Chemical-Induced Hearing Loss in Shipyard Workers
| Autor: | Cynthia McCormick Richburg, Nicholas Schaal, Majed Zreiqat, Helmut Paschold, Jeremy M. Slagley |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Materials science Hearing loss CADMIUM TOXICITY Analytical chemistry chemistry.chemical_element Xylenes Arsenic 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Audiometry Occupational Exposure medicine Humans 030223 otorhinolaryngology Ships Retrospective Studies Cadmium medicine.diagnostic_test Xylene Public Health Environmental and Occupational Health Middle Aged 030210 environmental & occupational health Low noise Hearing Loss Noise-Induced Lead chemistry Noise Occupational Female medicine.symptom Noise (radio) Toluene |
| Zdroj: | Journal of Occupational & Environmental Medicine. 60:e55-e62 |
| ISSN: | 1076-2752 |
| DOI: | 10.1097/jom.0000000000001186 |
| Popis: | Objective The aim of this study was to determine the effect of lead, cadmium, arsenic, toluene, and xylene exposure on hearing compared with noise exposures alone. Methods Personnel at a shipyard (n = 1266) were divided into four exposure groups on the basis of concentrations: low metals/low solvents/high noise (reference group), high metals/high solvents/low noise, high metals/low solvents/high noise, and high metals/high solvents/high noise. Hearing changes occurring from the years 2004 to 2015 were analyzed. Results Hearing changes were significantly worse at 1000 Hz (P = 0.007), averaged across 2000 to 4000 Hz (P = 0.014), and averaged across 500 to 6000 Hz (P = 0.014) for the high metals/high solvent/high noise group compared with the low metals/low solvents/high noise only reference group. Conclusion Simultaneous exposures classified as high for metals/solvents/noise appear to damage hearing more than exposure to noise alone. Hearing conservation programs should take into consideration combined exposures to metals, solvents, and noise, not simply exposure to noise. |
| Databáze: | OpenAIRE |
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