Noise Exposure in Palestinian Workers Without a Diagnosis of Hearing Impairment: Relations to Speech-Perception-in-Noise Difficulties, Tinnitus, and Hyperacusis.
Noise Exposure in Palestinian Workers Without a Diagnosis of Hearing Impairment: Relations to Speech-Perception-in-Noise Difficulties, Tinnitus, and Hyperacusis.
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DOI：
10.1044/2022_jslhr-22-00461
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发表时间：
2023-03-07
影响因子：
2.6
通讯作者：
Plack, Christopher J.
中科院分区：
文献类型：
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作者：
Shehabi, Adnan M.;Prendergast, Garreth;Guest, Hannah;Plack, Christopher J.
发展中国家的许多工人由于健康和安全做法不足而受到不安全的职业噪音的影响。我们测试的假设，职业噪声暴露和老化影响语音感知噪声（SPIN）阈值，自我报告的听力能力，耳鸣的存在，和听觉过敏的严重程度在巴勒斯坦工人。没有诊断出听力或记忆障碍的巴勒斯坦工人（N = 251，年龄18 - 70岁）完成了在线工具，包括噪音暴露问卷;向前和向后数字广度测试;听觉过敏问卷;简短的语音，空间和听力质量量表（SSQ 12）; Tinshore障碍清单;和噪音中的数字（DIN）测试。通过多元线性和逻辑回归模型，包括年龄和职业噪声暴露作为预测因子，性别，娱乐噪声暴露，认知能力和学业成绩作为协变量的假设进行了测试。使用Bonferroni-Holm方法控制所有16次比较的家族错误率。探索性分析评估耳鸣障碍的影响。预先注册了一份全面的研究方案。观察到SPiN性能较差、自我报告的听力较差、耳鸣患病率较高、耳鸣残疾程度较高和听觉过敏严重程度较高的非显著趋势，这些趋势与较高的职业噪声暴露有关。更大的听觉过敏的严重程度显着预测较高的职业噪声暴露。年龄与DIN阈值升高和SSQ 12评分降低显著相关，但与耳鸣存在、耳鸣障碍或听觉过敏严重程度无关。巴勒斯坦的工人可能会受到职业噪音和衰老的听觉影响，尽管没有正式的诊断。这些研究结果突出了发展中国家职业噪声监测和听力相关健康和安全实践的重要性。 https://doi.org/10.23641/asha.22056701
Many workers in developing countries are exposed to unsafe occupational noise due to inadequate health and safety practices. We tested the hypotheses that occupational noise exposure and aging affect speech-perception-in-noise (SPiN) thresholds, self-reported hearing ability, tinnitus presence, and hyperacusis severity among Palestinian workers. Palestinian workers (N = 251, aged 18–70 years) without diagnosed hearing or memory impairments completed online instruments including a noise exposure questionnaire; forward and backward digit span tests; hyperacusis questionnaire; the short-form Speech, Spatial and Qualities of Hearing Scale (SSQ12); the Tinnitus Handicap Inventory; and a digits-in-noise (DIN) test. Hypotheses were tested via multiple linear and logistic regression models, including age and occupational noise exposure as predictors, and with sex, recreational noise exposure, cognitive ability, and academic attainment as covariates. Familywise error rate was controlled across all 16 comparisons using the Bonferroni–Holm method. Exploratory analyses evaluated effects on tinnitus handicap. A comprehensive study protocol was preregistered. Nonsignificant trends of poorer SPiN performance, poorer self-reported hearing ability, greater prevalence of tinnitus, greater tinnitus handicap, and greater severity of hyperacusis as a function of higher occupational noise exposure were observed. Greater hyperacusis severity was significantly predicted by higher occupational noise exposure. Aging was significantly associated with higher DIN thresholds and lower SSQ12 scores, but not with tinnitus presence, tinnitus handicap, or hyperacusis severity. Workers in Palestine may suffer from auditory effects of occupational noise and aging despite no formal diagnosis. These findings highlight the importance of occupational noise monitoring and hearing-related health and safety practices in developing countries. https://doi.org/10.23641/asha.22056701
DOI：
10.3390/ijerph18031338
发表时间：
2021-02-02
影响因子：
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作者：
Tuhul HS;El-Hamouz A;Hasan AR;Jafar HA
通讯作者：
Jafar HA
影响因子：
2.8
作者：
Carcagno S;Plack CJ
通讯作者：
Plack CJ