1
|
Li M, Perlov NM, Patel J, Amin D, Kumar A, Urdang ZD, Willcox TO, Chiffer RC. Association of Smoke and Nicotine Product Consumption With Sensorineural Hearing Loss: A Population-Level Analysis. Otol Neurotol 2023; 44:1094-1099. [PMID: 37853788 DOI: 10.1097/mao.0000000000004031] [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: 10/20/2023]
Abstract
OBJECTIVE To test the hypothesis that use of cigarettes or other products with either cigarette-like smoke profile or high nicotine content by young populations increases the odds of developing sensorineural hearing loss (SNHL). STUDY DESIGN Retrospective cohort study. SETTING TriNetX US Collaborative Network (2003-2022). PATIENTS Approximately 3.6 million patients at least 18 years old. INTERVENTION None. MAIN OUTCOME MEASURES The primary outcome of interest was diagnosis of SNHL, defined using medical billing codes ( International Classification of Diseases, Tenth Revision , Current Procedural Terminology , etc.). Cohort inclusion criteria included electronic health record entry after 2003, age 18 to 54 or 55+ years at index, and status of cigarette, noncigarette nicotine, or cannabis use. Covariates were controlled via 1:1 propensity score matching for SNHL-related conditions, including diabetes mellitus and ischemic diseases. Odds for developing SNHL were calculated against control subjects aged 18 to 54 years who have no record of nicotine/cannabis use. RESULTS Odds for developing SNHL are higher for people 18 to 54 years old who use any nicotine product (odds ratio [95% confidence interval], 5.91 [5.71-6.13]), cigarettes only (4.00 [3.69-4.33]), chewing tobacco only (9.04 [7.09-11.63]), or cannabis only (3.99 [3.60-4.44]) compared with control. People 55+ years old who use no products also showed increased odds for SNHL (4.73 [4.63-4.85]). CONCLUSIONS Both nicotine and smoke exposure seem to be strongly associated with increased odds for developing SNHL, with chewing tobacco having the strongest association.
Collapse
Affiliation(s)
- Marwin Li
- Sidney Kimmel Medical College, Thomas Jefferson University
| | | | - Jena Patel
- Department of Otolaryngology, Thomas Jefferson University Hospital, Philadelphia Pennsylvania
| | - Dev Amin
- Department of Otolaryngology, Thomas Jefferson University Hospital, Philadelphia Pennsylvania
| | - Ayan Kumar
- Department of Otolaryngology, Thomas Jefferson University Hospital, Philadelphia Pennsylvania
| | - Zachary D Urdang
- Department of Otolaryngology, Thomas Jefferson University Hospital, Philadelphia Pennsylvania
| | - Thomas O Willcox
- Department of Otolaryngology, Thomas Jefferson University Hospital, Philadelphia Pennsylvania
| | - Rebecca C Chiffer
- Department of Otolaryngology, Thomas Jefferson University Hospital, Philadelphia Pennsylvania
| |
Collapse
|
2
|
Eid HA, Eltrawy HH, Kabil SE, Abou-Elhassan HA, Abdelshafy R, Aboseif A, Albalsha AM, Omar FM, Heggy M, Ibrahim MA, Moursi A, Elbwab AF, Atef M, Kabil AE. Auditory function assessment in patients with chronic obstructive pulmonary disease. SAGE Open Med 2023; 11:20503121231216212. [PMID: 38050624 PMCID: PMC10693798 DOI: 10.1177/20503121231216212] [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: 07/21/2023] [Accepted: 11/02/2023] [Indexed: 12/06/2023] Open
Abstract
Background Chronic obstructive pulmonary disease is a multisystem disease with multiple comorbidities. Hearing is dependent on the cochlear functions that may be affected by oxygenation. Affection of hearing is problematic and represents a major concern that should be seriously investigated as an important comorbidity in chronic obstructive pulmonary disease patients. Objective To assess auditory status among chronic obstructive pulmonary disease patients. Methodology The current study was carried out at Al-Azhar University Hospitals, Cairo, from 1 August 2021 to 2022, including 120 participants. In addition to the control group (60 healthy participants), there were two study groups: chronic obstructive pulmonary disease patients with respiratory failure group (30 patients) and non-respiratory failure group (30 patients). Hearing functions were studied using pure tone audiometry, and auditory brain stem response. Results There was statistically significant hearing impairment in chronic obstructive pulmonary disease patients in comparison to control group. The hearing impairment was more significant in chronic obstructive pulmonary disease with respiratory failure group in comparison to chronic obstructive pulmonary disease without respiratory failure group. The auditory impairment shows a negative interrelationship with oxygen tension (PaO2) and a positive interrelationship with the smoking index. Conclusion Hearing affection was meaningfully higher among chronic obstructive pulmonary disease patients and more prominent in patients with respiratory failure. Hypoxia results in deterioration of pure tone audiometry and increased absolute and interpeak latencies in auditory brain stem response. At every frequency, the mean pure tone audiometry thresholds were higher for chronic obstructive pulmonary disease groups than control group albeit remaining in the mild to moderate area of hearing loss. Retro-cochlear affection was suggested among patients with chronic obstructive pulmonary disease as evidenced with the prolongation of auditory brain stem response waves latencies.
