Population-based age adjustment tables for use in occupational hearing conservation programs.
Population-based age adjustment tables for use in occupational hearing conservation programs.
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DOI：
10.1080/14992027.2019.1698068
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发表时间：
2020-02
影响因子：
2.7
通讯作者：
Cone, James E.
中科院分区：
文献类型：
--
作者：
Flamme, Gregory A.;Deiters, Kristy K.;Stephenson, Mark R.;Themann, Christa L.;Murphy, William J.;Byrne, David C.;Goldfarb, David G.;Zeig-Owensc, Rachel;Hall, Charles;Prezant, David J.;Cone, James E.
在职业听力保护计划中，年龄调整可以用来减去预期的年龄影响。在美国使用的调整来自一个小的数据集，忽略了重要的人口因素，年龄和刺激频率。本研究推导出一组基于人群的年龄调整表，并使用暴露工人数据库进行验证。验证采用横断面人群研究和回顾性纵向队列研究。来自美国国家健康和营养调查的数据（未加权n = 9，937）用于制作这些表格。男性消防员和紧急医疗服务人员（76，195听力图）用于验证。横截面趋势表明，随着年龄的变化比美国现行法规所假设的要小。在非西班牙裔黑人种族/民族的人群中观察到不同的趋势。开发了4个年龄调整表（年龄范围：18-85岁）（女性或男性;非西班牙裔黑人或其他人种/种族）。验证结果显示，基于人群的表格与听力灵敏度的中位纵向变化匹配良好。这些基于人口的表格为当前美国法规中实施的表格提供了合适的替代品。这些表格涵盖了更广泛的工人年龄，说明了不同种族/民族类别的听力敏感度差异，并使用纵向数据对男性进行了验证。
In occupational hearing conservation programs, age adjustments may be used to subtract expected age effects. Adjustments used in the U.S. came from a small dataset and overlooked important demographic factors, ages, and stimulus frequencies. The present study derived a set of population-based age adjustment tables and validated them using a database of exposed workers. Cross-sectional population-based study and retrospective longitudinal cohort study for validation. Data from the U.S. National Health and Nutrition Examination Survey (unweighted n = 9,937) were used to produce these tables. Male firefighters and emergency medical service workers (76,195 audiograms) were used for validation. Cross-sectional trends implied less change with age than assumed in current U.S. regulations. Different trends were observed among people identifying with non-Hispanic Black race/ethnicity. Four age adjustment tables (age range: 18-85) were developed (women or men; non-Hispanic Black or other race/ethnicity). Validation outcomes showed that the population-based tables matched median longitudinal changes in hearing sensitivity well. These population-based tables provide a suitable replacement for those implemented in current U.S. regulations. These tables address a broader range of worker ages, account for differences in hearing sensitivity across race/ethnicity categories, and have been validated for men using longitudinal data.
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DOI：
10.1080/15298668091424456
发表时间：
1980-01-01
期刊：
AMERICAN INDUSTRIAL HYGIENE ASSOCIATION JOURNAL
影响因子：
--
作者：
ROYSTER, LH;DRISCOLL, DP;ROYSTER, JD
通讯作者：
ROYSTER, JD
影响因子：
3.7
作者：
Hoffman, Howard J.;Dobie, Robert A.;Murphy, William J.
通讯作者：
Murphy, William J.
DOI：
10.1080/15298668491400304
发表时间：
1984-01-01
期刊：
AMERICAN INDUSTRIAL HYGIENE ASSOCIATION JOURNAL
影响因子：
--
作者：
DRISCOLL, DP;ROYSTER, LH
通讯作者：
ROYSTER, LH
影响因子：
2.6
作者：
Hoffman, Howard J.;Dobie, Robert A.;Flamme, Gregory A.
通讯作者：
Flamme, Gregory A.
在20至69岁的美国成年人中，听力损失的患病率下降。
DOI：
10.1001/jamaoto.2016.3527
发表时间：
2017-03-01
期刊：
JAMA otolaryngology-- head & neck surgery
影响因子：
--
作者：
Hoffman HJ;Dobie RA;Losonczy KG;Themann CL;Flamme GA
通讯作者：
Flamme GA