively associated with incident hypertension, while increasing leisure-time physical activity (LTPA) can reduce incident hypertension. However, the joint associations of job strain and LTPA with incident hypertension among United States workers have yet to be investigated. This study examined the independent and joint associations of job strain and LTPA with incident hypertension. METHODS This prospective cohort study (n=1,160) utilized data from the population-based Midlife in the United States study. The associations of job strain and LTPA at baseline with incident hypertension during follow-up were examined using Cox proportional hazards models. High job strain was derived from a combination of high job demands and low job control, and high LTPA was defined as engagement in moderate or vigorous LTPA at least once per week. RESULTS During 9,218 person-years of follow-up, the hypertension incidence rate was 30.6 (95% confidence interval [CI], 27.3 to 34.3) per 1,000 person-years. High job strain was associated with a higher risk for hypertension than low job strain (adjusted hazard ratio [aHR], 1.29; 95% CI, 1.00 to 1.67). High LTPA was associated with lower hypertension risk than low LTPA (aHR, 0.77; 95% CI, 0.60 to 0.98). Hypertension risk was higher among workers with high job strain and low LTPA than among those with low job strain and high LTPA (aHR, 1.70; 95% CI, 1.18 to 2.43). CONCLUSIONS Job strain and LTPA showed positive and inverse associations, respectively, with incident hypertension. The combination of high job strain and low LTPA was associated with the highest risk for hypertension.
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Affiliation(s)
- Xinyue Liu
- Department of Epidemiology, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, USA
| | - Timothy A. Matthews
- Department of Environmental Health Sciences, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, USA
| | - Liwei Chen
- Department of Epidemiology, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, USA
| | - Jian Li
- Department of Environmental Health Sciences, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, USA,School of Nursing, University of California Los Angeles, Los Angeles, CA, USA,Correspondence: Jian Li Department of Environmental Health Sciences, Fielding School of Public Health, University of California Los Angeles, 650 Charles E. Young Drive South, Los Angeles, CA 90095, USA E-mail:
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Liebenberg A, Nie VM, Brichta AM, Ahmadi S, James CL. Pre-employment hearing threshold levels of 59,601 Australian male coal miners compared to an otologically normal international male population (ISO7029:2019). Int J Audiol 2022:1-9. [PMID: 35801823 DOI: 10.1080/14992027.2022.2088625] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE This study compared the pre-employment median hearing threshold level (HTL) distribution from a population of coal miners from New South Wales (NSW), Australia, to an otologically normal, age-matched population described by the International Standards Organisation (ISO) ISO 7029:2019, to determine any differences. DESIGN This was an observational, retrospective, repeated cross-sectional study. STUDY SAMPLE De-identified audiometric records of 59,601 male employees entering NSW coal mining in three representative five-year periods between 1991 and 2015 were utilised. RESULTS The median HTL deviation of the mining population was statistically significantly different (p < 0.05) from the ISO population, for almost all analyses. Overall, the mining population cohorts have higher (worse) median HTLs compared to the ISO population. The greatest difference occurs at 4 kHz in older age groups, likely indicating noise-induced hearing loss. CONCLUSION These findings indicate that some NSW coal mine workers commence their careers with evidence of pre-existing hearing loss (HL), in an industry with excessive noise exposures. These results provide Australian mining and other noisy industries with evidence to support a review of hearing conservation strategies to improve mitigation of hearing loss across the working lifespan.
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Affiliation(s)
- Adelle Liebenberg
- School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, Australia
| | - Valerie M Nie
- School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, Australia
| | - Alan M Brichta
- School of Biomedical Sciences and Pharmacy, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, Australia
| | - Sima Ahmadi
- Hunter Medical Research Institute, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, Australia
| | - Carole L James
- School of Health Sciences, College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, Australia
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Effects of Auditory Pre-Stimulation on Cognitive Task Performance in a Noisy Environment. APPLIED SCIENCES-BASEL 2022. [DOI: 10.3390/app12125823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
The accident rate due to human errors in industrial fields has been consistently high over the past few decades, and noise has been emerging as one of the main causes of human errors. In recent years, auditory pre-stimulation has been considered as a means of preventing human errors by improving workers’ cognitive task performance. However, most previous studies demonstrated the effectiveness of the auditory pre-stimulation in a quiet environment. Accordingly, studies on the effects of pre-stimulation in a noisy environment are still lacking. Therefore, this study aimed to empirically investigate: (1) the effects of noisy environments on the performances of cognitive tasks related to different functions of working memory and (2) the effects of auditory pre-stimulation on the performances of cognitive tasks in a field-noise environment. To accomplish these research objectives, two major experiments were conducted. In the first experiment, a total of 24 participants performed each of three basic short-term/working memory (STM/WM) tasks under two different experimental conditions (quiet-noise environment and field-noise environment) depending on the presence or absence of field noise. In the second experiment, the participants performed each of the three basic STM/WM tasks in a field-noise environment after they were provided with one of four different auditory pre-stimulations (quiet noise, white noise, field noise, and mixed (white and field) noise). The three STM/WM tasks were the Corsi block-tapping, Digit span, and 3-back tasks, corresponding to the visuospatial sketchpad, the phonological loop, and the central executive of WM, respectively. The major findings were that: (1) the field-noise environment did not affect the scores of the Corsi block-tapping and 3-back tasks, significantly affecting only the Digit span task score (decreased by 15.2%, p < 0.01); and (2) the Digit span task performance in the field-noise environment was improved by 17.9% (p < 0.05) when mixed noise was provided as a type of auditory pre-stimulation. These findings may be useful for the work-space designs that prevent/minimize human errors and industrial accidents by improving the cognitive task performance of workers in field-noise environments.