Collapse
Affiliation(s)
- Hoda A Eid
- Faculty of Medicine, Department of Chest Diseases, Al-Azhar University, Cairo, Egypt
| | - Heba H Eltrawy
- Faculty of Medicine, Department of Chest Diseases, Al-Azhar University, Cairo, Egypt
| | - Shaimaa E Kabil
- Faculty of Medicine, Department of ENT, Al-Azhar University, Cairo, Egypt
| | - Hanaa A Abou-Elhassan
- Faculty of Medicine, Department of Community and Occupational Medicine, Al-Azhar University, Cairo, Egypt
| | - Rania Abdelshafy
- Faculty of Medicine, Department of ENT, Al-Azhar University, Cairo, Egypt
| | - Ahmed Aboseif
- Faculty of Medicine, Department of Chest Diseases, Al-Azhar University, Cairo, Egypt
| | - Abdullah M Albalsha
- Faculty of Medicine, Department of Chest Diseases, Al-Azhar University, Cairo, Egypt
| | - Fawzy M Omar
- Faculty of Medicine, Department of Chest Diseases, Al-Azhar University, Cairo, Egypt
| | - Mohamed Heggy
- Faculty of Medicine, Department of ENT, Al-Azhar University, Cairo, Egypt
| | - Mostafa A Ibrahim
- Faculty of Medicine, Department of ENT, Al-Azhar University, Cairo, Egypt
| | - Ashraf Moursi
- Faculty of Medicine, Internal Medicine Department, Al-Azhar University, Cairo, Egypt
| | - Ahmed F Elbwab
- Faculty of Medicine, Internal Medicine Department, Al-Azhar University, Cairo, Egypt
| | - Moaz Atef
- Faculty of Medicine, Department of Chest Diseases, Al-Azhar University, Cairo, Egypt
| | - Ahmed E Kabil
- Faculty of Medicine, Department of Chest Diseases, Al-Azhar University, Cairo, Egypt
| |
Collapse
|
3
|
Alateeq M, Alnizari O, Hafiz TA. Measuring the Effect of Smoking on Hearing and Tinnitus Among the Adult Population in the Kingdom of Saudi Arabia. Cureus 2023; 15:e39689. [PMID: 37398742 PMCID: PMC10308450 DOI: 10.7759/cureus.39689] [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] [Accepted: 05/29/2023] [Indexed: 07/04/2023] Open
Abstract
BACKGROUND The prevalence of cigarette smoking is a significant public health challenge in Saudi Arabia, as it is a known risk factor for many health problems. Hearing problems are also a major concern, as they are invisible disabilities that can negatively impact an individual's perception, communication, and social interactions. Studies have identified various risk factors for hearing loss, including genetics, diseases, infection, exposure to noise, and demographic factors such as age and gender. Smoking has been found to be associated with hearing loss, tinnitus, and vertigo, but the results of studies investigating this association have been inconsistent. It is crucial to understand the impact of smoking on hearing problems and tinnitus in the Saudi Arabian population to protect individual and societal health. AIM We aim to investigate whether smoking is related to tinnitus, hearing loss, or other hearing difficulties. METHODS A cross-sectional study was established from March to August 2022 among adults in the Kingdom of Saudi Arabia to determine whether smoking can affect hearing. RESULTS It has been observed that smokers experience hearing issues or trouble hearing more frequently than non-smokers. Additionally, as the number of cigarette smoking grows or as smoking persists for longer periods of time, there is a rise in hearing problems/hearing difficulty. In contrast, there is no conclusive evidence associating smoking and tinnitus. CONCLUSION These results should encourage more investigation into the impact of demographic factors on hearing problems/hearing difficulty, or tinnitus.
