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[天津市噪声暴露工人听力损失特征及影响因素的定量分析]

[Quantitative analysis of the characteristics and influencing factors of hearing loss among workers exposed to noise in Tianjin].

作者信息

Wang S Y, Li P, Gao Y, Zhou Y M, Wang X, Zeng Q

机构信息

School of Public Health, Tianjin Medical University, Tianjin 300070, China.

Institute of Occupational Health, Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2024 May 20;42(5):346-349. doi: 10.3760/cma.j.cn121094-20230517-00177.

Abstract

To analyze the characteristics of high-frequency average hearing loss in both ears of noise exposed workers in Tianjin in 2020, and quantitatively analyze the influencing factors of high-frequency hearing loss in both ears of workers. In March 2023, Collect and organize basic information about noise-hazardous enterprises and personal information of workers exposed to noise. Data from the Tianjin Occupational Disease and Health Hazard Factors Information Monitoring System from January 2020 to December 2020, and analyze the impact of basic information of employees, enterprise size, regional distribution, industry category, and economic type on the high-frequency average hearing loss of workers during work. Apply logistic regression to quantitatively analyze the influencing factors of abnormal high-frequency average hearing threshold of noise exposed workers. The size, economic type, industry category, and regional distribution of enterprises, as well as the gender, age, length of service of workers, have an impact on the abnormal high-frequency average hearing threshold of noise exposed workers (χ(2)=733.56、3 497、27、1352.84、1197.62、2570.59、22.30、506.60, <0.001) . Quantitative analysis using a logistic regression model showed that in the basic information of workers, noise exposed workers were male (=2.500, <0.001) and aged 30-39, 40-49, and 50-59 years (=1.33, <0.001; =1.68, <0.001; =1.52, < 0.001) , with a length of service of 4 to<10 years and≥10 years (=1.08, <0.001; =1.615, <0.001) being the influencing factors for high-frequency hearing loss in both ears of noise exposed workers; In terms of enterprise characteristics, medium-sized, small and micro enterprises (=1.12, <0.001; =1.75, <0.001; =2.09, <0.001) , enterprises located in the fourth district around the city (=1.268, <0.001) , and enterprises with economic types of collective economy, other economy, private economy, Hong Kong, Macao and Taiwan investment, shareholding system, and other industry economies ( are all >1, <0.001) are all factors affecting high-frequency hearing loss in noise exposed personnel. Noise is a common occupational hazard factor in Tianjin's enterprises, especially for workers in micro enterprises who face a high risk of hearing abnormalities. Therefore, enterprises need to strengthen the management and intervention of noise operations to prevent the occurrence of hearing loss in workers.

摘要

分析2020年天津市噪声暴露工人双耳高频平均听力损失特征,并对工人双耳高频听力损失的影响因素进行定量分析。2023年3月,收集整理噪声危害企业基本信息及噪声暴露工人个人信息。选取2020年1月至2020年12月天津市职业病与健康危害因素信息监测系统的数据,分析员工基本信息、企业规模、区域分布、行业类别、经济类型对工人工作期间高频平均听力损失的影响。应用logistic回归定量分析噪声暴露工人高频平均听阈异常的影响因素。企业的规模、经济类型、行业类别、区域分布,以及工人的性别、年龄、工龄,对噪声暴露工人高频平均听阈异常均有影响(χ(2)=733.56、3497、27、1352.84、1197.62、2570.59、22.30、506.60,P<0.001)。采用logistic回归模型定量分析显示,在工人基本信息方面,噪声暴露工人为男性(OR=2.500,P<0.001)、年龄在3039岁、4049岁、50~59岁(OR=1.33,P<0.001;OR=1.68,P<0.001;OR=1.52,P<0.001)、工龄4至<10年及≥10年(OR=1.08,P<0.001;OR=1.615,P<0.001)是噪声暴露工人双耳高频听力损失的影响因素;在企业特征方面,中型、小型和微型企业(OR=1.12,P<0.001;OR=1.75,P<0.001;OR=2.09,P<0.001)、位于环城四区的企业(OR=1.268,P<0.001)、经济类型为集体经济、其他经济、私营经济、港澳台投资、股份制、其他行业经济的企业(均>1,P<0.001)均是影响噪声暴露人员高频听力损失的因素。噪声是天津市企业常见的职业危害因素,尤其是微型企业工人面临听力异常的高风险。因此,企业需要加强噪声作业的管理与干预,预防工人听力损失的发生。

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