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Le Prell CG. Prevention of Noise-Induced Hearing Loss Using Investigational Medicines for the Inner Ear: Previous Trial Outcomes Should Inform Future Trial Design. Antioxid Redox Signal 2022; 36:1171-1202. [PMID: 34346254 PMCID: PMC9221155 DOI: 10.1089/ars.2021.0166] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2021] [Accepted: 07/25/2021] [Indexed: 11/13/2022]
Abstract
Significance: Noise-induced hearing loss (NIHL) is an important public health issue resulting in decreased quality of life for affected individuals, and significant costs to employers and governmental agencies. Recent Advances: Advances in the mechanistic understanding of NIHL have prompted a growing number of proposed, in-progress, and completed clinical trials for possible protections against NIHL via antioxidants and other drug agents. Thirty-one clinical trials evaluating prevention of either temporary or permanent NIHL were identified and are reviewed. Critical Issues: This review revealed little consistency in the noise-exposed populations in which drugs are evaluated or the primary outcomes used to measure NIHL prevention. Changes in pure-tone thresholds were the most common primary outcomes; specific threshold metrics included both average hearing loss and incidence of significant hearing loss. Changes in otoacoustic emission (OAE) amplitude were relatively common secondary outcomes. Extended high-frequency (EHF) hearing and speech-in-noise perception are commonly adversely affected by noise exposure but are not consistently included in clinical trials assessing prevention of NIHL. Future Directions: Multiple criteria are available for monitoring NIHL, but the specific criterion to be used to define clinically significant otoprotection remains a topic of discussion. Audiogram-based primary outcome measures can be combined with secondary outcomes, including OAE amplitude, EHF hearing, speech-in-noise testing, tinnitus surveys, and patient-reported outcomes. Standardization of test protocols for the above primary and secondary outcomes, and associated reporting criterion for each, would facilitate clinical trial design and comparison of results across investigational drug agents. Antioxid. Redox Signal. 36, 1171-1202.
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Affiliation(s)
- Colleen G. Le Prell
- Department of Speech, Language, and Hearing Science, University of Texas at Dallas, Richardson, Texas, USA
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Mu J, Kang J. Indoor Environmental Quality of Residential Elderly Care Facilities in Northeast China. Front Public Health 2022; 10:860976. [PMID: 35602153 PMCID: PMC9116475 DOI: 10.3389/fpubh.2022.860976] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Accepted: 04/01/2022] [Indexed: 11/13/2022] Open
Abstract
The indoor environmental quality is based on the indoor environmental performance of buildings, such as air temperature, lighting, and acoustics. These parameters have a specific impact on users' health and experience. This study explores the relationship between the indoor environment of residential elderly care facilities in cold regions and the sensitivity of the elderly to these facilities with the aim of improving the elderly care environment. This study measured the acoustic, lighting, and thermal environment in four residential elderly care facilities in Northeast China in spring, summer, autumn, and winter through a participant survey. In the residential elderly care facilities surveyed in this study, brightness and illuminance show a nonlinear relationship with lighting evaluation. With an increase in brightness and illuminance, the satisfaction of the lighting environment in different seasons first increases and then decreases. The relative humidity of the different types of rooms varies greatly in spring and less in winter. The average air quality score of the bedroom is higher than that of the activity room. The correlation between odor assessment and overall indoor environmental quality is very poor. The results of the questionnaire survey indicate that the participants were satisfied with the facilities' overall indoor environmental quality. This quality is affected by physical, environmental, and demographic factors. This study provides a reference for the design of other residential elderly care facilities.
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Affiliation(s)
- Jingyi Mu
- School of Architecture, Key Laboratory of Cold Region Urban and Rural Human Settlement Environment Science and Technology, Ministry of Industry and Information Technology, Harbin Institute of Technology, Harbin, China
| | - Jian Kang
- Institute for Environmental Design and Engineering, The Bartlett, University College London, London, United Kingdom
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Thacher JD, Roswall N, Lissåker C, Aasvang GM, Albin M, Andersson EM, Engström G, Eriksson C, Hvidtfeldt UA, Ketzel M, Khan J, Lanki T, Ljungman PLS, Mattisson K, Molnar P, Raaschou-Nielsen O, Oudin A, Overvad K, Petersen SB, Pershagen G, Poulsen AH, Pyko A, Rizzuto D, Rosengren A, Schioler L, Sjöström M, Stockfelt L, Tiittanen P, Sallsten G, Ögren M, Selander J, Sorensen M. Occupational noise exposure and risk of incident stroke: a pooled study of five Scandinavian cohorts. Occup Environ Med 2022; 79:oemed-2021-108053. [PMID: 35450950 PMCID: PMC9453564 DOI: 10.1136/oemed-2021-108053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Accepted: 03/11/2022] [Indexed: 12/01/2022]
Abstract
OBJECTIVES To investigate the association between occupational noise exposure and stroke incidence in a pooled study of five Scandinavian cohorts (NordSOUND). METHODS We pooled and harmonised data from five Scandinavian cohorts resulting in 78 389 participants. We obtained job data from national registries or questionnaires and recoded these to match a job-exposure matrix developed in Sweden, which specified the annual average daily noise exposure in five exposure classes (LAeq8h): <70, 70-74, 75-79, 80-84, ≥85 dB(A). We identified residential address history and estimated 1-year average road traffic noise at baseline. Using national patient and mortality registers, we identified 7777 stroke cases with a median follow-up of 20.2 years. Analyses were conducted using Cox proportional hazards models adjusting for individual and area-level potential confounders. RESULTS Exposure to occupational noise at baseline was not associated with overall stroke in the fully adjusted models. For ischaemic stroke, occupational noise was associated with HRs (95% CI) of 1.08 (0.98 to 1.20), 1.09 (0.97 to 1.24) and 1.06 (0.92 to 1.21) in the 75-79, 80-84 and ≥85 dB(A) exposure groups, compared with <70 dB(A), respectively. In subanalyses using time-varying occupational noise exposure, we observed an indication of higher stroke risk among the most exposed (≥85 dB(A)), particularly when restricting analyses to people exposed to occupational noise within the last year (HR: 1.27; 95% CI: 0.99 to 1.63). CONCLUSIONS We found no association between occupational noise and risk of overall stroke after adjustment for confounders. However, the non-significantly increased risk of ischaemic stroke warrants further investigation.
