世贸中心消防员和紧急医疗服务人员的听力损失。
Hearing Loss Among World Trade Center Firefighters and Emergency Medical Service Workers.
机构信息
Stephenson and Stephenson Research and Consulting, Forest Grove, Oregon (Dr Flamme); Fire Department of the City of New York, 9 MetroTech Center, Brooklyn (Mr Goldfarb, Dr Zeig-Owens, Dr Hall, Mr Vaeth, Ms Schwartz, Ms Yip, Ms Vossbrinck, Dr Prezant); Montefiore Medical Center (Mr Goldfarb, Dr Zeig-Owens, Dr Hall, Mr Vaeth, Ms Schwartz, Ms Yip, Ms Vossbrinck, Dr Prezant); Albert Einstein College of Medicine (Dr Zeig-Owens, Dr Hall, Dr Prezant), Bronx; Hassenfeld Children's Hospital at NYU Langone (Dr Stein); New York City Department of Health and Mental Hygiene (Ms Friedman, Dr Cone), New York, New York.
出版信息
J Occup Environ Med. 2019 Dec;61(12):996-1003. doi: 10.1097/JOM.0000000000001717.
OBJECTIVE
To determine if World Trade Center (WTC) exposure is associated with hearing loss.
METHODS
Logistic regression to evaluate the immediate impact of WTC exposure and parametric survival analysis to assess longitudinal outcomes.
RESULTS
Those arriving on the morning of September 11, 2001 had elevated odds of low-frequency (odds ratio [OR]: 1.24; 95% confidence interval [CI]: 1.04 to 1.47) and high-frequency (OR: 1.16; 95% CI: 1.02 to 1.31) hearing loss at their first post-September 11, 2001 examination. Longitudinally, participants arriving before September 13, 2001 and spending more than or equal to 6 months at the WTC-site had greater risk of hearing loss in the low frequencies (risk ratio [RR]: 1.31; 95% CI: 1.05 to 1.60) and high frequencies (RR: 1.37; 95% CI: 1.22 to 1.54). By 2016, 3194 (37%) had abnormal hearing sensitivity in either ear and 1751 (20%) in both ears.
CONCLUSIONS
More heavily WTC-exposed workers were at increased risk of hearing loss, and group differences persisted for at least 15 years. Those with abnormal hearing sensitivity may benefit from interventions such as hearing aids and other rehabilitation.
目的
确定世界贸易中心（WTC）暴露是否与听力损失有关。
方法
采用逻辑回归评估 WTC 暴露的即时影响，采用参数生存分析评估纵向结果。
结果
2001 年 9 月 11 日上午抵达的人，在首次于 2001 年 9 月 11 日后接受检查时，低频（优势比 [OR]：1.24；95%置信区间 [CI]：1.04 至 1.47）和高频（OR：1.16；95% CI：1.02 至 1.31）听力损失的几率较高。纵向来看，于 2001 年 9 月 13 日之前抵达并在 WTC 现场停留 6 个月或以上的参与者，低频（风险比 [RR]：1.31；95% CI：1.05 至 1.60）和高频（RR：1.37；95% CI：1.22 至 1.54）听力损失的风险更大。到 2016 年，3194 人（37%）的任何一只耳朵听力敏感度异常，1751 人（20%）的两只耳朵听力敏感度异常。
结论
更多地暴露于 WTC 的工人听力损失的风险增加，且群体差异至少持续了 15 年。那些有异常听力敏感度的人可能受益于助听器和其他康复干预措施。
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