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The aim of the study was to evaluate the combined effect of noise exposure and additional risk factors on permanent hearing threshold shift. Three additional risk factors were: exposure to organic solvents, smoking and elevated blood pressure. The data on exposure and health status of employees were collected in 24 factories. The study group comprised of 3741 noise male exposed workers of: mean age 39§8 years, mean tenure 16§7 years and LEX;8h = 86 § 5 dB. For each subject, hearing level was measured with pure tone audiometry, blood pressure and noise exposure were assessed from the records of local occupational health care and obligatory noise measurements performed by employers. Smoking and solvent exposure were assessed with questionnaire. The study group was divided into subgroups with respect to the considered risk factors. In the analysis, the distribution of hearing level of each subgroup was compared to the predicted one which the standard calculation method described in ISO 1999:1990. For each of the considered risk factors, the difference between measured and calculated hearing level distribution was used to establish, by the least square method, a noise dose related correction square function for the standard method. The considered risk factors: solvent exposure, smoking and elevated blood pressure combined with noise exposure, may increase degree of hearing loss.
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371--382
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Bibliogr. 14 poz., tab., wykr.
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autor
autor
autor
autor
- Nofer Institute of Occupational Medicine Department of Physical Hazards Sw. Teresy 8, 91-348 Łódz, Poland, adudar9999@wp.pl
Bibliografia
- 1. Campo P., Maguin K. (2007), Solvent-Induced Hearing Loss: Mechanisms and Prevention Strategy, Int. J. Occup. Med. Environ. Health, 20, 3, 265-270.
- 2. Dengerink H.A., Lindgren F.L., Axelsson A. (1992), The interaction of smoking and noise on temporary threshold shifts, Acta Otolaryngol, 112, 932-938.
- 3. ISO 1999 Acoustics - Determination of occupational noise exposure and estimation of noise induced hearing impairment. International Organization for Standardization, Geneva 1990.
- 4. Jarup L., Dudley M., Babisch W., Houthuijs D., Swart W., Pershagen G., Bluhm G., Katsouyanni K., Velonakis M., Cadum E., Vigna-Taglianti F. (2008), Hypertension and Exposure to Noise Near Airports: the HYENA Study, Environ Health Perspect., 116, 3, 329-333.
- 5. Johnson A. (2007), Relationship between styrene exposure and hearing loss: review of human studies, Int. J. Occup. Med. Environ. Health, 20, 4, 315-325.
- 6. Mizoue T., Miyamoto T., Shimizu T. (2003), Combined effect of smoking and occupational exposure to noise on hearing loss in steel factory workers, Occup. Environ. Med., 60, 56-59.
- 7. Ni C.-H. Chen Z.-Y., Zhou Y., Zhou J.-W., Jing-Jing P., Liu N., Wang J., Liang C.-K., Zhang Z.-Z., Zhang Y.-J. (2007), Associations of blood pressure and arterial compliance with occupational noise exposure in female workers of textile mill, Chin Med. J. (Engl.), 120, 15, 1309-1313.
- 8. Prasher D. et al. (2009), Noise and Industrial Chemicals: Interaction Effects on Hearing and Balance NoiseChem. Key Action 4: Environment and Health. 2001-2004. FINAL REPORT, http://ec.europa.eu/research/quality-of-life/ka4/pdf/report_noisechem_en.pdf (20 Oct. 2009).
- 9. Starck J., Toppila E., Pyykko I. (1999), Smoking as a risk factor in sensory neural hearing loss among workers exposed to occupational noise, Acta Otolaryngol, 119, 302-305.
- 10. Śliwińska-Kowalska M. (2007), Exposure to organic solvent mixtures and hearing loss: literature overview, Int. J. Occup. Med. Environ. Health, 20, 4, 309-314.
- 11. Śliwińska-Kowalska M., Zamysłowska-Szmytke E., Szymczak W., Kotyło P., Fiszer M., Wesołowski W. et al. (2003), Ototoxic effects of occupational exposure to styrene and co-exposure to styrene and noise, J. Occup. Environ. Med., 45, 1, 15-24.
- 12. Virkkunen H., Kauppinen T., Tenkanen L. (2005), Long-term effect of occupational noise on the risk of coronary heart disease, Scand J. Work Environ. Health, 31, 4, 291-9.
- 13. Virokannas H., Anttonen H. (1995), Dose-response relationship between smoking and impairment of hearing acuity in workers exposed to noise, Scand Audiol, 24, 211-216.
- 14. Ychida Y., Nakashimat T., Niino N., Shimokata H. (2005), Is there a relevant effect of noise and smoking on hearing? A population-based aging study, Int. J. Audiol., 44, 86-91.
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-article-BUS8-0019-0066