Pawlaczyk-Luszczynska Malgorzata, Dudarewicz Adam, Zamojska-Daniszewska Małgorzata, Zaborowski Kamil, Rutkowska-Kaczmarek Paulina
Department of Physical Hazards, Nofer Institute of Occupational Medicine, Lodz, Poland.
Noise Health. 2018 Sep-Oct;20(96):178-189. doi: 10.4103/nah.NAH_11_18.
The overall objective of the study was to assess noise exposure and audiometric hearing threshold levels (HTLs) in call center operators.
Standard pure-tone audiometry and extended high-frequency audiometry were performed in 78 participants, aged 19 to 44 years (mean ± standard deviation: 28.1 ± 6.3 years), employed up to 12 years (2.7 ± 2.9 years) at one call center. All participants were also inquired about their communication headset usage habits, hearing-related symptoms, and risk factors for noise-induced hearing loss (NIHL). Noise exposure under headsets was evaluated using the microphone in a real ear technique as specified by ISO 11904-1:2002. The background noise prevailing in offices was also measured according to ISO 9612:2009.
A personal daily noise exposure level calculated by combining headset and nonheadset work activities ranged from 68 to 79 dBA (74.7 ± 2.5 dBA). Majority (92.3%) of study participants had normal hearing in both ears (mean HTL in the frequency range of 0.25-8 kHz ≤20 dB HL). However, their HTLs in the frequency range of 0.25 to 8 kHz were worse than the expected median values for equivalent highly screened otologically normal population, whereas above 8 kHz were comparable (9-11.2 kHz) or better (12.5 kHz). High-frequency hearing loss (mean HTLs at 3, 4, and 6 kHz >20 dB HL) and speech-frequency hearing loss (mean HTLs at 0.5, 1, 2, and 4 kHz >20 dB HL) were noted in 8.3% and 6.4% of ears, respectively. High-frequency notches were found in 15.4% of analyzed audiograms. Moreover, some of call center operators reported hearing-related symptoms.
Further studies are needed before firm conclusions concerning the risk of NIHL in this professional group can be drawn.
本研究的总体目标是评估呼叫中心工作人员的噪声暴露情况和听力计听力阈值水平(HTLs)。
对78名年龄在19至44岁(平均±标准差:28.1±6.3岁)、在一个呼叫中心工作长达12年(2.7±2.9年)的参与者进行了标准纯音听力测定和扩展高频听力测定。还询问了所有参与者的通讯耳机使用习惯、听力相关症状以及噪声性听力损失(NIHL)的风险因素。按照ISO 11904-1:2002规定的真耳技术,使用麦克风评估耳机下的噪声暴露。办公室内的背景噪声也根据ISO 9612:2009进行了测量。
通过结合耳机和非耳机工作活动计算得出的个人每日噪声暴露水平在68至79 dBA之间(74.7±2.5 dBA)。大多数(92.3%)研究参与者双耳听力正常(在0.25 - 8 kHz频率范围内的平均HTL≤20 dB HL)。然而,他们在0.25至8 kHz频率范围内的HTL比同等经过高度筛查的耳科正常人群的预期中值更差,而在8 kHz以上则相当(9 - 11.2 kHz)或更好(12.5 kHz)。分别在8.3%和6.4%的耳朵中发现了高频听力损失(在3、4和6 kHz处的平均HTL>20 dB HL)和言语频率听力损失(在0.5、1、2和4 kHz处的平均HTL>20 dB HL)。在15.4%的分析听力图中发现了高频切迹。此外,一些呼叫中心工作人员报告了听力相关症状。
在能够就该职业群体中NIHL的风险得出确凿结论之前,还需要进一步的研究。