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Utilizing Artificial Neural Networks for Establishing Hearing-Loss Predicting Models Based on a Longitudinal Dataset and Their Implications for Managing the Hearing Conservation Program

  • Thanawat Khajonklin (Department of Environmental and Occupational Health, College of Medicine, National Cheng Kung University) ;
  • Yih-Min Sun (Department of Occupational Safety and Health, Chung Hwa University of Medical Technology) ;
  • Yue-Liang Leon Guo (Department of Environmental and Occupational Medicine, Medical College, National Taiwan University) ;
  • Hsin-I Hsu (Environmental and Labor Affairs Division, Southern Taiwan Science Park Bureau, Ministry of Science and Technology) ;
  • Chung Sik Yoon (Department of Environmental Health Sciences, Seoul National University Graduate School of Public Health) ;
  • Cheng-Yu Lin (Department of Otolaryngology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University) ;
  • Perng-Jy Tsai (Department of Environmental and Occupational Health, College of Medicine, National Cheng Kung University)
  • Received : 2023.10.03
  • Accepted : 2024.02.18
  • Published : 2024.06.30

Abstract

Background: Though the artificial neural network (ANN) technique has been used to predict noise-induced hearing loss (NIHL), the established prediction models have primarily relied on cross-sectional datasets, and hence, they may not comprehensively capture the chronic nature of NIHL as a disease linked to long-term noise exposure among workers. Methods: A comprehensive dataset was utilized, encompassing eight-year longitudinal personal hearing threshold levels (HTLs) as well as information on seven personal variables and two environmental variables to establish NIHL predicting models through the ANN technique. Three subdatasets were extracted from the afirementioned comprehensive dataset to assess the advantages of the present study in NIHL predictions. Results: The dataset was gathered from 170 workers employed in a steel-making industry, with a median cumulative noise exposure and HTL of 88.40 dBA-year and 19.58 dB, respectively. Utilizing the longitudinal dataset demonstrated superior prediction capabilities compared to cross-sectional datasets. Incorporating the more comprehensive dataset led to improved NIHL predictions, particularly when considering variables such as noise pattern and use of personal protective equipment. Despite fluctuations observed in the measured HTLs, the ANN predicting models consistently revealed a discernible trend. Conclusions: A consistent correlation was observed between the measured HTLs and the results obtained from the predicting models. However, it is essential to exercise caution when utilizing the model-predicted NIHLs for individual workers due to inherent personal fluctuations in HTLs. Nonetheless, these ANN models can serve as a valuable reference for the industry in effectively managing its hearing conservation program.

Keywords

Acknowledgement

The authors would like to thank the Institute of Labor, Occupational Safety and Health in Taiwan for supporting this research project.

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