Marine Medicine Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Department of Occupational Health Engineering and Safety at Work, Faculty of Public Health, Kerman University of Medical Sciences, Kerman, Iran.
Med Lav. 2022 Jun 28;113(3):e2022023. doi: 10.23749/mdl.v113i3.12734.
Noise-induced hearing loss (NIHL) is one of the main risk factors affecting people's health and wellbeing in the workplace. Analysing NIHL and consequently controlling the causing factors can significantly affect the improvement of working environments. Methods: One hundred and twelve male sailors participated in this study. They were classified into three groups depending on occupational noise exposure: (A) none, i.e., sound pressure level (SPL) lower than 70dBA, (B) exposed to SPL in the range of 70-85dBA, and (C) exposed to SPL exceeding 80dBA. In a first phase, hearing loss shaping risk factors were identified and analysed, including hearing loss in different frequencies, age, work experience, sound pressure level (SPL), marital status, and systolic and diastolic blood pressure. Then, neural networks were trained to predict the hearing loss changes of personnel and used to determine the weight of hearing loss factors. Finally, the accuracy of predicting models was calculated relying on Bayesian statistics. Results and conclusion: In the present study using neural networks, five models were developed. Their accuracy ranged from 92% to 100%. The frequencies of 4000Hz and 2000Hz showed the strongest association with the hearing loss of the sailors. Also, including systolic and diastolic blood pressure did not have any impact on predicted hearing loss, indicating that SPL was poorly correlated with extra-auditory effects.
噪声性听力损失(NIHL)是影响人们工作场所健康和福利的主要风险因素之一。分析 NIHL 并控制其致病因素可以显著影响工作环境的改善。
本研究纳入了 112 名男性海员,根据职业噪声暴露情况将其分为三组:(A)无噪声暴露,即声压级(SPL)低于 70dBA;(B)暴露于 70-85dBA 的 SPL 范围内;(C)暴露于 SPL 超过 80dBA。首先,识别和分析听力损失形成的风险因素,包括不同频率的听力损失、年龄、工作经验、SPL、婚姻状况以及收缩压和舒张压。然后,训练神经网络以预测人员听力损失的变化,并用于确定听力损失因素的权重。最后,依赖贝叶斯统计计算预测模型的准确性。
在本研究中,使用神经网络开发了五个模型,其准确性范围从 92%到 100%。4000Hz 和 2000Hz 的频率与海员的听力损失相关性最强。此外,包括收缩压和舒张压在内的因素对预测听力损失没有影响,表明 SPL 与听觉外效应相关性较差。