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Affiliation(s)
- Jesse D Thacher
- Diet, Genes and Environment, Danish Cancer Society Research Center, Copenhagen, Denmark
| | - Nina Roswall
- Diet, Genes and Environment, Danish Cancer Society Research Center, Copenhagen, Denmark
| | - Claudia Lissåker
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | | | - Maria Albin
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
- Center for Occupational and Environmental Medicine, Region Stockholm, Stockholm, Sweden
- Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden
| | - Eva M Andersson
- Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden
- Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Gunnar Engström
- Department of Clinical Sciences, Lund University, Malmö, Sweden
| | - Charlotta Eriksson
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
- Center for Occupational and Environmental Medicine, Region Stockholm, Stockholm, Sweden
| | | | - Matthias Ketzel
- Department of Environmental Science, Aarhus University, Roskilde, Denmark
- Global Centre for Clean Air Research (GCARE), University of Surrey, Guildford, UK
| | - Jibran Khan
- Department of Environmental Science, Aarhus University, Roskilde, Denmark
- Danish Big Data Centre for Environment and Health (BERTHA), Aarhus University, Roskilde, Denmark
| | - Timo Lanki
- Department of Health Security, Finnish Institute for Health and Welfare (THL), Kuopio, Finland
- School of Medicine, University of Eastern Finland, Kuopio, Finland
- Department of Environmental and Biological Sciences, University of Eastern Finland, Kuopio, Finland
| | - Petter L S Ljungman
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
- Department of Cardiology, Danderyd Hospital, Stockholm, Sweden
| | - Kristoffer Mattisson
- Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden
| | - Peter Molnar
- Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden
- Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Ole Raaschou-Nielsen
- Diet, Genes and Environment, Danish Cancer Society Research Center, Copenhagen, Denmark
- Department of Environmental Science, Aarhus University, Roskilde, Denmark
| | - Anna Oudin
- Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden
- Sustainable Health, Umeå University, Umeå, Sweden
| | - Kim Overvad
- Department of Public Health, Aarhus University, Aarhus, Denmark
| | - Sesilje Bondo Petersen
- Department of Occupational and Environmental Medicine, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark
| | - Göran Pershagen
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
- Center for Occupational and Environmental Medicine, Region Stockholm, Stockholm, Sweden
| | - Aslak Harbo Poulsen
- Diet, Genes and Environment, Danish Cancer Society Research Center, Copenhagen, Denmark
| | - Andrei Pyko
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
- Center for Occupational and Environmental Medicine, Region Stockholm, Stockholm, Sweden
| | - Debora Rizzuto
- Aging Research Centre, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm, Sweden
- Stockholm Gerontology Research Centre, Stockholm, Sweden
| | - Annika Rosengren
- Molecular and Clinical Medicine, Sahlgrenska Cademy, University of Gothenburg, Gothenburg, Sweden
- Region Västra Götaland, Sahlgrenska University Hospital, Gothenburg, Sweden
| | - Linus Schioler
- Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Mattias Sjöström
- Center for Occupational and Environmental Medicine, Region Stockholm, Stockholm, Sweden
| | - Leo Stockfelt
- Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden
- Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Pekka Tiittanen
- Department of Health Security, Finnish Institute for Health and Welfare (THL), Kuopio, Finland
| | - Gerd Sallsten
- Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Mikael Ögren
- Department of Occupational and Environmental Medicine, Sahlgrenska University Hospital, Gothenburg, Sweden
- Occupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Jenny Selander
- Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Mette Sorensen
- Diet, Genes and Environment, Danish Cancer Society Research Center, Copenhagen, Denmark
- Department of Natural Science and Environment, Roskilde University, Roskilde, Denmark
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Park S, Park CG, Hong OS. Time-Trends of U.S. Occupational Noise Standard Violations by OSHA Region and Industry Type 1972 to 2019. J Occup Environ Med 2022; 64:305-313. [PMID: 34723910 DOI: 10.1097/jom.0000000000002422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE We examined time-trends in Occupational Noise Standard violations by OSHA region and industry type over 48 years. METHODS Along with descriptive analysis of original data, negative binomial regression and Poisson regression were applied to the analysis of 1972 to 2019 and 1972 to 2012 data, respectively. RESULTS A small annual decrease in violation units over the periods was revealed. The three analyses produced differing timetrends. The manufacturing industry had more violations, and Region 4 had the most violations. Regarding numbers of units, the 10 regions and 2 industries were jointly significant. Some interaction between regions and industry types appeared in both regressions. CONCLUSIONS OSHA should specify how many regions report noise violations each year to ensure accurate identification of noise-related health risks to American workers. Further time-trend studies are needed for specific regions and industry types.
