Occupation and the risk of bothersome tinnitus: results from a prospective cohort study (HUNT).
Occupation and the risk of bothersome tinnitus: results from a prospective cohort study (HUNT).
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DOI：
10.1136/bmjopen-2011-000512
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发表时间：
2012
期刊：
影响因子：
2.9
通讯作者：
Tambs K
中科院分区：
文献类型：
--
作者：
Engdahl B;Krog NH;Kvestad E;Hoffman HJ;Tambs K
估计职业特异性耳鸣患病率可能有助于确定高风险的职业干预措施是必要的。作者研究了职业对困扰性耳鸣患病率的影响，并估计了归因于职业的分数。作者还研究了在调整噪声暴露、教育收入、听力阈值和其他风险因素后，还有多少影响。前瞻性队列研究。挪威北特伦德拉格县的健康调查。一般成人人群样本（n=49 948）。 耳鸣的主要疗效指标是令人烦恼的耳鸣。职业对耳鸣患病率有显著影响。职业对耳鸣的影响在男性中通过控制自我报告的职业噪声暴露而减少，在女性中通过控制教育和收入而减少。将听力损失作为预测因素增加了职业的影响。在男性中，耳鸣患病率最高的10个职业中，年龄调整后的耳鸣患病率比率范围为1.5（车间机械师）至2.1（起重机和起重机操作员）。在女性中，耳鸣患病率最重要的贡献来自于大量的不从事职业的人，患病率为1.5。这项研究发现，职业和耳鸣之间存在中度关联。我们研究了职业对困扰性耳鸣患病率的影响，并估计了归因于职业的分数。我们还研究了在调整噪声暴露、教育和收入、其他危险因素和听力阈值后，这种影响是否仍然存在。很少有流行病学研究量化与工作有关的耳鸣风险，我们的大样本和代表性样本给出了职业风险的精确估计。这项研究显示了职业对耳鸣的中度影响，并对49948名受试者中122种不同职业的患病率进行了估计。 噪声职业与男性烦恼耳鸣的风险增加有关，但在女性中，耳鸣风险最高的职业不是典型的噪声职业，并且归因分数主要由职业不活跃组确定。本研究的主要优点是前瞻性设计，研究人群代表了一般工作人群。这些职业不是由耳鸣的危险因素分类，而是根据工作中承担的任务和职责。关于暴露在职业类别内的异质性意味着，职业，作为一个解释变量，并没有捕捉到所有的影响，职业暴露耳鸣。
Estimates of occupation-specific tinnitus prevalence may help identify high-risk occupations where interventions are warranted. The authors studied the effect of occupation on prevalence of bothersome tinnitus and estimated the attributable fraction due to occupation. The authors also studied how much of the effect remained after adjusting for noise exposure, education income, hearing thresholds and other risk factors. A prospective cohort study. A health survey of the Nord-Trøndelag county of Norway. A sample of the general adult population (n=49 948). The primary outcome measure is bothersome tinnitus. Occupation had a marked effect on tinnitus prevalence. The effect of occupation on tinnitus was reduced in men by controlling for self-reported occupational noise exposure and in women by controlling for education and income. Adding hearing loss as a predictor increased the effect of occupation somewhat. In men, age-adjusted prevalence ratios of tinnitus ranged from 1.5 (workshop mechanics) to 2.1 (crane and hoist operators) in the 10 occupations with highest tinnitus prevalence. In women, the most important contribution to the tinnitus prevalence was from the large group of occupationally inactive persons, with a prevalence ratio of 1.5. This study found a moderate association between occupation and bothersome tinnitus. We studied the effect of occupation on prevalence of bothersome tinnitus and estimated the attributable fraction due to occupation. We also studied if the effect remained after adjustment for noise exposure, education and income, other risk factors and hearing threshold. There are very few epidemiological studies quantifying work-related tinnitus risk, and our large and representative sample gives precise estimates of occupational risk. This study shows moderate effects of occupation on bothersome tinnitus and presents prevalence estimates of 122 different occupations in 49 948 subjects. Noisy occupations were associated with an increased risk of bothersome tinnitus in men, but in women, occupations with the highest risk for tinnitus were not typically noisy ones, and the attributable fraction was determined mainly by the group of occupationally inactive. The major advantages of the present study are the prospective design and that the study population is representative of the general working population. The occupations are not classified by risk factors for tinnitus, but according to the tasks and duties undertaken in the job. Heterogeneity regarding exposure within occupational categories implies that occupation, as an explanatory variable, does not capture all effects of occupational exposures on tinnitus.
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影响因子：
6.3
作者：
Hasson, D.;Theorell, T.;Canlon, B.
通讯作者：
Canlon, B.
DOI：
10.3109/03005368909077819
发表时间：
1989-01-01
期刊：
British Journal of Audiology
影响因子：
--
作者：
AXELSSON A;RINGDAHL A
通讯作者：
RINGDAHL A
影响因子：
5
作者：
MIETTINE.OS
通讯作者：
MIETTINE.OS
影响因子：
6.3
作者：
Engdahl, Bo;Tambs, Kristian
通讯作者：
Tambs, Kristian
影响因子：
2.7
作者：
Tambs, K;Hoffman, HJ;Samuelsen, SO
通讯作者：
Samuelsen, SO