Collapse
Affiliation(s)
- Mohahmmed Alateeq
- Otolaryngology-Head and Neck Surgery, University of Hail College of Medicine, Hail, SAU
| | - Osama Alnizari
- Family Medicine, University of Hail College of Medicine, Hail, SAU
| | - Tamara A Hafiz
- Public Health and Health Informatics, Umm Al-Qura University, Makkah, SAU
| |
Collapse
|
4
|
Lee W, Chang Y, Shin H, Ryu S. Self-reported and cotinine-verified smoking and increased risk of incident hearing loss. Sci Rep 2021; 11:8103. [PMID: 33854107 PMCID: PMC8047000 DOI: 10.1038/s41598-021-87531-1] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2021] [Accepted: 03/24/2021] [Indexed: 02/03/2023] Open
Abstract
We examined the associations of smoking status and urinary cotinine levels, an objective measure of smoking, with the development of new-onset HL. This cohort study was performed in 293,991 Korean adults free of HL who underwent a comprehensive screening examination and were followed for up to 8.8 years. HL was defined as a pure-tone average of thresholds at 0.5, 1.0, and 2.0 kHz ≥ 25 dB in both ears. During a median follow-up of 4.9 years, 2286 participants developed new-onset bilateral HL. Self-reported smoking status was associated with an increased risk of new-onset bilateral HL. Multivariable-adjusted HRs (95% CIs) for incident HL comparing former smokers and current smokers to never-smokers were 1.14 (1.004-1.30) and 1.40 (1.21-1.61), respectively. Number of cigarettes, pack-years, and urinary cotinine levels were consistently associated with incident HL. These associations were similarly observed when introducing changes in smoking status, urinary cotinine, and other confounders during follow-up as time-varying covariates. In this large cohort of young and middle-aged men and women, smoking status based on both self-report and urinary cotinine level were independently associated with an increased incidence of bilateral HL. Our findings indicate smoking is an independent risk factor for HL.
Collapse
Affiliation(s)
- Woncheol Lee
- Department of Occupational and Environmental Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 29 Saemunan-ro, Jongno-gu, Seoul, 03181, Republic of Korea
| | - Yoosoo Chang
- Department of Occupational and Environmental Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 29 Saemunan-ro, Jongno-gu, Seoul, 03181, Republic of Korea. .,Center for Cohort Studies, Total Healthcare Center, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. .,Department of Clinical Research Design and Evaluation, SAIHST, Sungkyunkwan University, Seoul, Republic of Korea.
| | - Hocheol Shin
- Center for Cohort Studies, Total Healthcare Center, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.,Department of Family Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea
| | - Seungho Ryu
- Department of Occupational and Environmental Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 29 Saemunan-ro, Jongno-gu, Seoul, 03181, Republic of Korea. .,Center for Cohort Studies, Total Healthcare Center, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea. .,Department of Clinical Research Design and Evaluation, SAIHST, Sungkyunkwan University, Seoul, Republic of Korea.
| |
Collapse
|
5
|
Demir E, Celiker M, Afacan NN, Aydogan E, Balaban GA, Erdivanli OC, Dursun E. Effects of Smoking on the Auditory System: Is There a Gender Difference? EAR, NOSE & THROAT JOURNAL 2019; 100:NP147-NP151. [PMID: 31547698 DOI: 10.1177/0145561319872166] [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: 11/16/2022] Open
Abstract
The main aim of our study is to evaluate whether the effect of smoking on the auditory system shows gender differences. Another aim is to evaluate whether smoking has any influence on the absorbance of sound. There were 236 volunteers including 90 nonsmokers (42 females and 48 males) and 146 smokers (72 females and 74 males) in the study. Smokers were grouped according to pack-years of smoking as 5 to 10 pack-years, 11 to 20 pack-years, and more than 20 pack-years. Pure tone audiometry and wideband tympanometry were performed in all individuals. Both female and male smokers who consume more than 20 pack-years had significantly higher hearing thresholds at 4 and 6 kHz and significantly lower sound energy absorbance rates at 4, 6, and 8 kHz. Moreover, female smokers with a consumption of 11 to 20 pack-years had significantly higher hearing thresholds at 6 kHz and significantly lower sound energy absorbance rates at 6 and 8 kHz. Smoking causes hearing loss at high frequencies in both females and males, especially in a dose-dependent manner affecting individuals with a consumption of more than 20 pack-years. The sound energy absorbance is significantly reduced at 4, 6, and 8 kHz. In addition, these effects may occur in women with even less exposure.