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Affiliation(s)
- Sungwon Park
- Department of Biobehavioral Health Science, University of Illinois at Chicago, College of Nursing, Chicago, Illinois (Ms. S. Park); Department of Population Health Nursing Science, University of Illinois at Chicago, College of Nursing, Chicago, Illinois (Dr C.G. Park); Occupational and Environmental Health Nursing Graduate Program, University of California San Francisco, School of Nursing, San Francisco, California (Dr Hong)
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40
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Fischer T, Schraivogel S, Caversaccio M, Wimmer W. Are Smartwatches a Suitable Tool to Monitor Noise Exposure for Public Health Awareness and Otoprotection? Front Neurol 2022; 13:856219. [PMID: 35432148 PMCID: PMC9009441 DOI: 10.3389/fneur.2022.856219] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2022] [Accepted: 02/28/2022] [Indexed: 12/02/2022] Open
Abstract
Introduction and Objectives Noise-induced hearing loss (NIHL) and tinnitus are common problems that can be prevented with hearing protection measures. Sound level meters and noise dosimeters enable to monitor and identify health-threatening occupational or recreational noise, but are limited in their daily application because they are usually difficult to operate, bulky, and expensive. Smartwatches, which are becoming increasingly available and popular, could be a valuable alternative to professional systems. Therefore, the aim of this study was to evaluate the applicability of smartwatches for accurate environmental noise monitoring. Methods The A-weighted equivalent continuous sound pressure level (LAeq) was recorded and compared between a professional sound level meter and a popular smartwatch. Noise exposure was assessed in 13 occupational and recreational settings, covering a large range of sound pressure levels between 35 and 110 dBA. To assess measurement agreement, a Bland-Altman plot, linear regression, the intra-class correlation coefficient, and descriptive statistics were used. Results Overall, the smartwatch underestimated the sound level meter measurements by 0.5 dBA (95% confidence interval [0.2, 0.8]). The intra-class correlation coefficient showed excellent agreement between the two devices (ICC = 0.99), ranging from 0.65 (music club) to 0.99 (concert) across settings. The smartwatch's sampling rate decreased significantly with lower sound pressure levels, which could have introduced measurement inaccuracies in dynamic acoustic environments. Conclusions The assessment of ambient noise with the tested smartwatch is sufficiently accurate and reliable to improve awareness of hazardous noise levels in the personal environment and to conduct exploratory clinical research. For professional and legally binding measurements, we recommend specialized sound level meters or noise dosimeters. In the future, smartwatches will play an important role in monitoring personal noise exposure and will provide a widely available and cost-effective measure for otoprotection.
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Affiliation(s)
- Tim Fischer
- Hearing Research Laboratory, ARTORG Center for Biomedical Engineering Research, University of Bern, Bern, Switzerland
- Department of ENT—Head and Neck Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| | - Stephan Schraivogel
- Hearing Research Laboratory, ARTORG Center for Biomedical Engineering Research, University of Bern, Bern, Switzerland
- Department of ENT—Head and Neck Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| | - Marco Caversaccio
- Hearing Research Laboratory, ARTORG Center for Biomedical Engineering Research, University of Bern, Bern, Switzerland
- Department of ENT—Head and Neck Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| | - Wilhelm Wimmer
- Hearing Research Laboratory, ARTORG Center for Biomedical Engineering Research, University of Bern, Bern, Switzerland
- Department of ENT—Head and Neck Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
- *Correspondence: Wilhelm Wimmer
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41
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Kheirandish A, Mehrparvar A, Abou-Bakre A, Zare Sakhvidi MJ. Association between long-term occupational noise exposure and obesity. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2022; 29:20176-20185. [PMID: 34729714 DOI: 10.1007/s11356-021-17299-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Accepted: 10/27/2021] [Indexed: 06/13/2023]
Abstract
Noise exposure has been linked to several health outcomes including obesity. This cross-sectional study examined the association between occupational noise exposure and body mass index as a measure of general obesity in 913 textile workers (totally from nine factories) in Yazd city, Iran, from winter to summer of 2018. The sound pressure level (dBA) at each working station was measured by a calibrated sound level meter. The long-term noise exposure score of each worker (as dBA.year) was calculated by multiplying the working history in each unit to its corresponding noise level. Models were adjusted for personal, behavioral, environmental, and family history factors. In total, 81.05% (n = 740) of the participants were exposed to noise levels higher than 85 dBA. The direct association was found for the fully adjusted model (β = 0.002; 95% CI: 0.001: 0.004). For the model with past year noise exposure, a 10.6% increase in odds was observed for each 5 dBA increase in noise exposure (95% CI: 1.005: 1.216). We found a 0.1% increase in the odds of being overweight in mixed-gender analysis (95% CI: 1.001:1.002) for each 5 dBA.year in the fully adjusted model. Occupational noise exposure should be regarded as a risk factor for cardiometabolic outcomes in industrial workers.
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Affiliation(s)
- AhmadAli Kheirandish
- Department of Occupational Health, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Amirhooshang Mehrparvar
- Industrial Diseases Research Center, Faculty of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
| | - Abdellah Abou-Bakre
- Department of Mathematics, Faculty of Sciences and Technics, Sultan Moulay Slimane University, Beni Mellal, Morocco
| | - Mohammad Javad Zare Sakhvidi
- Department of Occupational Health, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
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Aihua L, Yan Y, Zhiqiang C, Li H, Guixin Y, Zihuan W, Dan L. Analysis of Noise Exposure Level and Influencing Factors of Small and Micro-Scale Enterprises in Beijing, China. INQUIRY : A JOURNAL OF MEDICAL CARE ORGANIZATION, PROVISION AND FINANCING 2022; 59:469580221142486. [PMID: 36510397 DOI: 10.1177/00469580221142486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
Understand the noise exposure level and influencing factors of small and micro-scale enterprises in Beijing, and support the formulation of noise prevention and control policies. Noise hazards in small- and micro-scale enterprises were monitored from May to December 2021 using a combination of questionnaire survey and on-site noise monitoring. The survey included questions on the basic characteristics of the enterprise, the situation of noise protection facilities, and protective equipment. We calculated the equivalent to the sound level of 8 h per day (LEX, 8h) or the equivalent of the sound level of 40 h per week (LEX,w) and the exceeding rate. Unconditional logistic regression was used to analyze the influencing factors. We recruited 194 enterprises in our study, including 145 small- and 49 micro-scale enterprises. Overall, 9.9% of the noise points exceeded the Chinese national standard, which was 85 dB(A). The detected noise of micro-enterprises significantly (P < .001) exceeded that of small enterprises. This is the first study to examine noise hazards of small and micro-scale enterprises in Beijing in recent years. Our results showed noise hazard prevention in Beijing is grim. It is suggested that the government should strengthen supervision, allocate responsibility to the employer, and guide them to establish and improve the management system for controlling noise hazards, to effectively reduce its impact on the health of workers.
