Yale Occupational and Environmental Medicine Program, Yale University School of Medicine, New Haven, Connecticut.
Population Health Sciences, Stanford University School of Medicine, Stanford, California.
Am J Ind Med. 2017 Dec;60(12):1031-1038. doi: 10.1002/ajim.22775. Epub 2017 Sep 22.
Community noise exposure has been shown to increase the risk of hypertension; however, the relationship between occupational noise exposure and hypertension is less clear.
Using an inception cohort of workers in a specialty metals manufacturing company, we retrospectively assessed occupational noise exposure, hearing acuity, and incident hypertension diagnoses using administrative datasets. Time-weighted average noise exposure levels were assigned to employees based on their job histories. Cox proportional hazards models were performed to determine the association of noise exposure with risk of incident hypertension.
The adjusted hazard ratio (HR) of incident hypertension did not significantly differ between groups by cumulative continuous or categorized noise exposure metric.
We found no increased risk of incident hypertension with exposure to occupational noise among workers. Further assessment examining workers' use of hearing protection devices is warranted.
社区噪声暴露已被证明会增加患高血压的风险;然而,职业噪声暴露与高血压之间的关系尚不清楚。
我们使用一家特种金属制造公司的入职队列工人,使用管理数据集回顾性评估职业噪声暴露、听力敏锐度和高血压发病情况。根据员工的工作经历,为他们分配时间加权平均噪声暴露水平。使用 Cox 比例风险模型确定噪声暴露与高血压发病风险之间的关联。
按累积连续或分类噪声暴露指标划分的组之间,高血压发病的调整后风险比(HR)没有显著差异。
我们没有发现职业噪声暴露会增加工人患高血压的风险。有必要进一步评估工人使用听力保护装置的情况。