Girard Serge André, Leroux Tony, Verreault René, Courteau Marilène, Picard Michel, Turcotte Fernand, Baril Julie
Institut national de santé publique du Québec.
École d'orthophonie et d'audiologie, Université de Montréal.
Can J Aging. 2014 Mar;33(1):84-91. doi: 10.1017/S0714980813000664. Epub 2013 Dec 17.
This study sought to ascertain whether occupational noise-induced hearing loss (NIHL) increased the risk of falls requiring hospitalization among retired workers. The study population consisted of males (age ≥ 65) with an average occupational noise exposure of 30.6 years and whose mean bilateral hearing loss was 42.2 dB HL at 3, 4, and 6 kHz. Seventy-two retired workers admitted to hospitals after a fall were matched with 216 controls from the same industrial sectors. Conditional logistic regression models were used to estimate the risk (odds ratio; [OR]) of falls leading to hospitalization by NIHL categories. Results showed a relationship between severe NIHL (≥ 52.5 dB HL) and the occurrence of a fall (OR: 1.97, CI95%: 1.001-3.876). Reducing falls among seniors fosters the maintenance of their autonomy. There is a definite need to acquire knowledge about harmful effects of occupational noise to support the prevention of NIHL and ensure healthier workplaces.
本研究旨在确定职业性噪声所致听力损失(NIHL)是否会增加退休工人中因跌倒而需住院治疗的风险。研究对象为年龄≥65岁的男性,其平均职业噪声暴露时间为30.6年,在3、4和6千赫时平均双侧听力损失为42.2分贝听力级(dB HL)。72名跌倒后入院的退休工人与来自相同工业部门的216名对照进行了匹配。采用条件逻辑回归模型来估计因NIHL类别导致跌倒需住院治疗的风险(比值比;[OR])。结果显示,重度NIHL(≥52.5 dB HL)与跌倒的发生之间存在关联(OR:1.97,95%置信区间:1.001 - 3.876)。减少老年人跌倒有助于维持他们的自主性。明确需要了解职业噪声的有害影响,以支持预防NIHL并确保更健康的工作场所。