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Affiliation(s)
- Li Aihua
- Beijing Center for Diseases Control and Prevention, Beijing, China
| | - Ye Yan
- Beijing Center for Diseases Control and Prevention, Beijing, China
| | - Cao Zhiqiang
- Beijing Center for Diseases Control and Prevention, Beijing, China
| | - Hu Li
- Beijing Center for Diseases Control and Prevention, Beijing, China
| | - Yu Guixin
- Beijing Center for Diseases Control and Prevention, Beijing, China
| | - Wang Zihuan
- Beijing Center for Diseases Control and Prevention, Beijing, China
| | - Liu Dan
- Beijing Center for Diseases Control and Prevention, Beijing, China
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Shkembi A, Smith LM, Neitzel RL. Retrospective assessment of the association between noise exposure and nonfatal and fatal injury rates among miners in the United States from 1983 to 2014. Am J Ind Med 2022; 65:30-40. [PMID: 34706100 DOI: 10.1002/ajim.23305] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 10/11/2021] [Accepted: 10/12/2021] [Indexed: 12/28/2022]
Abstract
BACKGROUND Mining is a significant economic force in the United States but has historically had among the highest nonfatal injury rates across all industries. Several factors, including workplace hazards and psychosocial stressors, may increase injury and fatality risk. Mining is one of the noisiest industries; however, the association between injury risk and noise exposure has not been evaluated in this industry. In this ecological study, we assessed the association between noise exposure and nonfatal and fatal occupational injury rates among miners. METHODS Federal US mining accident, injury, and illness data sets from 1983 to 2014 were combined with federal quarterly mining employment and production reports to quantify annual industry rates of nonfatal injuries and fatalities. An existing job-exposure matrix for occupational noise was used to estimate annual industry time-weighted average (TWA, dBA) exposures. Negative binomial models were used to assess relationships between noise, hearing conservation program (HCP) regulation changes in 2000, year, and mine type with incidence rates of injuries and fatalities. RESULTS Noise, HCP regulation changes, and mine type were each independently associated with nonfatal injuries and fatalities. In multivariate analysis, each doubling (5 dB increase) of TWA was associated with 1.08 (95% confidence interval: 1.05, 1.11) and 1.48 (1.23, 1.78) times higher rate of nonfatal injuries and fatalities, respectively. HCP regulation changes were associated with 0.61 (0.54, 0.70) and 0.49 (0.34, 0.71) times lower nonfatal injury and fatality rates, respectively. CONCLUSION Noise may be a significant independent risk factor for injuries and fatalities in mining.
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Affiliation(s)
- Abas Shkembi
- Department of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, Michigan, USA
| | - Lauren M Smith
- Department of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, Michigan, USA
| | - Richard L Neitzel
- Department of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, Michigan, USA
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Frenis K, Kuntic M, Hahad O, Bayo Jimenez MT, Oelze M, Daub S, Steven S, Münzel T, Daiber A. Redox Switches in Noise-Induced Cardiovascular and Neuronal Dysregulation. Front Mol Biosci 2021; 8:784910. [PMID: 34869603 PMCID: PMC8637611 DOI: 10.3389/fmolb.2021.784910] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Accepted: 10/28/2021] [Indexed: 12/12/2022] Open
Abstract
Environmental exposures represent a significant health hazard, which cumulatively may be responsible for up to 2/3 of all chronic non-communicable disease and associated mortality (Global Burden of Disease Study and The Lancet Commission on Pollution and Health), which has given rise to a new concept of the exposome: the sum of environmental factors in every individual’s experience. Noise is part of the exposome and is increasingly being investigated as a health risk factor impacting neurological, cardiometabolic, endocrine, and immune health. Beyond the well-characterized effects of high-intensity noise on cochlear damage, noise is relatively well-studied in the cardiovascular field, where evidence is emerging from both human and translational experiments that noise from traffic-related sources could represent a risk factor for hypertension, ischemic heart disease, diabetes, and atherosclerosis. In the present review, we comprehensively discuss the current state of knowledge in the field of noise research. We give a brief survey of the literature documenting experiments in noise exposure in both humans and animals with a focus on cardiovascular disease. We also discuss the mechanisms that have been uncovered in recent years that describe how exposure to noise affects physiological homeostasis, leading to aberrant redox signaling resulting in metabolic and immune consequences, both of which have considerable impact on cardiovascular health. Additionally, we discuss the molecular pathways of redox involvement in the stress responses to noise and how they manifest in disruptions of the circadian rhythm, inflammatory signaling, gut microbiome composition, epigenetic landscape and vessel function.
