Health Analysis Division, Statistics Canada, Ottawa, Ontario.
Head of Security and Occupational Health and Safety Policies at Statistics Canada, Ottawa, Ontario.
Health Rep. 2018 Aug 15;29(8):9-17.
Health and safety legislation is designed to protect workers from hazards, including excessive noise. However, some workers are not required to use hearing protection when exposed to loud noise and may be vulnerable to adverse outcomes, including hearing difficulties and tinnitus.
Data for 19- to 79-year-olds (n=6,571) were collected from 2012 through 2015 as part of the Canadian Health Measures Survey. People exposed to loud workplace noise were defined as those who had to raise their voices to communicate at arm's length. Vulnerable workers were defined as those who were not required to use hearing protection when working in noisy environments and who only used hearing protection sometimes, rarely or never.
An estimated 11 million Canadians (43%) have worked in noisy environments, and over 6 million of them (56%) were classified as vulnerable to workplace noise. Although the percentage of vulnerable women (72%) was greater than that of men (48%), men outnumbered women in these circumstances at 3.7 million, compared with 2.4 million. The self-employed were more likely than employees to be vulnerable, as were those in white-collar versus blue-collar occupations. Vulnerable workers were more likely to report hearing difficulties and tinnitus than those who had never worked in a noisy environment.
A large percentage of workers exposed to noisy workplaces were vulnerable because hearing protection was neither required nor routinely used. Further work is required to assess whether this reflects gaps in health and safety legislation or its implementation.
健康与安全法规旨在保护工人免受危害,包括过高的噪声。然而,一些工人在接触到强噪声时不需要使用听力保护器,可能会受到不良后果的影响,包括听力困难和耳鸣。
2012 年至 2015 年期间,作为加拿大健康测量调查的一部分,收集了 19 至 79 岁人群(n=6571)的数据。暴露于强工作场所噪声的人被定义为那些必须提高嗓门才能在手臂长度范围内交流的人。易受伤害的工人被定义为在嘈杂环境中工作时无需使用听力保护器,并且仅偶尔、很少或从不使用听力保护器的人。
估计有 1100 万加拿大人(43%)曾在嘈杂的环境中工作,其中超过 600 万人(56%)被归类为易受工作场所噪声影响。尽管易受伤害的女性(72%)的比例高于男性(48%),但在这种情况下,男性人数超过女性人数,达到 370 万,而女性人数为 240 万。与受雇者相比,自营职业者更有可能处于弱势地位,白领职业者比蓝领职业者更有可能处于弱势地位。与从未在嘈杂环境中工作过的人相比,易受伤害的工人更有可能报告听力困难和耳鸣。
大量暴露于嘈杂工作场所的工人处于弱势地位,因为既不需要也不经常使用听力保护器。需要进一步评估这是否反映了健康和安全法规或其执行方面的差距。