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接触农药的农民工的颞叶听觉处理

Temporal auditory processing in rural workers exposed to pesticide.

作者信息

Bazilio Martha Marcela de Matos, Frota Silvana, Chrisman Juliana Rezende, Meyer Armando, Asmus Carmem Ildes Fróes, Camara Volney de Magalhaes

机构信息

Institute for Studies in Public Health, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.

出版信息

J Soc Bras Fonoaudiol. 2012;24(2):174-80. doi: 10.1590/s2179-64912012000200015.

Abstract

PURPOSE

The objective of this research was to assess the ordering and temporal resolution auditory abilities in rural workers exposed to pesticides and compare them with laborers exposure index.

METHODS

A sectional study assessed 33 individuals of both genders, aged 18-59 years, who were exposed to pesticides during their daily routine. The procedures were: questionnaire, meatoscopy, basic audiological evaluation and Temporal Auditory Processing tests: pattern test duration and Gaps-in-Noise. In order to analyse the results, a variable called 'index of exposure' was set up through a simple sum of variables present in the questionnaire. The tests' results on Temporal Auditory Processing were categorized according to the tercis of distribution, based on the results observed - in this study, tertile 1, tertile 2, and tertile 3 - and then compared with the exposure index.

RESULTS

Difference was verified in all tertiles, with a dose-response relationship, i.e. increased average exposure was associated to worse performance on pattern test duration (p=0.001) and Gaps-in-Noise (p=0.001) in all tertiles. The highest correlation was observed between tertiles 3 and 1.

CONCLUSION

Workers exposed to pesticide performed bellow average on Temporal Auditory Processing tests. There was association between the index of exposure to pesticides and worse performance in Temporal Auditory Processing tests, suggesting that the pesticides may be harmful to central auditory pathways.

摘要

目的

本研究的目的是评估接触农药的农民工的听觉排序和时间分辨能力,并将其与劳动者接触指数进行比较。

方法

一项横断面研究评估了33名年龄在18至59岁之间、日常接触农药的男女个体。研究程序包括:问卷调查、肉检、基本听力评估以及听觉时间处理测试:模式测试持续时间和噪声间隙测试。为了分析结果,通过简单汇总问卷中存在的变量建立了一个名为“接触指数”的变量。根据观察到的结果,将听觉时间处理测试的结果按照分布三分位数进行分类——在本研究中为三分位数1、三分位数2和三分位数3——然后与接触指数进行比较。

结果

在所有三分位数中均验证了差异,呈现剂量反应关系,即平均接触量增加与所有三分位数中模式测试持续时间(p=0.001)和噪声间隙测试(p=0.001)的表现变差相关。在三分位数3和1之间观察到最高的相关性。

结论

接触农药的工人在听觉时间处理测试中的表现低于平均水平。农药接触指数与听觉时间处理测试中较差的表现之间存在关联,这表明农药可能对中枢听觉通路有害。

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