Effects of combined exposure to metals, solvents, and noise on permanent threshold shifts
| Autor: | Nicholas Schaal, Jeremy M. Slagley, Majed Zreiqat, Helmut Paschold |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Absolute threshold of hearing business.industry Hearing loss Public Health Environmental and Occupational Health Audiology 030210 environmental & occupational health Solvent 03 medical and health sciences Threshold shift Noise chemistry.chemical_compound 0302 clinical medicine chemistry Environmental chemistry Medicine medicine.symptom Solvent exposure 030223 otorhinolaryngology business Exposure duration |
| Zdroj: | American Journal of Industrial Medicine. 60:227-238 |
| ISSN: | 0271-3586 |
| DOI: | 10.1002/ajim.22690 |
| Popis: | Background Studies suggest metal and solvent exposure may damage hearing. This study evaluated the association between exposures classified as high for metals, solvents, and noise on permanent threshold shift (PTS) development. Methods A total of 1,546 personnel at an industrial shipyard were divided into five exposure groups based on level of concentration: high noise, high metals/solvents, high metals/noise, high metals/solvents/noise, and a low metals/solvents/noise reference group. Hearing threshold changes were analyzed to identify development of a PTS. Results Logistic regression indicated high metals/solvents and high metals/solvent/noise groups had significantly greater odds ratios of 2.4; 95%CI [1.02, 2.85] and 1.7; 95%CI [1.46, 3.94], respectively, compared to a reference group. Both groups were associated with PTSs while controlling for age, gender, and exposure duration. Conclusions Simultaneous exposures classified as high for metals and solvents may damage hearing. Results suggest the need for expanding hearing conservation programs to consider combinations of exposures to metals, solvents, and noise. Am. J. Ind. Med. 9999:1–12, 2017. © 2017 Wiley Periodicals, Inc. |
| Databáze: | OpenAIRE |
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