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嗓音障碍的职业风险:来自韩国全国横断面调查的证据。

Occupational risks for voice disorders: Evidence from a Korea national cross-sectional survey.

作者信息

Byeon Haewon

机构信息

a Department of Speech Language Pathology & Audiology , Nambu University , Gwangju , Republic of Korea.

出版信息

Logoped Phoniatr Vocol. 2017 Apr;42(1):39-43. doi: 10.1080/14015439.2016.1178326. Epub 2016 May 6.

Abstract

This study aims to analyze the relationship between occupation and voice disorders using a national cross-sectional survey that represents the Korean population. Subjects were 5,407 members of the non-institutionalized population aged 19-59 (2,258 men, 3,149 women) who completed the laryngeal examination of the Korea National Health and Nutrition Examination Survey 2010-2012. Voice disorders were surveyed by classifying laryngeal pathologies and self-reported voice problems. Occupations were classified into 'managers & professionals', 'clerical support workers', 'service & sales workers', 'skilled agricultural & forestry & fishery workers', 'craft & plant and machine operators and assemblers', and 'unskilled laborers', based on the sixth Korean Standard Classification of Occupations. The results of the multinomial logistic regression analysis indicated that managers & professionals were 1.4 times (OR 1.42, 95% CI 1.01-2.01) more likely to have self-reported voice problems, and service & sales workers were 1.6 times (OR 1.62, 95% CI 1.14-2.30) more likely to have self-reported voice problems than economically inactive people (P < 0.05). Still, there was no significant association between the presence of laryngeal pathology and profession. Managers & professionals and service & sales workers may have a higher risk of voice problems than the economically inactive.

摘要

本研究旨在通过一项代表韩国人口的全国性横断面调查,分析职业与嗓音障碍之间的关系。研究对象为5407名年龄在19至59岁之间的非机构化人口成员(男性2258名,女性3149名),他们完成了2010 - 2012年韩国国家健康与营养检查调查中的喉部检查。通过对喉部病理情况进行分类以及自我报告嗓音问题来调查嗓音障碍。根据韩国第六版职业标准分类,职业被分为“经理及专业人员”、“文书支持人员”、“服务及销售人员”、“熟练农业、林业及渔业工人”、“手工艺、工厂及机器操作员和装配工”以及“非熟练劳动者”。多项逻辑回归分析结果表明,经理及专业人员自我报告嗓音问题的可能性比经济不活跃人群高1.4倍(比值比1.42,95%置信区间1.01 - 2.01),服务及销售人员自我报告嗓音问题的可能性比经济不活跃人群高1.6倍(比值比1.62,95%置信区间1.14 - 2.30)(P < 0.05)。然而,喉部病理情况的存在与职业之间没有显著关联。经理及专业人员和服务及销售人员可能比经济不活跃人群面临更高的嗓音问题风险。

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