Collapse
Affiliation(s)
- Emine Demir
- Department of Otorhinolaryngology, 175650Recep Tayyip Erdogan University Faculty of Medicine, Rize, Turkey
| | - Metin Celiker
- Department of Otorhinolaryngology, 175650Recep Tayyip Erdogan University Faculty of Medicine, Rize, Turkey
| | - Nazife Nur Afacan
- Department of Otorhinolaryngology, 175650Recep Tayyip Erdogan University Faculty of Medicine, Rize, Turkey
| | - Elif Aydogan
- Department of Otorhinolaryngology, 175650Recep Tayyip Erdogan University Faculty of Medicine, Rize, Turkey
| | - Gokce Aydin Balaban
- Department of Otorhinolaryngology, 175650Recep Tayyip Erdogan University Faculty of Medicine, Rize, Turkey
| | - Ozlem Celebi Erdivanli
- Department of Otorhinolaryngology, 175650Recep Tayyip Erdogan University Faculty of Medicine, Rize, Turkey
| | - Engin Dursun
- Department of Otorhinolaryngology, 175650Recep Tayyip Erdogan University Faculty of Medicine, Rize, Turkey
| |
Collapse
|
6
|
Abdel Dayem AM, Galal IH, Naeem F, Hassan MA. Audiological assessment in patients with chronic obstructive pulmonary disease. THE EGYPTIAN JOURNAL OF BRONCHOLOGY 2017. [DOI: 10.4103/ejb.ejb_1_17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
7
|
İşlek Seçen E, Yavuz AF, Keskin HL, Yeğin GF, Müderrisoğlu T. Sigaranın Yenidoğan İşitme Fonksiyonu Üzerine Etkisi. ANKARA MEDICAL JOURNAL 2017. [DOI: 10.17098/amj.304665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
|
8
|
Saffree Jeffree M, Ismail N, Awang Lukman K. Hearing impairment and contributing factors among fertilizer factory workers. J Occup Health 2016; 58:434-443. [PMID: 27488035 PMCID: PMC5356977 DOI: 10.1539/joh.16-0043-oa] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Introduction: Hearing impairment remains the main occupational health problem in the manufacturing industry, and its contributing factors have not been well controlled. Methods: Unmatched case control and comparative studies were carried out among fertilizer factory workers in Sarawak with the aim of determining contributing factors for hearing impairment. Respondents consisted of 49 cases that were diagnosed from 2005 to 2008 with 98 controls from the same work places. Chi-square test and Mann-Whitney test were used in a univariate analysis to determine the association between hearing impairment and the contributing risks being studied. Results: The results of the univariate analysis showed that hearing impairment was significantly (p<0.05) associated with older age, lower education level, high smoking dose, high occupational daily noise dose, longer duration of service, infrequent used of hearing protection device (HPD), and low perception of sound on HPD usage. Multivariate logistic regression of hearing impairment after controlling for age found the following five variables: occupational daily noise dose ≥50% (OR 3.48, 95% CI 1.36-8.89), ≥15 years of services (OR 2.92, 95% CI 1.16-7.33), infrequent use of HPD (OR 2.79, 95% CI 1.15-6.77), low perception of sound on HPD (POR 2.77, 95% CI 1.09-6.97), and smoking more than 20 packs per year (OR 4.71, 95% CI 1.13-19.68). Discussion: In conclusion, high occupational noise exposure level, longer duration of service, low perception of sound on HPD, infrequent used of HPD, and smoking more than 20 packs per year were the contributing factors to hearing impairment, and appropriate intervention measures should be proposed and taken into considerations.
Collapse
Affiliation(s)
- Mohammad Saffree Jeffree
- Department of Community & Family Medicine, Faculty of Medicine & Health Science, University of Malaysia Sabah
| | | | | |
Collapse
|
9
|
Chang J, Ryou N, Jun HJ, Hwang SY, Song JJ, Chae SW. Effect of Cigarette Smoking and Passive Smoking on Hearing Impairment: Data from a Population-Based Study. PLoS One 2016; 11:e0146608. [PMID: 26756932 PMCID: PMC4710530 DOI: 10.1371/journal.pone.0146608] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2015] [Accepted: 12/18/2015] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVES In the present study, we aimed to determine the effect of both active and passive smoking on the prevalence of the hearing impairment and the hearing thresholds in different age groups through the analysis of data collected from the Korea National Health and Nutrition Examination Survey (KNHANES). STUDY DESIGN Cross-sectional epidemiological study. METHODS The KNHANES is an ongoing population study that started in 1998. We included a total of 12,935 participants aged ≥19 years in the KNHANES, from 2010 to 2012, in the present study. Pure-tone audiometric (PTA) testing was conducted and the frequencies tested were 0.5, 1, 2, 3, 4, and 6 kHz. Smoking status was categorized into three groups; current smoking group, passive smoking group and non-smoking group. RESULTS In the current smoking group, the prevalence of speech-frequency bilateral hearing impairment was increased in ages of 40-69, and the rate of high frequency bilateral hearing impairment was elevated in ages of 30-79. When we investigated the impact of smoking on hearing thresholds, we found that the current smoking group had significantly increased hearing thresholds compared to the passive smoking group and non-smoking groups, across all ages in both speech-relevant and high frequencies. The passive smoking group did not have an elevated prevalence of either speech-frequency bilateral hearing impairment or high frequency bilateral hearing impairment, except in ages of 40s. However, the passive smoking group had higher hearing thresholds than the non-smoking group in the 30s and 40s age groups. CONCLUSION Current smoking was associated with hearing impairment in both speech-relevant frequency and high frequency across all ages. However, except in the ages of 40s, passive smoking was not related to hearing impairment in either speech-relevant or high frequencies.
