Trends in Occupational Hearing Loss: An Analysis of 36,984 Workers With Occupational Noise Exposure in Quebec.

Zachary Dahan, Joe Saliba, Alexis Pinsonnault-Skvarenina
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Abstract

Objectives: This study aimed to characterize trends in occupational noise-induced hearing loss (ONIHL) incidence and to assess noise exposure levels and changes in audiometric thresholds among workers.

Methods: This retrospective study analyzed audiometric data from 72,952 workers between 1980 and 2019. Incidence rates of ONIHL were calculated. The first and last audiograms for each worker were compared, and noise exposure levels were analyzed.

Results: The final cohort included 36,984 workers. ONIHL incidence fluctuated between 4.0% and 7.0%, with a slight upward trend from 2000 to 2019. Noise exposure exceeded 85 dBA for 69.3% of workers with available measurements. Audiometric thresholds significantly worsened from the first to the last audiogram.

Conclusions: Between 1980 and 2019, ONIHL incidence showed a slight increase. Ongoing monitoring of ONIHL trends and enhanced prevention initiatives are critical for mitigating future risks.

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职业性听力损失趋势:对魁北克36,984名职业性噪音暴露工人的分析。
目的:本研究旨在描述职业性噪音引起的听力损失(ONIHL)发病率的趋势,并评估工人的噪音暴露水平和听力阈值的变化。方法:本回顾性研究分析了1980年至2019年72952名工人的听力数据。计算onhl的发病率。对每个工人的第一次和最后一次听力图进行了比较,并分析了噪声暴露水平。结果:最终队列包括36,984名工人。从2000年到2019年,ONIHL发病率在4.0%至7.0%之间波动,呈轻微上升趋势。根据现有测量数据,69.3%的工人的噪声暴露超过85 dBA。从第一次听力图到最后一次听力图,听力阈值明显恶化。结论:1980 - 2019年,ONIHL发病率略有上升。持续监测ONIHL趋势和加强预防举措对于减轻未来风险至关重要。
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