National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention, Cincinnati, Ohio.
NIOSH Pittsburgh Mining Research Division, Pittsburgh, Pennsylvania.
Am J Ind Med. 2019 Oct;62(10):826-837. doi: 10.1002/ajim.23031. Epub 2019 Jul 26.
The purpose of this study was to estimate the prevalence of hearing loss (HL) among noise-exposed US workers within the Mining, and Oil and Gas Extraction (OGE) sectors.
Audiograms of 1.9 million workers across all industries (including 9389 in Mining and 1076 in OGE) from 2006 to 2015 were examined. Prevalence and adjusted risk as compared to a reference industry (Couriers and Messengers) were estimated for all industries combined and the Mining and OGE sectors and subsectors.
The prevalences of HL in Mining and OGE were 24% and 14%, respectively, compared with 16% for all industries combined. Many Mining and one OGE subsector exceeded these prevalences and most had an adjusted risk (prevalence ratio) significantly greater than the reference industry. Some subsectors, particularly in OGE, could not be examined due to low sample size. The prevalences in Construction Sand and Gravel Mining and Natural Gas Liquid Extraction were 36% and 28%, respectively. Workers within Support Activities for Coal Mining had double the risk of HL than workers in the reference industry.
The many subsectors identified with high prevalences and/or worker risks for HL well above risks in the reference industry need critical attention to conserve worker hearing and maintain worker quality of life. Administrative and engineering controls can reduce worker hazardous noise exposures. Noise and ototoxic chemical exposure information is needed for many subsectors, as is audiometric testing results for OGE workers. Additional research is also needed to further characterize exposures and improve hearing conservation measures.
本研究旨在估计美国采矿业和石油天然气开采业(OGE)中暴露于噪声环境的工人中听力损失(HL)的患病率。
检查了 2006 年至 2015 年间来自所有行业(包括采矿业中的 9389 人和 OGE 中的 1076 人)的 190 万工人的听力图。对所有行业(包括采矿业和 OGE)以及采矿业和 OGE 的各个部门和子部门进行了比较参考行业(快递员和信使)的患病率和调整后的风险的估计。
与所有行业合并的 16%相比,采矿业和 OGE 的 HL 患病率分别为 24%和 14%。许多采矿业和一个 OGE 子部门的患病率超过了这些水平,而且大多数的调整后的风险(患病率比)明显高于参考行业。由于样本量低,一些子部门,特别是 OGE 中的子部门,无法进行检查。建筑用砂和砾石开采和天然气液体开采的患病率分别为 36%和 28%。与参考行业的工人相比,支持煤炭开采活动的工人 HL 风险高两倍。
许多子部门被确定为 HL 患病率和/或工人风险较高,明显高于参考行业的风险,需要引起高度关注,以保护工人的听力并维持工人的生活质量。行政和工程控制措施可以减少工人的危险噪声暴露。许多子部门都需要噪声和耳毒性化学物质暴露信息,以及 OGE 工人的听力测试结果。还需要进一步研究以进一步描述暴露情况并改善听力保护措施。