Collapse
Affiliation(s)
- Jiwon Chang
- Department of Otolaryngology Head and Neck Surgery, Hallym University College of Medicine, Chuncheon, Korea
| | - Namhyung Ryou
- Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea
| | - Hyung Jin Jun
- Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea
| | - Soon Young Hwang
- Department of Medical Statistics, Korea University College of Medicine, Seoul, Korea
| | - Jae-Jun Song
- Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea
| | - Sung Won Chae
- Department of Otolaryngology-Head and Neck Surgery, Korea University College of Medicine, Seoul, Korea
| |
Collapse
|
10
|
Lohi V, Hannula S, Ohtonen P, Sorri M, Mäki-Torkko E. Hearing impairment among adults: The impact of cardiovascular diseases and cardiovascular risk factors. Int J Audiol 2014; 54:265-73. [DOI: 10.3109/14992027.2014.974112] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
|
11
|
Dawes P, Cruickshanks KJ, Moore DR, Edmondson-Jones M, McCormack A, Fortnum H, Munro KJ. Cigarette smoking, passive smoking, alcohol consumption, and hearing loss. J Assoc Res Otolaryngol 2014; 15:663-74. [PMID: 24899378 DOI: 10.1007/s10162-014-0461-0] [Citation(s) in RCA: 108] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2013] [Accepted: 04/28/2014] [Indexed: 12/17/2022] Open
Abstract
The objective of this large population-based cross-sectional study was to evaluate the association between smoking, passive smoking, alcohol consumption, and hearing loss. The study sample was a subset of the UK Biobank Resource, 164,770 adults aged between 40 and 69 years who completed a speech-in-noise hearing test (the Digit Triplet Test). Hearing loss was defined as speech recognition in noise in the better ear poorer than 2 standard deviations below the mean with reference to young normally hearing listeners. In multiple logistic regression controlling for potential confounders, current smokers were more likely to have a hearing loss than non-smokers (odds ratio (OR) 1.15, 95 % confidence interval (CI) 1.09-1.21). Among non-smokers, those who reported passive exposure to tobacco smoke were more likely to have a hearing loss (OR 1.28, 95 %CI 1.21-1.35). For both smoking and passive smoking, there was evidence of a dose-response effect. Those who consume alcohol were less likely to have a hearing loss than lifetime teetotalers. The association was similar across three levels of consumption by volume of alcohol (lightest 25 %, OR 0.61, 95 %CI 0.57-0.65; middle 50 % OR 0.62, 95 %CI 0.58-0.66; heaviest 25 % OR 0.65, 95 %CI 0.61-0.70). The results suggest that lifestyle factors may moderate the risk of hearing loss. Alcohol consumption was associated with a protective effect. Quitting or reducing smoking and avoiding passive exposure to tobacco smoke may also help prevent or moderate age-related hearing loss.
Collapse
Affiliation(s)
- Piers Dawes
- HCD Office, School of Psychological Sciences, Ellen Wilkinson Building, University of Manchester, Oxford Road, M13 9PL, Manchester, UK,
| | | | | | | | | | | | | |
Collapse
|
12
|
Kim KS, Kwon OJ. Prevalence and risk factors of hearing loss using the korean working conditions survey. KOREAN JOURNAL OF AUDIOLOGY 2012; 16:54-64. [PMID: 24653872 PMCID: PMC3936569 DOI: 10.7874/kja.2012.16.2.54] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/23/2012] [Revised: 08/26/2012] [Accepted: 09/06/2012] [Indexed: 11/22/2022]
Abstract
Background and Objectives The hearing loss of workers can occur when they are affected by age, otologic disease, and work-related risks such as noise and chemicals. Based on the Korean Working Conditions Survey (KWCS) in 2010, this research aimed to estimate the prevalence rate of hearing loss and to identify the risk factors affecting its occurrence. Subjects and Methods The subjects were 10019 employees who completed an interview conducted as part of KWCS in 2010. The prevalence rate of hearing loss according to sex, age, education, income, smoking, drinking, hypertension, industrial type, occupations, employment status, working period, and hazards at the workplace were assessed. The factors that could affect the occurrence of hearing loss were investigated based on a logistic regression analysis. Results The prevalence rate of hearing loss was 2.7%. In a logistic multivariate analysis, sex, age, occupations, working period, noise, and exposure to chemicals showed statistically significant correlations to the occurrence of hearing loss. The adjusted odd ratios were as follows: 1.74 [95% confidence interval (CI), 1.03-2.96] for males, 2.11 (95% CI, 1.14-3.89) for those in their 40s, 2.24 (95% CI, 1.19-4.20) for those in their 50s, 2.21 (95% CI, 1.18-4.15) for manage/professional works, 2.73 (95% CI, 1.69-4.41) for manufacturing, 2.07 (95% CI, 1.36-3.15) for those who have worked for more than 20 years, 1.72 (95% CI, 1.14-2.58) for noise exposure, 1.53 (95% CI, 1.02-2.30) for vibration exposure and 1.58 (95% CI, 1.11-2.24) for chemical exposure. Conclusions The overall occupational and non-occupational risk factors related to employees' hearing loss were reviewed. In addition to the exposure to noise, occupational risks of hearing loss, such as isolated exposure to vibration and chemicals, and combined exposure to noise and these hazards, were identified. Multiple exposure to hazards, along with prolonged noise exposure increased the risk of hearing loss.