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Affiliation(s)
- Katie Frenis
- Department of Cardiology, Molecular Cardiology, University Medical Center, Mainz, Germany.,Boston Children's Hospital and Harvard Medical School, Boston, MA, United States
| | - Marin Kuntic
- Department of Cardiology, Molecular Cardiology, University Medical Center, Mainz, Germany
| | - Omar Hahad
- Department of Cardiology, Molecular Cardiology, University Medical Center, Mainz, Germany.,German Center for Cardiovascular Research (DZHK), Partner Site Rhine-Main, Mainz, Germany
| | | | - Matthias Oelze
- Department of Cardiology, Molecular Cardiology, University Medical Center, Mainz, Germany
| | - Steffen Daub
- Department of Cardiology, Molecular Cardiology, University Medical Center, Mainz, Germany
| | - Sebastian Steven
- Department of Cardiology, Molecular Cardiology, University Medical Center, Mainz, Germany
| | - Thomas Münzel
- Department of Cardiology, Molecular Cardiology, University Medical Center, Mainz, Germany.,German Center for Cardiovascular Research (DZHK), Partner Site Rhine-Main, Mainz, Germany
| | - Andreas Daiber
- Department of Cardiology, Molecular Cardiology, University Medical Center, Mainz, Germany.,German Center for Cardiovascular Research (DZHK), Partner Site Rhine-Main, Mainz, Germany
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Green DR, Masterson EA, Themann CL. Prevalence of hearing protection device non-use among noise-exposed US workers in 2007 and 2014. Am J Ind Med 2021; 64:1002-1017. [PMID: 34597431 DOI: 10.1002/ajim.23291] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Revised: 07/30/2021] [Accepted: 08/25/2021] [Indexed: 12/30/2022]
Abstract
BACKGROUND This study estimated the prevalence of hearing protection device (HPD) non-use among US workers exposed to hazardous workplace noise and provided risk estimates. METHODS Self-reported data from the National Health Interview Survey in 2007 (15,852 workers) and 2014 (23,656 workers) were examined. Weighted prevalence and adjusted prevalence ratios of HPD non-use (using HPDs half the time or less when exposed to hazardous noise) were estimated by demographic, industry, and occupation. Differences in the prevalences of non-use were estimated and compared. RESULTS The prevalence of HPD non-use was 53% among all noise-exposed workers in 2014. Workers in the Accommodation and Food Services industry had the highest prevalence (90%) and risk (PR: 2.47, 95% confidence interval: 1.54-3.96) of HPD non-use. The industries with the lowest prevalences of noise exposure, including Finance and Insurance (2%) and Health Care and Social Assistance (4%), had some of the highest prevalences of HPD non-use (80% and 83%, respectively). There were no statistically significant changes in HPD non-use among industries between 2007 and 2014. Among occupations, HPD non-use increased 37% in Arts, Design, Entertainment, Sports and Media, and decreased 39% in Architecture and Engineering. CONCLUSION The prevalence of HPD non-use remains high; especially within industries and occupations with fewer noise-exposed workers. These groups need targeted attention to increase awareness and compliance. Employers should require HPD use and trainings among noise-exposed workers and provide an assortment of HPDs tailored to noise level and type, workplace environment, communication and audibility needs, and individual comfort and convenience.
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Affiliation(s)
- Deirdre R. Green
- Division of Field Studies and Engineering, Centers for Disease Control and Prevention National Institute for Occupational Safety and Health (NIOSH) Cincinnati Ohio USA
| | - Elizabeth A. Masterson
- Division of Field Studies and Engineering, Centers for Disease Control and Prevention National Institute for Occupational Safety and Health (NIOSH) Cincinnati Ohio USA
| | - Christa L. Themann
- Division of Field Studies and Engineering, Centers for Disease Control and Prevention National Institute for Occupational Safety and Health (NIOSH) Cincinnati Ohio USA
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Hameed S, Chethana K, Sunu Z, Kiran KG. Awareness and usage of personal protective equipment among construction workers and their hearing assessment by pure tone audiometry; A cross-sectional study in South India. J Family Med Prim Care 2021; 10:4072-4076. [PMID: 35136769 PMCID: PMC8797109 DOI: 10.4103/jfmpc.jfmpc_858_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Revised: 07/02/2021] [Accepted: 07/05/2021] [Indexed: 11/04/2022] Open
Abstract
CONTEXT Occupational hazards at the building construction workplace are enormous. Good compliance to the use of personal protective equipment (PPE) alongside other safety measures is critical in reducing the hazards. Occupational hearing loss is one such occupational hazard among construction workers. AIMS This study was conducted for determining the awareness of the benefits of PPE and its usage among construction workers along with hearing assessment. SETTINGS AND DESIGN A cross-sectional study was conducted among construction workers in a building project in Mangaluru city in Dakshina Kannada district in South India. METHODS AND MATERIAL After obtaining informed written consent, 110 construction workers were recruited by simple random sampling method. Basic information, awareness, and use of PPE were collected using a semistructured questionnaire through personal interviews. Hearing assessment was done by pure tone audiometry. STATISTICAL ANALYSIS USED Data collected was analyzed. Chi-square test and Fischer's exact probability test were used to test the association between variables. RESULTS Majority (85.5%) of the construction workers are working for duration of 15 years or less. Difficulty in hearing was reported by 9.6% of them. Awareness regarding benefits of using personal protective devices like helmets, masks, and earplugs/muffs were 58.2%, 56.4%, and 14.5%, respectively. The utilization of at least one PPE among them was 58.1%. The presence of sensory neural hearing loss (SNHL) in both/either ears was detected among 14.5% of the workers. There was a statistically significant association of SNHL among workers and their duration of construction work. CONCLUSION The current study highlights that awareness and usage of PPE was low and a proportion of them had a hearing impairment. Occupational health and safety training along with a periodic examination of construction workers need to be focused so as to detect and manage occupational health hazards early.
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Affiliation(s)
- Shahul Hameed
- Department of Community Medicine, Kanachur Institute of Medical Sciences, Natekal, Mangaluru, Karnataka, India
| | - K Chethana
- Department of Community Medicine, Kanachur Institute of Medical Sciences, Natekal, Mangaluru, Karnataka, India
| | | | - K. G. Kiran
- Department of Community Medicine, Kanachur Institute of Medical Sciences, Natekal, Mangaluru, Karnataka, India
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Hillesheim D, Zucki F, Roggia SM, Paiva KMD. [Self-reported hearing impairment and occupational exposure to hazardous noise and ototoxic agents: a population-based study]. CAD SAUDE PUBLICA 2021; 37:e00202220. [PMID: 34644758 DOI: 10.1590/0102-311x00202220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Accepted: 01/15/2021] [Indexed: 11/22/2022] Open
Abstract
This study's objective was to estimate the association between self-reported hearing impairment and occupational exposure to hazardous noise and ototoxic agents in Brazilian workers. This was a cross-sectional study with data from the Brazilian National Health Survey (PNS-2013). The dependent variable was self-reported hearing impairment, and three principal exposures were analyzed: noise, industrial dust, and chemical substances. Logistic regression was performed, estimating crude and adjusted odds ratios (OR) with 95% confidence intervals (95%CI). The principal exposure variables were adjusted for each other and by covariables sex, age, workplace, time on the job, and hypertension. 36,442 workers participated in the study. Higher prevalence of hearing impairment was seen in workers exposed to industrial dust (9.9%) (p < 0.001). The older the worker and the longer the time on the job, the higher the prevalence of hearing impairment (p < 0.001). In the adjusted analysis, workers exposed to noise showed 1.65 higher odds of reporting difficulty hearing, when compared to unexposed individuals (p < 0.001). The same was true for workers exposed to industrial dust (OR = 1.36) (p = 0.012). No association was observed between the outcome and exposure to chemical substances (p = 0.120). There was an association between hearing impairment and occupational exposure to noise and industrial dust in Brazilian workers. This emphasizes the importance of strengthening public policies for hearing health and the development of measures for prevention and auditory monitoring in the workplace.
