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学科主题: 临床医学
题名:
Effect of cigarette smoking on noise-induced hearing loss in workers exposed to occupational noise in China
作者: Tao, Liyuan1,2; Davis, Robert3; Heyer, Nicholas4,5; Yang, Qiuling6; Qiu, Wei3; Zhu, Liangliang6; Li, Nan1; Zhang, Hua1; Zeng, Lin1; Zhao, Yiming1,2
关键词: Cigarette smoking ; hearing loss ; occupational noise exposure study
刊名: NOISE & HEALTH
发表日期: 2013
DOI: 10.4103/1463-1741.107159
卷: 15, 期:62, 页:67-72
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Audiology & Speech-Language Pathology ; Public, Environmental & Occupational Health
研究领域[WOS]: Audiology & Speech-Language Pathology ; Public, Environmental & Occupational Health
关键词[WOS]: RISK-FACTORS ; IMPAIRMENT ; AGE ; POPULATION ; VISCOSITY ; BLOOD
英文摘要:

Excessive exposure to high noise level environments has the potential to cause noise-induced hearing loss (NIHL), and cigarette smoking has also been shown to have a potential adverse effect on hearing. The aim of this study was to determine whether smoking interacts with noise in the development of hearing loss, and if so, the extent of the contribution from smoking on NIHL. A cross-sectional study was designed to assess the effect of smoking on NIHL in 517 male workers (non-smokers: N = 199; smokers: N = 318) exposed to a high-level industrial noise environment in China. Shift-long temporal waveforms of the noise that workers were exposed to for evaluation of noise exposures, and audiometric threshold measures were obtained on all selected subjects. The subjects used hearing protection devices only within the last 1-2 years. The results suggest that smoking has an adverse effect on NIHL in workers exposed to high level industrial noise, i.e., the median high frequency hearing thresholds were significantly greater in smokers than non-smokers exposed to noise for more than 10 years. This effect was observed at 4.0 and 6.0 kHz. Smoking did not have an adverse effect on NIHL in workers exposed to noise less than 10 years. Multivariate regression analysis revealed that the odds ratio (OR) for high frequency hearing loss (i.e., hearing threshold greater than 40 dB at 4.0 kHz) were 1.94 for smokers in comparison to non-smokers. The results suggest that: (1) smokers have a higher risk of developing high frequency hearing loss than non-smokers with a similar occupational noise exposure, and (2) the interaction between cigarette smoking and high-level noise exposure may be additive. There is a need to develop and analyze a larger database of workers with well-documented exposures and smoking histories for better understanding of the effect of smoking on NIHL incurred from high-level industrial noise exposures. A better understanding of the role of smoking may lead to its incorporation into hearing risk assessment for noise exposure.

语种: 英语
所属项目编号: 1-R01-OH-002317
项目资助者: National Institute for Occupational Safety and Health
WOS记录号: WOS:000316756000009
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/52508
Appears in Collections:北京大学第三临床医学院_临床流行病学研究中心_期刊论文

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作者单位: 1.Battelle Ctr Publ Hlth Res, Seattle, WA USA
2.Dongfeng Inst Occupat Dis Prevent, Shi Yan 442001, Peoples R China
3.Peking Univ, Hosp 3, Res Ctr Clin Epidemiol, Beijing 100191, Peoples R China
4.Peking Univ, Hosp 3, Res Ctr Occupat Med, Beijing 100191, Peoples R China
5.SUNY Coll Plattsburgh, Auditory Res Lab, Plattsburgh, NY 12901 USA
6.Battelle Ctr Evaluat, Seattle, WA USA

Recommended Citation:
Tao, Liyuan,Davis, Robert,Heyer, Nicholas,et al. Effect of cigarette smoking on noise-induced hearing loss in workers exposed to occupational noise in China[J]. NOISE & HEALTH,2013,15(62):67-72.
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