Collapse
Affiliation(s)
- Kyoo Sang Kim
- Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency, Incheon, Korea
| | - Oh Jun Kwon
- Occupational Safety and Health Research Institute, Korea Occupational Safety and Health Agency, Incheon, Korea
| |
Collapse
|
13
|
Paschoal CP, Azevedo MFD. Cigarette smoking as a risk factor for auditory problems. Braz J Otorhinolaryngol 2010; 75:893-902. [PMID: 20209294 PMCID: PMC9446022 DOI: 10.1016/s1808-8694(15)30556-5] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2008] [Accepted: 03/21/2009] [Indexed: 11/24/2022] Open
Abstract
Smoking is a public health concern and we are still unsure of its relation with auditory problems. Aim To study the effects of cigarette smoking in auditory thresholds, in otoacoustic emissions and in their inhibition by the efferent olivocochlear medial system. Materials and Methods 144 adults from both genders, between 20 and 31 years of age, smoking and non-smoking individuals were submitted to conventional and high-frequency audiometry, transient stimuli otoacoustic emissions and suppression effect investigation. Results smokers presented worse auditory thresholds in the frequencies of 12.500Hz in the right ear and 14,000 kHz in both ears. Regarding the otoacoustic emissions, smokers group presented a lower response level in the frequencies of 1,000Hz in both ears and 4,000Hz in the left ear. Among smokers there were more cases of cochlear dysfunction and tinnitus. Conclusion Our results suggest that cigarette smoking has an adverse effect on the auditory system.
Collapse
|
14
|
Mohammadi S, Mazhari MM, Mehrparvar AH, Attarchi MS. Cigarette smoking and occupational noise-induced hearing loss. Eur J Public Health 2009; 20:452-5. [PMID: 19887518 DOI: 10.1093/eurpub/ckp167] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Noise is the most common occupational hazard. Noise-induced hearing loss (NIHL) is a known occupational disease. The economic costs of NIHL have been estimated to be billions of dollars. Besides, cigarette smoking is a common habit worldwide. METHODS In a cross-sectional study, we surveyed the effect of smoking on NIHL in 504 workers in a large wagon manufacturing company exposed to noise >85 dBA. All required data were obtained using direct interview and questionnaires. To determine noise exposure level, we used industrial hygienist's reports of sound level measurements. A qualified audiologist assessed hearing status using standardized audiometric examination. RESULTS We concluded that the frequency of hearing loss in smokers was higher than non-smokers [based on Model 1: odds ratio (OR) = 9.35, 95% confidence interval (CI) = 5.74-15.22 and P-value < 0.001; and based on Model 2: OR = 9.06, 95% CI = 5.93-13.84 and P-value < 0.001]. Besides, these results were confirmed by logistic regression statistical method. CONCLUSIONS It can be concluded that smoking may accelerate NIHL, but for confirming this opinion, further studies are warranted.