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Affiliation(s)
- Danúbia Hillesheim
- Programa de Pós-graduação em Saúde Coletiva, Universidade Federal de Santa Catarina, Florianópolis, Brasil
| | - Fernanda Zucki
- Departamento de Fonoaudiologia, Universidade Federal de Santa Catarina, Florianópolis, Brasil
| | - Simone Mariotti Roggia
- Departamento de Fonoaudiologia, Universidade Federal de Santa Catarina, Florianópolis, Brasil
| | - Karina Mary de Paiva
- Departamento de Fonoaudiologia, Universidade Federal de Santa Catarina, Florianópolis, Brasil
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Cavallari JM, Suleiman AO, Garza JL, Namazi S, Dugan AG, Henning RA, Punnett L. Evaluation of the HearWell Pilot Program: A Participatory Total Worker Health® Approach to Hearing Conservation. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18189529. [PMID: 34574456 PMCID: PMC8472491 DOI: 10.3390/ijerph18189529] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/28/2021] [Revised: 09/02/2021] [Accepted: 09/02/2021] [Indexed: 12/17/2022]
Abstract
Our objective was to pilot test HearWell, an intervention created to preserve hearing among highway maintainers, by using a participatory Total Worker Health® (TWH) approach to designing, implementing and evaluating interventions. Regional maintenance garages were randomized to control (n = 6); HearWell (n = 4) or HearWell Design Team (n = 2) arms. Maintainer representatives from the HearWell Design Team garages identified barriers to hearing health and collaborated to design interventions including a safety leadership training for managers, a noise hazard management scheme to identify noise levels and indicate the hearing protection device (HPD) needed, and a comprehensive HearWell training video and protocol. These worker-designed interventions, after manager input, were delivered to the HearWell Design Team and the HearWell garages. Control garages received standard industry hearing conservation training. Periodic surveys of workers in all 12 garages collected information on the frequency of HPD use and a new hearing climate measure to evaluate changes in behaviors and attitudes over the study period and following interventions. An intention-to-treat approach was utilized; differences and trends in group HPD use and hearing climate were analyzed using a mixed-effects model to account for repeated measures from individual participants. The HearWell Design Team maintainers reported the highest frequency of HPD use. Hearing climate improved in each group 6 months following intervention implementation, with the largest increase and highest value for the HearWell Design Team workers. The HearWell pilot intervention showed promising results in improving HPD use through a participatory TWH approach to hearing conservation. Furthermore, results suggest that employee participation in hearing conservation programs may be necessary for maximal effectiveness.
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Affiliation(s)
- Jennifer M. Cavallari
- Department of Public Health Sciences, UConn School of Medicine, Farmington, CT 06030, USA;
- Division of Occupational and Environmental Medicine, UConn School of Medicine, Farmington, CT 06030, USA; (J.L.G.); (A.G.D.)
- Correspondence:
| | - Adekemi O. Suleiman
- Department of Public Health Sciences, UConn School of Medicine, Farmington, CT 06030, USA;
| | - Jennifer L. Garza
- Division of Occupational and Environmental Medicine, UConn School of Medicine, Farmington, CT 06030, USA; (J.L.G.); (A.G.D.)
| | - Sara Namazi
- Department of Health Sciences, Springfield College, Springfield, MA 01109, USA;
| | - Alicia G. Dugan
- Division of Occupational and Environmental Medicine, UConn School of Medicine, Farmington, CT 06030, USA; (J.L.G.); (A.G.D.)
| | - Robert A. Henning
- Department of Psychological Sciences, University of Connecticut, Storrs, CT 06269, USA;
| | - Laura Punnett
- Department of Biomedical Engineering, University of Massachusetts Lowell, Lowell, MA 01854, USA;
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Teixeira LR, Pega F, de Abreu W, de Almeida MS, de Andrade CAF, Azevedo TM, Dzhambov AM, Hu W, Macedo MRV, Martínez-Silveira MS, Sun X, Zhang M, Zhang S, Correa da Silva DT. The prevalence of occupational exposure to noise: A systematic review and meta-analysis from the WHO/ILO Joint Estimates of the Work-related Burden of Disease and Injury. ENVIRONMENT INTERNATIONAL 2021; 154:106380. [PMID: 33875242 PMCID: PMC8204275 DOI: 10.1016/j.envint.2021.106380] [Citation(s) in RCA: 27] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Revised: 12/10/2020] [Accepted: 01/04/2021] [Indexed: 05/09/2023]
Abstract
BACKGROUND The World Health Organization (WHO) and the International Labour Organization (ILO) are developing joint estimates of the work-related burden of disease and injury (WHO/ILO Joint Estimates), with contributions from a large network of individual experts. Evidence from mechanistic and human data suggests that occupational exposure to noise may cause cardiovascular disease. In this paper, we present a systematic review and meta-analysis of the prevalence of occupational exposure to noise for estimating (if feasible) the number of deaths and disability-adjusted life years from cardiovascular disease that are attributable to exposure to this risk factor, for the development of the WHO/ILO Joint Estimates. OBJECTIVES We aimed to systematically review and meta-analyse estimates of the prevalence of occupational exposure to noise. DATA SOURCES We searched electronic academic databases for potentially relevant records from published and unpublished studies, including Ovid Medline, PubMed, EMBASE, and CISDOC. We also searched electronic grey literature databases, Internet search engines, and organizational websites; hand-searched reference list of previous systematic reviews and included study records; and consulted additional experts. STUDY ELIGIBILITY AND CRITERIA We included working-age (≥15 years) workers in the formal and informal economies in any WHO Member and/or ILO member State, but excluded children (<15 years) and unpaid domestic workers. We included all study types with an estimate of the prevalence of occupational exposure to noise, categorized into two levels: no (low) occupational exposure to noise (<85dBA) and any (high) occupational exposure to