{"title":"巴西噪声性听力损失工人头晕的相关因素。","authors":"Danúbia Hillesheim, Renata Coelho Scharlach, Eduarda Dandolini da Silva, Bárbara Amaral Silva, Fernanda Zucki","doi":"10.1044/2024_AJA-24-00066","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this study was to describe the factors related to dizziness in workers with noise-induced hearing loss in Brazil.</p><p><strong>Method: </strong>A cross-sectional study was carried out with a sample from noise-induced hearing loss reports (2007-2019). The dependent variable in this study was dizziness, and the independent variables were sociodemographic characteristics, comorbidities, symptoms, and noise characteristics in the work environment. Logistic regression analysis was performed.</p><p><strong>Results: </strong>A total of 3,824 individuals with noise-induced hearing loss in Brazil were analyzed. The prevalence of dizziness was 23.4% in the sample. Factors associated with dizziness were women (odds ratio [<i>OR</i>]: 2.10; 95% confidence interval [CI] [1.64, 2.69]), hypertension (<i>OR</i>: 1.68; 95% CI [1.38, 2.06]), headache (<i>OR</i>: 6.31; 95% CI [5.26, 7.57]), tinnitus (<i>OR</i>: 3.46; 95% CI [2.82, 4.25]), and continuous noise at the work environment (<i>OR</i>: 1.54; 95% CI [1.22, 1.94]).</p><p><strong>Conclusions: </strong>The factors associated with the outcome-dizziness-were gender (female), systemic arterial hypertension, headache, tinnitus, and continuous exposure to workplace noise. Such findings demonstrate the importance of promoting a multifactorial approach to understanding dizziness among workers exposed to occupational noise.</p>","PeriodicalId":49241,"journal":{"name":"American Journal of Audiology","volume":" ","pages":"1135-1143"},"PeriodicalIF":1.4000,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Factors Related to Dizziness in Workers With Noise-Induced Hearing Loss in Brazil.\",\"authors\":\"Danúbia Hillesheim, Renata Coelho Scharlach, Eduarda Dandolini da Silva, Bárbara Amaral Silva, Fernanda Zucki\",\"doi\":\"10.1044/2024_AJA-24-00066\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>The purpose of this study was to describe the factors related to dizziness in workers with noise-induced hearing loss in Brazil.</p><p><strong>Method: </strong>A cross-sectional study was carried out with a sample from noise-induced hearing loss reports (2007-2019). The dependent variable in this study was dizziness, and the independent variables were sociodemographic characteristics, comorbidities, symptoms, and noise characteristics in the work environment. Logistic regression analysis was performed.</p><p><strong>Results: </strong>A total of 3,824 individuals with noise-induced hearing loss in Brazil were analyzed. The prevalence of dizziness was 23.4% in the sample. Factors associated with dizziness were women (odds ratio [<i>OR</i>]: 2.10; 95% confidence interval [CI] [1.64, 2.69]), hypertension (<i>OR</i>: 1.68; 95% CI [1.38, 2.06]), headache (<i>OR</i>: 6.31; 95% CI [5.26, 7.57]), tinnitus (<i>OR</i>: 3.46; 95% CI [2.82, 4.25]), and continuous noise at the work environment (<i>OR</i>: 1.54; 95% CI [1.22, 1.94]).</p><p><strong>Conclusions: </strong>The factors associated with the outcome-dizziness-were gender (female), systemic arterial hypertension, headache, tinnitus, and continuous exposure to workplace noise. Such findings demonstrate the importance of promoting a multifactorial approach to understanding dizziness among workers exposed to occupational noise.</p>\",\"PeriodicalId\":49241,\"journal\":{\"name\":\"American Journal of Audiology\",\"volume\":\" \",\"pages\":\"1135-1143\"},\"PeriodicalIF\":1.4000,\"publicationDate\":\"2024-12-02\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American Journal of Audiology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1044/2024_AJA-24-00066\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/8/16 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Audiology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1044/2024_AJA-24-00066","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/8/16 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
研究目的本研究旨在描述巴西噪声性听力损失工人头晕的相关因素：以噪声性听力损失报告（2007-2019 年）为样本，开展了一项横断面研究。研究的因变量为头晕，自变量为社会人口学特征、合并症、症状和工作环境噪声特征。研究进行了逻辑回归分析：结果：共分析了 3,824 名巴西噪声性听力损失患者。样本中头晕的发生率为 23.4%。与头晕相关的因素有女性（几率比 [OR]：2.10；95% 置信区间 [CI] [1.64，2.69]）、高血压（OR：1.68；95% CI [1.38，2.06]）、头痛（OR：6.31；95% CI [5.26，7.57]）、耳鸣（OR：3.46；95% CI [2.82，4.25]）和工作环境中的持续噪音（OR：1.54；95% CI [1.22，1.94]）：与头晕结果相关的因素包括性别（女性）、系统性动脉高血压、头痛、耳鸣和持续暴露于工作场所噪音。这些研究结果表明，采用多因素方法来了解暴露于职业噪声的工人的头晕情况非常重要。
Factors Related to Dizziness in Workers With Noise-Induced Hearing Loss in Brazil.
Objective: The purpose of this study was to describe the factors related to dizziness in workers with noise-induced hearing loss in Brazil.
Method: A cross-sectional study was carried out with a sample from noise-induced hearing loss reports (2007-2019). The dependent variable in this study was dizziness, and the independent variables were sociodemographic characteristics, comorbidities, symptoms, and noise characteristics in the work environment. Logistic regression analysis was performed.
Results: A total of 3,824 individuals with noise-induced hearing loss in Brazil were analyzed. The prevalence of dizziness was 23.4% in the sample. Factors associated with dizziness were women (odds ratio [OR]: 2.10; 95% confidence interval [CI] [1.64, 2.69]), hypertension (OR: 1.68; 95% CI [1.38, 2.06]), headache (OR: 6.31; 95% CI [5.26, 7.57]), tinnitus (OR: 3.46; 95% CI [2.82, 4.25]), and continuous noise at the work environment (OR: 1.54; 95% CI [1.22, 1.94]).
Conclusions: The factors associated with the outcome-dizziness-were gender (female), systemic arterial hypertension, headache, tinnitus, and continuous exposure to workplace noise. Such findings demonstrate the importance of promoting a multifactorial approach to understanding dizziness among workers exposed to occupational noise.
期刊介绍：
Mission: AJA publishes peer-reviewed research and other scholarly articles pertaining to clinical audiology methods and issues, and serves as an outlet for discussion of related professional and educational issues and ideas. The journal is an international outlet for research on clinical research pertaining to screening, diagnosis, management and outcomes of hearing and balance disorders as well as the etiologies and characteristics of these disorders. The clinical orientation of the journal allows for the publication of reports on audiology as implemented nationally and internationally, including novel clinical procedures, approaches, and cases. AJA seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work.
Scope: The broad field of clinical audiology, including audiologic/aural rehabilitation; balance and balance disorders; cultural and linguistic diversity; detection, diagnosis, prevention, habilitation, rehabilitation, and monitoring of hearing loss; hearing aids, cochlear implants, and hearing-assistive technology; hearing disorders; lifespan perspectives on auditory function; speech perception; and tinnitus.
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