Collapse
Affiliation(s)
- Saber Mohammadi
- Iran University of Medical Sciences and Occupational Medicine Research Center, Tehran, Iran
| | | | | | | |
Collapse
|
15
|
Effect of smoking on transient evoked otoacoustic emissions and contralateral suppression. Auris Nasus Larynx 2009; 37:299-302. [PMID: 19864089 DOI: 10.1016/j.anl.2009.09.013] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2009] [Revised: 09/07/2009] [Accepted: 09/18/2009] [Indexed: 11/21/2022]
Abstract
OBJECTIVE The present study compared the amplitudes of transient evoked otoacoustic emissions (TEOAEs) and efferent suppression in smokers and non-smokers taking age into consideration. METHODS Fifty smokers and fifty non-smokers who had normal hearing sensitivity with age range of 20-69 years were considered for the present study. TEOAEs were measured in both the groups of subjects across different age groups. The functioning of the efferent auditory system was evaluated in both the groups by recording the TEOAEs in the presence of a contralateral white noise (CWN) of 70dB SPL. RESULTS Age did not have a significant effect on the TEOAEs amplitude in both the groups of subjects. However, the TEOAEs amplitude was significantly reduced in smokers compared to non-smokers. The results found a significant effect of age on the amplitude of efferent suppression in smokers, however, no significant effect was found in the non-smokers group. CONCLUSIONS It was found that the difference in the amplitude of efferent suppression in smokers was significantly greater for each age group between 20 and 49 years compared to each age group from 50 to 69 years. Results have important implication on the damage to the cochlear structures from smoking.
Collapse
|
16
|
Burr H, Lund SP, Sperling BB, Kristensen TS, Poulsen OM. Smoking and height as risk factors for prevalence and 5-year incidence of hearing loss. A questionnaire-based follow-up study of employees in Denmark aged 18–59 years exposed and unexposed to noise. Int J Audiol 2009; 44:531-9. [PMID: 16238184 DOI: 10.1080/14992020500190045] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
This paper investigated whether smoking and short stature in adulthood were independent risk factors for hearing loss. We reanalyzed data from the Danish Work Environment Cohort Study (an existing cohort study), on prevalence of self-reported hearing loss among 7,221 employees and on five-year incidence among 4,610 employees. We found that smoking predicted hearing loss incidence and prevalence. Smoking did not predict incidence at noise exposure during half or more of a worker's hours. Very short stature predicted prevalence in the total adult population only weakly, but strongly among employees born before 1951. These prospective findings indicate that smoking is an independent risk factor for incidence of hearing loss. Very short stature predicted prevalence of hearing loss only in a subpopulation.
Collapse
Affiliation(s)
- Hermann Burr
- National Institute of Occupational Health, Copenhagen, Denmark.
| | | | | | | | | |
Collapse
|
17
|
John U, Baumeister SE, Kessler C, Völzke H. Associations of carotid intima-media thickness, tobacco smoking and overweight with hearing disorder in a general population sample. Atherosclerosis 2007; 195:e144-9. [PMID: 17553508 DOI: 10.1016/j.atherosclerosis.2007.04.007] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2006] [Revised: 04/05/2007] [Accepted: 04/13/2007] [Indexed: 11/25/2022]
Abstract
It has been argued that smoking or overweight might contribute to hearing disorder by atherogenic narrowing of the nutrient arteries to the cochlea. The carotid intima-media thickness (CIMT) is a surrogate marker for generalized atherosclerosis. We analyzed a subgroup (n=2619) from a general population sample in north-eastern Germany aged 45-81 years (Study of Health in Pomerania, SHIP). Assessments included self-statements about hearing disorder and medical examinations of CIMT. Using ordinal logistic regression for data analysis and after adjustment for cigarettes per day, waist circumference, diabetes, exposure to noise, age and sex, we found CIMT remained a predictor of hearing disorder (odds ratio 1.8, 95% confidence interval 1.0-3.2). Cigarettes per day and waist circumference were related to CIMT but not to hearing disorder. The findings suggest a positive association between CIMT and hearing disorder.
Collapse
Affiliation(s)
- U John
- University of Greifswald, Institute of Epidemiology and Social Medicine, Germany.
| | | | | | | |
Collapse
|
18
|
Pouryaghoub G, Mehrdad R, Mohammadi S. Interaction of smoking and occupational noise exposure on hearing loss: a cross-sectional study. BMC Public Health 2007; 7:137. [PMID: 17605828 PMCID: PMC1925081 DOI: 10.1186/1471-2458-7-137] [Citation(s) in RCA: 46] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2006] [Accepted: 07/03/2007] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Noise is the most common hazardous agent at workplaces. Noise induced hearing loss (NIHL) has been known since the industrial revolution. Although NIHL is permanent, irreversible and frequent, it is preventable. The economic costs of NIHL have been estimated to be about billions of dollars. Besides, cigarette smoking is a common habit worldwide, and according to some recent studies smoking and noise may act in common causal pathways for hearing loss. METHODS A cross-sectional study was designed to study the effect of smoking on NIHL in 206 male smoker workers and 206 male non-smoker workers in a large food-producing factory, in which workers were exposed to noise levels exceeding 85 dBA. To determine noise exposure level, we used sound level measurements reported by industrial hygienists.A qualified audiologist assessed hearing acuity by using standardized audiometric procedures assuring at least 14 h of noise avoidance. RESULTS We observed that the percentage of workers with hearing threshold differences of greater than or equal to 30 dB between 4000 Hz and 1000 Hz in both ears were 49.5% and 11.2% in smoker and non smoker groups, respectively (Odds ratio = 7.8, 95% CI = 4.7-13), and the percentage of workers with a hearing threshold of greater than 25 dB at 4000 Hz in the better ear were 63.6% and 18.4% in smoker and non smoker groups, respectively. This difference was statistically significant after adjustment for age and exposure duration. CONCLUSION It can be concluded that smoking can accelerate noise induced hearing loss, but more research is needed to understand the underlying mechanisms. Accurate follow up of smoker workers who are exposed to noise levels exceeding 85 dBA is suggested. Smokers should periodically attend educational courses on "smoking cessation", especially in noisy workplaces.
