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患有职业性噪声性听力损失的退休工人的跌倒风险与住院情况

Falls risk and hospitalization among retired workers with occupational noise-induced hearing loss.

作者信息

Girard Serge André, Leroux Tony, Verreault René, Courteau Marilène, Picard Michel, Turcotte Fernand, Baril Julie

机构信息

Institut national de santé publique du Québec.

École d'orthophonie et d'audiologie, Université de Montréal.

出版信息

Can J Aging. 2014 Mar;33(1):84-91. doi: 10.1017/S0714980813000664. Epub 2013 Dec 17.

Abstract

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.

摘要

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。

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