noise (≥85dBA). STUDY APPRAISAL AND SYNTHESIS METHODS At least two review authors independently screened titles and abstracts against the eligibility criteria at a first stage and full texts of potentially eligible records at a second stage, followed by extraction of data from qualifying studies. We combined prevalence estimates using random-effect meta-analysis. Two or more review authors assessed the risk of bias and the quality of evidence, using the RoB-SPEO tool and QoE-SPEO approach developed specifically for the WHO/ILO Joint Estimates. RESULTS Sixty-five studies (56 cross-sectional studies and nine cohort studies) met the inclusion criteria, comprising 157,370 participants (15,369 females) across 28 countries and all six WHO regions (Africa, Americas, Eastern Mediterranean, Europe, South-East Asia, and Western Pacific). For the main analyses, we prioritized the four included studies that surveyed national probability samples of general populations of workers over the 58 studies of workers in industrial sectors and/or occupations with relatively high occupational exposure to noise. The exposure was generally assessed with dosimetry, sound level meter, or official or company records; in the population-based studies, it was assessed with validated questions. Estimates of the prevalence of occupational exposure to noise are presented for all 65 included studies, by country, sex, 5-year age group, industrial sector, and occupation where feasible. The pooled prevalence of any (high) occupational exposure to noise (≥85dBA) among the general population of workers was 0.17 (95% confidence interval 0.16 to 0.19, 4 studies, 108,256 participants, 38 countries, two WHO regions, I2 98%, low quality of evidence). Subgroup analyses showed that pooled prevalence differed substantially by WHO region, sex, industrial sector, and occupation. CONCLUSIONS Our systematic review and meta-analysis found that occupational exposure to noise is prevalent among general populations of workers. The current body of evidence is, however, of low quality, due to serious concerns for risk of bias and indirectness. Producing estimates of occupational exposure to noise nevertheless appears evidence-based, and the pooled effect estimates presented in this systematic review are suitable as input data for the WHO/ILO Joint Estimates (if feasible). Protocol identifier: 10.1016/j.envint.2018.09.040 PROSPERO registration number: CRD42018092272.
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Affiliation(s)
- Liliane R Teixeira
- Workers' Health and Human Ecology Research Center, National School of Public Health Sergio Arouca, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil.
| | - Frank Pega
- Department of Environment, Climate Change and Health, World Health Organization, Geneva, Switzerland.
| | - Wagner de Abreu
- Workers' Health and Human Ecology Research Center, National School of Public Health Sergio Arouca, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil.
| | - Marcia S de Almeida
- Workers' Health and Human Ecology Research Center, National School of Public Health Sergio Arouca, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil.
| | - Carlos A F de Andrade
- Department of Epidemiology and Quantitative Methods in Health, National School of Public Health Sergio Arouca, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil; School of Medicine, Universidade de Vassouras, Vassouras, RJ, Brazil.
| | - Tatiana M Azevedo
- Workers' State Secretariat of Health, Rio de Janeiro, RJ, Brazil; State Reference Center in Workers' Health, Rio de Janeiro, RJ, Brazil.
| | - Angel M Dzhambov
- Department of Hygiene, Faculty of Public Health, Medical University of Plovdiv, Plovdiv, Bulgaria; Institute for Highway Engineering and Transport Planning, Graz University of Technology, Graz, Austria.
| | - Weijiang Hu
- National Institute for Occupational Health and Poison Control, Center for Disease Control and Prevention, Beijing, People's Republic of China.
| | - Marta R V Macedo
- Workers' Health Coordination, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil.
| | | | - Xin Sun
- National Institute for Occupational Health and Poison Control, Center for Disease Control and Prevention, Beijing, People's Republic of China.
| | - Meibian Zhang
- Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, People's Republic of China.
| | - Siyu Zhang
- National Institute for Occupational Health and Poison Control, Center for Disease Control and Prevention, Beijing, People's Republic of China.
| | - Denise T Correa da Silva
- Workers' Health and Human Ecology Research Center, National School of Public Health Sergio Arouca, Oswaldo Cruz Foundation, Rio de Janeiro, RJ, Brazil.
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Ukhurebor KE, Singh KR, Nayak V, Uk-Eghonghon G. Influence of the SARS-CoV-2 pandemic: a review from the climate change perspective. ENVIRONMENTAL SCIENCE. PROCESSES & IMPACTS 2021; 23:1060-1078. [PMID: 34132283 DOI: 10.1039/d1em00154j] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/23/2023]
Abstract
Ever since the global outbreak of Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2/COVID-19) in the early part of 2020, there is no doubt that the SARS-CoV-2 pandemic has placed great tension globally and has affected almost all aspects of human endeavors. There are presently several research studies on the atmospheric environmental and economic effects of this dreaded virus. Supposedly, the responses ought to have also present innovations that would advance scientific research to mitigate its impacts since most of the ensuing consequences impact the atmospheric climatic conditions. Even when it appears that economic events would possibly return in no time, the circumstances will change. Specifically, from the existing literature, it appears that not much has been done to study the influence of the SARS-CoV-2 pandemic on climate change. Hence, this present review article will explore the possible connection between the SARS-CoV-2 pandemic and climate change. The utilization of various scientific domains for climate change studies during the SARS-CoV-2 pandemic and exploring the positive influences of the SARS-CoV-2 pandemic and measures to avoid the negative impacts on climate change owing to SARS-CoV-2 have also been discussed.
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