Collapse
Affiliation(s)
- Gholamreza Pouryaghoub
- Department of Occupational Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Ramin Mehrdad
- Department of Occupational Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Saber Mohammadi
- Department of Occupational Medicine, Tehran University of Medical Sciences, Tehran, Iran
| |
Collapse
|
19
|
Uchida Y, Nakashimat T, Ando F, Niino N, Shimokata H. Is there a relevant effect of noise and smoking on hearing? A population-based aging study. Int J Audiol 2005; 44:86-91. [PMID: 15913156 DOI: 10.1080/14992020500031256] [Citation(s) in RCA: 49] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
The objectives of the present study were to evaluate both the respective and combined effects of occupational noise exposure and smoking on hearing, taking age into consideration. The evaluation was conducted using 1478 subjects without a history of ear disease out of a population-based sample of 2267 adults, aged 40 79 years. Pure-tone audiometry and a questionnaire were administered. A deleterious effect of noise exposure on hearing was significantly observed in both genders at many frequencies after adjustment for age, income, and education. The smoking habit alone significantly affected hearing deterioration at 4000 Hz in noise-unexposed males. The combined effect of noise and smoking was not interactive but additive. A dose-response effect of smoking on hearing loss was observed in middle-aged males without noise exposure. Smoking and noise exposure were associated with hearing loss respectively.. This result is noteworthy for the preservation of good hearing especially at the beginning of aging.
Collapse
Affiliation(s)
- Yasue Uchida
- Department of Otorhinolaryngology, Chubu National Hospital, National Institute for Longevity Sciences, Aichi, Japan.
| | | | | | | | | |
Collapse
|
20
|
Nomura K, Nakao M, Yano E. Hearing loss associated with smoking and occupational noise exposure in a Japanese metal working company. Int Arch Occup Environ Health 2005; 78:178-84. [PMID: 15761747 DOI: 10.1007/s00420-005-0604-z] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2004] [Accepted: 12/08/2004] [Indexed: 10/25/2022]
Abstract
The effects of smoking on hearing loss within the context of atherosclerosis was assessed, and the statistical interaction of occupational noise evaluated. A cross-sectional study was conducted in 397 Japanese males working at a metal factory, aged 21-66 years, in a periodical health checkup. The following information was obtained: two smoking indices of smoking status and Brinkman index, occupational noise exposures and atherosclerotic risk factors (body mass index, blood pressure, serum cholesterol, hemoglobin A1c, atherosclerosis index). Hearing acuity was measured at 4 kHz using a pure-tone audiometer in a quiet room. Among the total subjects, 55 (13.9%) were identified as having hearing loss at 4 kHz, and 151 (38.0%) were currently exposed to occupational noise. When adjusted for age and occupational noise exposure, odds ratios (95% confidence intervals) of hearing loss were 3.16 (1.04, 9.62) for past smokers and 3.39 (1.05, 11.01) for heavy smokers (Brinkman index >750 cigarettes per day x number of years), compared with never-smokers. Statistical interaction of occupational noise exposure was insignificant with the association between smoking and hearing loss. When including atherosclerotic risk factors in a multiple model, there were no significant associations between hearing loss and either smoking or any other factors (i.e., occupational noise and atherosclerotic factors). Smoking was found to be associated with hearing loss beyond occupational noise exposure, and this association seemed to be masked by atherosclerotic factors, suggesting that the direction of the atherosclerotic effect on the relationship might need to be explored between smoking and hearing impairment.
Collapse
Affiliation(s)
- Kyoko Nomura
- Department of Hygiene and Public Health, Teikyo University School of Medicine, 2-11-1 Kaga, Tokyo, Japan.
| | | | | |
Collapse
|