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The rate of occupational noise-induced hearing loss among male workers in Israel and implication on hearing surveillance frequency
OBJECTIVES: To investigate the annual rate of NIHL in Israel, a modern economy with relatively low industrial hazardous noise exposure. To review international protocols of hearing surveillance. To recommend an effective, efficient, hearing screening frequency protocol. METHODS: A historical cohort...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10103665/ https://www.ncbi.nlm.nih.gov/pubmed/37058149 http://dx.doi.org/10.1007/s00420-023-01975-8 |
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author | Makaruse, Nyasha Paltiel, Ora Klebanov, Miriam Moshe, Shlomo Rinsky-Halivni, Lilah |
author_facet | Makaruse, Nyasha Paltiel, Ora Klebanov, Miriam Moshe, Shlomo Rinsky-Halivni, Lilah |
author_sort | Makaruse, Nyasha |
collection | PubMed |
description | OBJECTIVES: To investigate the annual rate of NIHL in Israel, a modern economy with relatively low industrial hazardous noise exposure. To review international protocols of hearing surveillance. To recommend an effective, efficient, hearing screening frequency protocol. METHODS: A historical cohort study was conducted. Audiometric surveillance data from the Jerusalem occupational medicine registry of male employees in various industries from 2006 to 2017 were used. Mean individual annual threshold shifts simulating 1–8 checkup interval years were calculated. Joinpoint regression analysis was used to assess the interval in which the slope of the calculated ATS variability moderates significantly. RESULTS: A total of 263 noise-exposed workers and 93 workers in the comparison group produced 1913 audiograms for analysis. Among the noise-exposed workers, using the 1–4 kHz average, threshold shifts stabilized from 3 years onwards at around 1 dB per year in all age groups and 0.83 dB in the stratum younger than 50 years. No enhanced decline was detected in the first years of exposure. CONCLUSION: Although most countries conduct annual hearing surveillance, hearing threshold shifts of noise-exposed workers become more accurate and show less variability when calculated at 3-year checkup intervals onwards than shorter intervals. Since margins of errors of the test method are much larger than the annual shift found, screening schedule that enables each subsequent test to identify a real deterioration in hearing is necessary. Triennial audiometric screening would be a better surveillance frequency for noise-exposed workers younger than 50 years of age in the category of 85–95 dBL(Aeq,8 h) without other known risk factors. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00420-023-01975-8. |
format | Online Article Text |
id | pubmed-10103665 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-101036652023-04-17 The rate of occupational noise-induced hearing loss among male workers in Israel and implication on hearing surveillance frequency Makaruse, Nyasha Paltiel, Ora Klebanov, Miriam Moshe, Shlomo Rinsky-Halivni, Lilah Int Arch Occup Environ Health Original Article OBJECTIVES: To investigate the annual rate of NIHL in Israel, a modern economy with relatively low industrial hazardous noise exposure. To review international protocols of hearing surveillance. To recommend an effective, efficient, hearing screening frequency protocol. METHODS: A historical cohort study was conducted. Audiometric surveillance data from the Jerusalem occupational medicine registry of male employees in various industries from 2006 to 2017 were used. Mean individual annual threshold shifts simulating 1–8 checkup interval years were calculated. Joinpoint regression analysis was used to assess the interval in which the slope of the calculated ATS variability moderates significantly. RESULTS: A total of 263 noise-exposed workers and 93 workers in the comparison group produced 1913 audiograms for analysis. Among the noise-exposed workers, using the 1–4 kHz average, threshold shifts stabilized from 3 years onwards at around 1 dB per year in all age groups and 0.83 dB in the stratum younger than 50 years. No enhanced decline was detected in the first years of exposure. CONCLUSION: Although most countries conduct annual hearing surveillance, hearing threshold shifts of noise-exposed workers become more accurate and show less variability when calculated at 3-year checkup intervals onwards than shorter intervals. Since margins of errors of the test method are much larger than the annual shift found, screening schedule that enables each subsequent test to identify a real deterioration in hearing is necessary. Triennial audiometric screening would be a better surveillance frequency for noise-exposed workers younger than 50 years of age in the category of 85–95 dBL(Aeq,8 h) without other known risk factors. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00420-023-01975-8. Springer Berlin Heidelberg 2023-04-14 2023 /pmc/articles/PMC10103665/ /pubmed/37058149 http://dx.doi.org/10.1007/s00420-023-01975-8 Text en © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Original Article Makaruse, Nyasha Paltiel, Ora Klebanov, Miriam Moshe, Shlomo Rinsky-Halivni, Lilah The rate of occupational noise-induced hearing loss among male workers in Israel and implication on hearing surveillance frequency |
title | The rate of occupational noise-induced hearing loss among male workers in Israel and implication on hearing surveillance frequency |
title_full | The rate of occupational noise-induced hearing loss among male workers in Israel and implication on hearing surveillance frequency |
title_fullStr | The rate of occupational noise-induced hearing loss among male workers in Israel and implication on hearing surveillance frequency |
title_full_unstemmed | The rate of occupational noise-induced hearing loss among male workers in Israel and implication on hearing surveillance frequency |
title_short | The rate of occupational noise-induced hearing loss among male workers in Israel and implication on hearing surveillance frequency |
title_sort | rate of occupational noise-induced hearing loss among male workers in israel and implication on hearing surveillance frequency |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10103665/ https://www.ncbi.nlm.nih.gov/pubmed/37058149 http://dx.doi.org/10.1007/s00420-023-01975-8 |
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