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坦桑尼亚燃气火力发电厂工人的噪声暴露与自我报告的听力损伤。

Noise Exposure and Self-reported Hearing Impairment among Gas-fired Electric Plant Workers in Tanzania.

机构信息

Department of Environmental and Occupational Health, Muhimbili University of Health and Allied Sciences, TZ.

出版信息

Ann Glob Health. 2018 Oct 9;84(3):523-531. doi: 10.29024/aogh.2305.

Abstract

BACKGROUND

Gas-fired electric plants are equipped with heavy machines, which produce hazards including noise pollution. Exposure to high level of noise of above 85dB(A) is known to bring about Noise-Induced Hearing Loss (NIHL). This study aimed to assess noise exposure level and reported prevalence of noise-induced hearing loss among workers in gas-fired electric plants.

MATERIAL AND METHODS

This cross-sectional study was conducted in three gas-fired electric plants in Dar es Salaam (Plant A, Plant B and Plant C) from July to August 2017. A noise logging dosimeter was used to measure personal noise exposure level. A questionnaire was used to collect information on managerial factors, individual factors, socio-demographic factors and history of the participants. A short screening validated questionnaire was used to obtain noise exposure score. Frequency distribution, Chi-square test and Regression analyses were done using SPSS version 20. Results: One hundred and six participants were involved in the study. Noise exposure level among gas-fired electric plant workers was above 85dB(A), n = 37. The equivalent sound level (LAeq) measured over 8 hours was (98.6 ± 9.7) dB(A). The mean noise peak level was (139.5 ± 9.4) dB(A). Plant C had higher mean noise exposure level (TWA) of (96.9 ± 5.1) dB(A) compared to plant B 96.4 ± 3.7dB(A) and plant A 78.7 ± 11.9dB(A). Participants in both operation and maintenance had higher equivalent sound level (LAeq) measured over eight hours of 101.980 ± 3.6dB(A) compared to maintenance alone 98.5 ± 12.4dB (A) or operation 97.7 ± 8.8dB (A). Proportion of participants with reported hearing loss was 57(53.8%) where 44(41.5%) participants reported difficulty hearing people during conversations. Hearing protective devices (HPDs) were reported to be used by a majority, 101(95.3%).

CONCLUSION

Workers in gas-fired plants are exposed to high noise levels that could damage their hearing. Hearing conservation programs should be established and maintained in this work environment.

摘要

背景

燃气电厂配备有重型机器,会产生包括噪声污染在内的各种危害。已知,暴露在超过 85dB(A)的高强度噪声环境中会导致噪声性听力损失(NIHL)。本研究旨在评估燃气电厂工人的噪声暴露水平和噪声性听力损失的报告患病率。

材料和方法

本横断面研究于 2017 年 7 月至 8 月在达累斯萨拉姆的三个燃气电厂(电厂 A、电厂 B 和电厂 C)进行。使用噪声记录剂量计测量个人噪声暴露水平。使用问卷收集有关管理因素、个体因素、社会人口统计学因素和参与者病史的信息。使用简短的经验证的筛查问卷获得噪声暴露评分。使用 SPSS 版本 20 进行频率分布、卡方检验和回归分析。

结果

共有 106 名参与者参与了这项研究。燃气电厂工人的噪声暴露水平超过 85dB(A),n = 37。测量 8 小时的等效声级(LAeq)为(98.6 ± 9.7)dB(A)。平均噪声峰值为(139.5 ± 9.4)dB(A)。与电厂 B(96.4 ± 3.7dB(A))和电厂 A(78.7 ± 11.9dB(A))相比,电厂 C 的平均噪声暴露水平(TWA)更高,为(96.9 ± 5.1)dB(A)。运行和维护人员的等效声级(LAeq)测量值超过 8 小时,为 101.980 ± 3.6dB(A),高于仅维护人员的 98.5 ± 12.4dB(A)或仅运行人员的 97.7 ± 8.8dB(A)。报告听力损失的参与者比例为 57(53.8%),其中 44(41.5%)名参与者报告在与人交谈时难以听到声音。据报告,大多数工人(101 人,95.3%)使用听力保护装置(HPD)。

结论

燃气电厂的工人暴露在可能损害听力的高强度噪声环境中。应在这种工作环境中建立和维护听力保护计划。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e8f1/6748259/6be04e67b7d0/agh-84-3-2305-g1.jpg

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