Collaboratory for Resiliency and Recovery, Rochester Institute of Technology, Rochester, New York, USA.
J Occup Environ Hyg. 2023 Nov;20(11):520-535. doi: 10.1080/15459624.2023.2240874. Epub 2023 Sep 5.
Occupational exposure to ototoxicants, substances that can cause hearing loss alone or exacerbate hearing loss when exposure occurs in combination with noise, is a workplace hazard that is poorly understood. A review of existing research indicates that some solvents and heavy metals may be ototoxic, but few studies have attempted to estimate the impact of ototoxicant exposure on the United States worker population. Researchers examined trends in workplace exposure to ototoxicants among workers in the United States by comparing exposure data collected by the Occupational Safety and Health Administration against worker hearing loss data provided by the Bureau of Labor Statistics (BLS) for 2012-2019. The study found that the noise exposure data was strongly correlated to the hearing loss data using Pearson's correlation ( < .001), confirming that the exposure data collected by OSHA is predictive of the risk of occupational illness as reported by BLS. Chi-square analysis indicates that reported hearing loss was more common among industry subsectors with exposure to ototoxicants than those without exposure to ototoxicants. These findings suggest that workers with coexposure to ototoxicants and noise may be at a higher risk of experiencing hearing loss than those exposed to noise alone, and action should be taken to minimize this risk.
职业性接触耳毒性物质(可单独引起听力损失,或与噪声同时接触时加重听力损失的物质)是一种工作场所危害,但人们对此了解甚少。对现有研究的回顾表明,一些溶剂和重金属可能具有耳毒性,但很少有研究试图估计耳毒性物质暴露对美国工人群体的影响。研究人员通过比较职业安全与健康管理局收集的暴露数据和劳工统计局提供的 2012-2019 年工人听力损失数据,研究了美国工人接触耳毒性物质的工作场所趋势。研究发现,使用皮尔逊相关系数(<.001),噪声暴露数据与听力损失数据具有很强的相关性,这证实了 OSHA 收集的暴露数据可预测 BLS 报告的职业性疾病风险。卡方分析表明,与未接触耳毒性物质的行业子部门相比,接触耳毒性物质的行业子部门报告的听力损失更为常见。这些发现表明,同时接触耳毒性物质和噪声的工人比仅接触噪声的工人更有可能出现听力损失,应采取措施尽量降低这种风险。