School of Public Health, Curtin University, Perth, Western Australia, Australia.
School of Population and Global Health, The University of Western Australia, Crawley, Western Australia, Australia.
Occup Environ Med. 2019 May;76(5):341-348. doi: 10.1136/oemed-2018-105471. Epub 2019 Jan 25.
To determine the current prevalence of exposure to workplace noise and ototoxic chemicals, including co-exposures.
A cross-sectional telephone survey of nearly 5000 Australian workers was conducted using the web-based application, OccIDEAS. Participants were asked about workplace tasks they performed and predefined algorithms automatically assessed worker's likelihood of exposure to 10 known ototoxic chemicals as well as estimated their full shift noise exposure level (L) of their most recent working day. Results were extrapolated to represent the Australian working population using a raked weighting technique.
In the Australian workforce, 19.5% of men and 2.8% of women exceeded the recommended full shift noise limit of 85 dBA during their last working day. Men were more likely to be exposed to noise if they were younger, had trade qualifications and did not live in a major city. Men were more likely exposed to workplace ototoxic chemicals (57.3%) than women (25.3%). Over 80% of workers who exceeded the full shift noise limit were also exposed to at least one ototoxic chemical in their workplace.
The results demonstrate that exposures to hazardous noise and ototoxic chemicals are widespread in Australian workplaces and co-exposure is common. Occupational exposure occurs predominantly for men and could explain some of the discrepancies in hearing loss prevalence between genders.
确定目前接触工作场所噪声和耳毒性化学物质(包括共同暴露)的流行率。
使用基于网络的应用程序 OccIDEAS,对近 5000 名澳大利亚工人进行了横断面电话调查。参与者被问及他们执行的工作任务,并且预定义的算法自动评估了工人接触 10 种已知耳毒性化学物质的可能性,以及他们最近工作日的全 shift 噪声暴露水平(L)。结果通过耙加权技术外推代表澳大利亚劳动人口。
在澳大利亚劳动力中,19.5%的男性和 2.8%的女性在最近的工作日超过了推荐的全 shift 噪声限值 85 dBA。如果男性年龄较小、具有贸易资格且不住在主要城市,则更有可能接触噪声。男性比女性更有可能接触工作场所的耳毒性化学物质(57.3%比 25.3%)。超过全 shift 噪声限值的 80%以上的工人在工作场所也接触到至少一种耳毒性化学物质。
结果表明,在澳大利亚工作场所中,危险噪声和耳毒性化学物质的暴露很普遍,并且共同暴露很常见。职业暴露主要发生在男性身上,这可以解释一些性别之间听力损失流行率的差异。