Hearing Loss due to Noise Exposure and its Relationship with Hypertension in Peruvian Workers

María Alejandra Ramírez Saldaña, J. R. Torres-Malca, Fiorella E. Zuzunaga-Montoya, V. Vera-Ponce, L. Cruz-Ausejo, Jhony A. De La Cruz-Vargas
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Abstract

Introduction: Noise-induced hearing loss has been implicated in the genesis of several chronic conditions; however, its behavior concerning hypertension still raises doubts about it. Objective: to determine the association between hearing loss due to exposure to noise and the presence of hypertension in a sample of Peruvian workers. Methods: Cross-sectional analytical study. Secondary analysis of the occupational database of a Medical center in Lima, Peru. hypertension was measured by self-report and clinical method. Hearing loss was classified as none, mild, moderate and severe. For the regression analysis, Poisson was performed with robust variance, obtaining crude (PRc) and adjusted (PRa) prevalence ratios. Results: We worked with a total of 1987 participants. The prevalence of hypertension was 15.40% and hearing loss was 36.39%. For the multivariate regression analysis, a statistically significant association with hypertension was found in those with mild hearing loss (PRa=1.52; CI95% 1.06–2.10), moderate (PRa=2.70; CI95% 1,93–3.76) and severe (PRa=3.82; 95% CI 2.56–5.96), compared to those without hearing loss. Conclusions: Hearing loss due to exposure to occupational noise was associated with the presence of hypertension. Although this study is only a first overview of the relationship that both variables could have, it is recommended to continue promoting policies and awareness campaigns to prevent hearing loss in workers, and thus avoid complications related to it in the long term.
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秘鲁工人噪声暴露引起的听力损失及其与高血压的关系
导读:噪声性听力损失与几种慢性疾病的发生有关;然而,它在高血压中的行为仍令人质疑。目的:在秘鲁工人样本中确定噪音暴露导致的听力损失与高血压之间的关系。方法:横断面分析研究。秘鲁利马某医疗中心职业数据库的二次分析。采用自述法和临床法测量高血压。听力损失分为无、轻度、中度和重度。回归分析采用稳健方差泊松法,得到粗患病率(PRc)和校正患病率(PRa)。结果:我们共研究了1987名参与者。高血压患病率为15.40%,听力损失为36.39%。多因素回归分析显示,轻度听力损失患者与高血压的相关性有统计学意义(PRa=1.52;CI95% 1.06-2.10),中度(PRa=2.70;CI95% 1.93 - 3.76)和重度(PRa=3.82;95% CI 2.56-5.96),与无听力损失的患者相比。结论:职业性噪声导致的听力损失与高血压有关。虽然这项研究只是对这两个变量之间可能存在的关系的第一次概述,但建议继续促进政策和提高认识活动,以预防工人的听力损失,从而避免长期与之相关的并发症。
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