Department of Community Medicine and Public Health, King George's Medical University, Lucknow, 226003, India.
Department of Otorhinolaryngology, King George's Medical University, Lucknow, 226003, India.
Sci Rep. 2024 Mar 25;14(1):7058. doi: 10.1038/s41598-024-55906-9.
In the present study, an attempt has been made to assess the impact of vehicular noise upon the 3-wheeler tempo drivers and to know whether there is any relationship between hearing loss and cumulative noise exposure. For this purpose, 3-wheeler tempo drivers (Exposed group) and non-commercial light motor vehicle car drivers (Unexposed group) were chosen as study subjects. Three traffic routes were selected to assess the noise level during waiting and running time in the exposed and unexposed groups. Among all three routes, the highest mean noise level (L) was observed on the Chowk to Dubagga route for waiting and en-route noise measurement. It was measured as 84.13 dB(A) and 86.36 dB(A) for waiting and en-route periods of 7.68 ± 3.46 and 31.05 ± 6.6 min, respectively. Cumulative noise exposure was found to be significantly different (p < 0.001) in all age groups of exposed and unexposed drivers. Audiometric tests have been performed over both exposed and unexposed groups. The regression analysis has been done keeping hearing loss among tempo drivers as the dependent variable and age (years) and Energy (Pa Hrs) as the independent variable using three different criteria of hearing loss definitions, i.e., World Health Organization, National Institute for Occupational Safety and Health (NIOSH), Occupational Safety and Health Administration criteria. Among these three criteria, the NIOSH criterion of hearing loss best explained the independent variables. It could explain the total variation in dependent variable by independent variable quite well, i.e., 68.1%. The finding showed a linear relationship between cumulative noise exposures (Pa Hrs) and the exposed group's hearing loss (dB), i.e., hearing loss increases with increasing noise dose. Based on the findings, two model equations were developed to identify the safe and unsafe noise levels with exposure time.
在本研究中,尝试评估车辆噪声对三轮摩托车司机的影响,并了解听力损失与累积噪声暴露之间是否存在关系。为此,选择三轮摩托车司机(暴露组)和非商业轻型机动车司机(未暴露组)作为研究对象。选择了三条交通路线来评估暴露组和未暴露组在等待和行驶时间的噪声水平。在所有三条路线中,在 Chowk 到 Dubagga 路线上等待和行驶期间测量的平均噪声水平(L)最高。等待和行驶期间的噪声水平分别为 84.13 dB(A) 和 86.36 dB(A),等待时间为 7.68±3.46 分钟,行驶时间为 31.05±6.6 分钟。暴露组和未暴露组的所有年龄组的累积噪声暴露均存在显著差异(p<0.001)。对暴露组和未暴露组均进行了听力测试。将听力损失作为因变量,年龄(岁)和能量(Pa 小时)作为自变量,使用听力损失的三种不同定义标准(即世界卫生组织、美国国家职业安全与健康研究所(NIOSH)和职业安全与健康管理局标准)进行回归分析。在这三个标准中,NIOSH 听力损失标准最能解释自变量。它可以很好地解释因变量的总变化,即 68.1%。研究结果表明,累积噪声暴露(Pa 小时)与暴露组听力损失(dB)之间呈线性关系,即听力损失随噪声剂量的增加而增加。根据这些发现,制定了两个模型方程来确定与暴露时间相关的安全和不安全噪声水平。