Asymmetrical Hearing Loss and Related Factors Among the Noise Exposed Male Workers

소음 노출 남성근로자에서 청력 역치의 비대칭성과 관련요인

  • Lee, Nam-Soo (Department of Occupational Medicine, Soonchunhyang University Hospital) ;
  • Lee, Kyung-Jae (Department of Occupational Medicine, Soonchunhyang University Hospital) ;
  • Kim, Joo-Ja (Department of Occupational Medicine, Soonchunhyang University Hospital)
  • 이남수 (순천향대학교병원 산업의학과) ;
  • 이경재 (순천향대학교병원 산업의학과) ;
  • 김주자 (순천향대학교병원 산업의학과)
  • Received : 2010.03.31
  • Accepted : 2010.06.17
  • Published : 2010.06.30

Abstract

This study was performed to examine the asymmetry of hearing loss among the noise exposed male workers. Findings of otoscopic examination, pure tone audiometry and tympanometry were evaluated for 179 male workers working in the noise exposed workplace. And also selfadministered structured questionnaires were used for each worker's work-related and general characteristics including personal health behaviors. There were significant differences of hearing threshold between right and left ears at 1,000 Hz and 3,000 Hz(p<0.05). And also significant differences of hearing threshold were noted in the age group over 50 at 3,000 Hz, the high risk drinking group either at 3,000 Hz and 4,000 Hz, the work duration group 10-19 years at 3,000 Hz, the noise exposure group under 90 dB(A) at 3,000 Hz, the noise exposure group over 90 dB(A) at 1,000 Hz, the non-wearing protective device group at 4,000 Hz, and the wearing protective device group at 3,000 Hz(p<0.05). Further study is needed to explore the extent and the related factors of the asymmetry of hearing loss in the general population and occupationally noise exposed group.

Keywords

References

  1. 권영준, 김경래, 이수진, 송재철. 일부 소음 특수건강진단 수검자에서 좌우 청력역치 비대칭의 분포. 대한산업의학회지 1999;11(3):361-72
  2. 김규상, 정호근. 특수병과의 과거 군 소음 노출이 소음 노출작업자의 청력에 미치는 영향 . 예방의학회지 2003;36(2):137-46
  3. 김욱태, 김대환, 이채관, 안진홍, 이창희 등. 직업적으로 소음에 노출되는 근로자들에서 청력의 비대칭성. 한국산업위생학회지 2007;17(2):153-9
  4. 김진석, 예민해, 천병렬, 우극현, 강윤식 등. 성인 남성에서 흡연이 기도청력역치에 미치는 영향. 예방의학회지 1998;31(2):285-92
  5. 노동부. 2006년 근로자 건강진단 실시결과. 2008
  6. 대한이비인후과학회. 이비인후과학-두경부외과학 개정판. 일조각; 2009
  7. 문인석, 최현승, 김현수, 김진, 이원상. 소총 소음에 의한 음향 외상의 임상양상. 대한이비인후과학회지 2008;51(8):699- 704 https://doi.org/10.3342/kjorl-hns.2008.51.8.699
  8. 안연순, 문영한, 이상렬, 이경남. 1996년도 소음성난청 유소견 근로자들의 청력역치 관련 기초조사. 예방의학회지 1999;32(1):17-29
  9. 이상윤, 김재용, 임형준, 윤기정, 최홍렬 등. 작업장 누적소음노출과 혈압과의 관련성. 대한산업의학회지 2001;13(2):200-8
  10. 이지호, 차태준, 김장락, 강위창, 양승림 등. 만성적 소음노출이 혈압에 미치는 연구에 대한 코호트 연구. 예방의학회지 2002;35(3):205-13
  11. Agrawal Y, Platz EA, Niparko JK. Risk factors for hearing loss in US adults: data from the national health and nutrition examination survey, 1999 to 2002. Otol Neurotol 2009;30(2):139-45 https://doi.org/10.1097/MAO.0b013e318192483c
  12. Alberti PW, Symons F, Hyde ML. Occupational hearing loss-The significance of asymmetrical hearing thresholds. Acta Otolaryngol 1979;87(3-4):255-63 https://doi.org/10.3109/00016487909126417
  13. Browning GG, Gatehouse S, Lowe GD. Blood viscosity as a factor in sensorineural hearing impairment. Lancet1986;327(8473):121-3 https://doi.org/10.1016/S0140-6736(86)92261-0
  14. Chung DY, Mason K, Willson GN, Gannon RP. Asymmetrical noise exposure and hearing loss among shingle sawyers. J Occup Med 1983a;25(7):541-3
  15. Chung DY, Willson GN, Gannon RP. Lateral differences in susceptibility to noise damage. Audiology 1983b;22(2):199- 205 https://doi.org/10.3109/00206098309072783
  16. Ecob R, Sutton G, Rudnicka A, Smith P, Power C et al. Is the relation of social class to change in hearing threshold levels from childhood to middle age explained by noise, smoking, and drinking behaviour?. Int J Audiol 2008;47(3):100-8 https://doi.org/10.1080/14992020701647942
  17. Ferrite S, Santana V. Joint effects of smoking, noise exposure and age on hearing loss. Occup Med(Lond) 2005;55(1):48-53 https://doi.org/10.1093/occmed/kqi002
  18. Fransen E, Topsakal V, Hendrickx JJ, Van Laer L, Huyghe JR et al. Occupational noise, smoking, and a high body mass index are risk factors for age-related hearing impairment and moderate alcohol consumption is protective: a European populationbased multicenter study. J Assoc Res Otolaryngol 2008;9(3):264-76 https://doi.org/10.1007/s10162-008-0123-1
  19. Itoh A, Nakashima T, Arao H, Wakai K, Tamakoshi A et al. Smoking and drinking habits as risk factors for hearing loss in the elderly: epidemiological study of subjects undergoing routine health checks in Aichi, Japan. Public Health 2001;115(3):192-6
  20. Johnson J, Robinson ST. Hearing loss. In:LaDou J. Current occupational & environmental medicine. 4th ed. McGraw-Hill Companies, Inc.; 2007
  21. Keim RJ. Sensorineural hearing loss associated with firearms. Arch Otolaryngol 1969;90(5):581-4 https://doi.org/10.1001/archotol.1969.00770030583010
  22. Lowe GD, Drummond MM, Forbes CD, Barbenel JC. The effects of age and cigarette smoking on blood and plasma viscosity in men. Scott Med J 1980;25(1):13-7 https://doi.org/10.1177/003693308002500103
  23. Ribeiro SB, Jacob LC, Alvarenga Kde F, Marques JM, Camp?lo RM et al. Auditory assessment of alcoholics in abstinence. Braz J Otorhinolaryngol 2007;73(4):452-62 https://doi.org/10.1016/S1808-8694(15)30097-5
  24. WHO. International guide for monitoring alcohol consumption and related harm. 2000