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津巴布韦某矿业公司员工中噪声性听力损失的患病率

Prevalence of noise induced hearing loss among employees at a mining industry in Zimbabwe.

作者信息

Chadambuka A, Mususa F, Muteti S

机构信息

Department of Community Medicine, University of Zimbabwe.

出版信息

Afr Health Sci. 2013 Dec;13(4):899-906. doi: 10.4314/ahs.v13i4.6.

Abstract

BACKGROUND

Noise induced hearing loss (NIHL) is within the top five occupational illnesses in Zimbabwe. Workers at a mining company complained about loss of hearing at the mine clinic.

OBJECTIVE

To determine the prevalence of NIHL among employees at the Mine.

METHODS

We conducted a descriptive cross sectional study at the mine. Workers were proportionally selected to represent all the mine departments or working areas. We measured noise levels at various mine sites, conducted a walk-through survey to observe noise related worker practices and conducted audiometric testing.

RESULTS

Mean age for workers was 34.8±7.6 years and the mean duration of exposure to noise was 7.5±1.2 years. All workers could define noise. Ninety (53%) workers attributed NIHL to noisy work environment. Excessive noise levels were in Plant Processing (94 dBA), Underground Mining (102 dBA) and (Underground Workshop (103 dBA). Sixty two (36.7%) workers had NIHL. NIHL increased as a function of age (chi square=30.99 df=3 p<0.01) and was associated with work area (chi square=24.96 df=5 p<0.01). Observed workers took heed of noise warnings. There was no documented hearing conservation program at the mine.

CONCLUSION

The prevalence of NIHL of 37% is high. Age and work area were associated with NIHL. Studies reported that age tends to distort the relationship between noise exposure and NIHL. Mine management should institute a hearing conservation program to protect employees against hazardous noise. Management may meanwhile use administrative controls and adhere to permissible exposure limits according to the noise regulations.

摘要

背景

噪声性听力损失(NIHL)是津巴布韦排名前五的职业病之一。一家矿业公司的工人在矿山诊所抱怨听力下降。

目的

确定该矿山员工中噪声性听力损失的患病率。

方法

我们在该矿山进行了一项描述性横断面研究。按比例挑选工人以代表矿山所有部门或工作区域。我们测量了矿山各个地点的噪声水平,进行了一次巡查以观察与噪声相关的工人操作,并进行了听力测试。

结果

工人的平均年龄为34.8±7.6岁,平均噪声暴露时长为7.5±1.2年。所有工人都能对噪声进行定义。90名(53%)工人将噪声性听力损失归因于嘈杂的工作环境。过高的噪声水平出现在选矿厂(94分贝)、地下采矿区(102分贝)和地下车间(103分贝)。62名(36.7%)工人患有噪声性听力损失。噪声性听力损失随年龄增长而增加(卡方=30.99,自由度=3,p<0.01),并与工作区域有关(卡方=24.96,自由度=5,p<0.01)。观察到工人留意了噪声警告。该矿山没有记录在案的听力保护计划。

结论

37%的噪声性听力损失患病率很高。年龄和工作区域与噪声性听力损失有关。研究报告称,年龄往往会扭曲噪声暴露与噪声性听力损失之间的关系。矿山管理层应制定听力保护计划,以保护员工免受有害噪声的影响。与此同时,管理层可采用行政控制措施,并根据噪声法规遵守允许的暴露限值。

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