Estimation of permanent noise-induced hearing loss in an urban setting.

Estimation of permanent noise-induced hearing loss in an urban setting.
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DOI:
10.1021/es305161z
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发表时间:
2013-06-18
影响因子:
11.4
通讯作者:
Neitzel, Richard L.
Neitzel, Richard L.
中科院分区:
环境科学与生态学1区
文献类型:
--
作者:
Lewis, Ryan C.;Gershon, Robyn R. M.;Neitzel, Richard L.

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在美国城市环境中,噪声引起的永久性阈移(NIPTS)的潜在负担尚未得到很好的表征。我们使用ANSI S3.44-1996来估计来自纽约市(NYC)的4585名个体的样本的NIPTS,并进行向前逐步逻辑回归分析以确定NIPTS >10 dB的预测因子。当平均频率为1000-4000 Hz,持续时间为1- 20年时,预计平均个体将发展为小型NIPTS。对于某些个体,NIPTS预期是相当大的(>25 dB)。在4000 Hz时,更多的人有MP3播放器和立体声音响的NIPTS风险,但最大的NIPTS风险是那些职业性和偶发性非职业性(例如,电动工具使用)暴露。就业部门和时间花在听MP3播放器和立体声,并参加与过度噪音水平相关的间歇性非职业活动增加了20年内4000 Hz时NIPTS >10 dB的几率。我们的研究结果表明,NIPTS的风险可能是巨大的纽约市,也许其他城市设置。来自“嘈杂的”职业和间歇性非职业活动以及MP3播放器和立体声音响的噪声暴露是重要的风险因素,应成为公共卫生干预的优先事项。
The potential burden of noise-induced permanent threshold shift (NIPTS) in U.S. urban settings is not well-characterized. We used ANSI S3.44-1996 to estimate NIPTS for a sample of 4585 individuals from New York City (NYC) and performed a forward stepwise logistic regression analysis to identify predictors of NIPTS >10 dB. The average individual is projected to develop a small NIPTS when averaged across 1000–4000 Hz for 1- to 20-year durations. For some individuals, NIPTS is expected to be substantial (>25 dB). At 4000 Hz, a greater number of individuals are at risk of NIPTS from MP3 players and stereos, but risk for the greatest NIPTS is for those with high occupational and episodic nonoccupational (e.g., power tool use) exposures. Employment sector and time spent listening to MP3 players and stereos and participating in episodic nonoccupational activities associated with excessive noise levels increased the odds of NIPTS >10 dB at 4000 Hz for 20-year durations. Our results indicate that the risk of NIPTS may be substantial for NYC and perhaps other urban settings. Noise exposures from “noisy” occupational and episodic nonoccupational activities and MP3 players and stereos are important risk factors and should be a priority for public health interventions.
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