The effects of combined exposure of solvents and noise on auditory function – A systematic review and meta-analysis

Background: Chemical substances can negatively affect the auditory system. Chemical substances alone or combined with high-level noise have recently become a major concern as a cause of occupational hearing loss. Objective: To assess the combined effect of solvents and noise versus solvents only, o...

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Main Authors: Faatima Nakhooda, Benn Sartorius, Samantha M. Govender
Format: Article
Language:English
Published: AOSIS 2019-05-01
Series:South African Journal of Communication Disorders
Subjects:
Online Access:https://sajcd.org.za/index.php/sajcd/article/view/568
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author Faatima Nakhooda
Benn Sartorius
Samantha M. Govender
author_facet Faatima Nakhooda
Benn Sartorius
Samantha M. Govender
author_sort Faatima Nakhooda
collection DOAJ
description Background: Chemical substances can negatively affect the auditory system. Chemical substances alone or combined with high-level noise have recently become a major concern as a cause of occupational hearing loss. Objective: To assess the combined effect of solvents and noise versus solvents only, or noise only, on the auditory function of workers. Method: Published articles which included noise and/or solvent exposure or combined effects of solvents and noise, studies conducted on human beings only and the use of audiological tests on participants. Results: Thirteen papers were eligible for inclusion. The participants’ ages ranged from 18 to 68 years. Results revealed that 24.5% presented with hearing loss as a result of noise exposure only; 18% presented with hearing loss owing to solvent exposure only; and a total of 43.3% presented with hearing loss owing to combined noise and solvent exposure. Furthermore, the prevalence of hearing loss in the noise and solvent group was significantly (p < 0.001) higher than the other groups in 10 out of the 13 studies analysed, with a pooled odds ratio (OR) of 2.754. Of the 178 participants (total of all participants exposed to solvents), a total of 32 participants presented with auditory pathology as a result of exposure to solvents only. There was a significantly higher pooled odds of hearing loss in noise and solvent-exposed group compared to solvent-only group (pooled OR = 2.15, 95% CI: 1.24–3.72, p = 0.006). Conclusion: The findings revealed significantly higher odds of acquiring hearing loss when workers were exposed to a combination of solvents and noise as opposed to solvents only, motivating for its inclusion into hearing conservation programmes.
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spelling doaj.art-3fa9528f2263433bafe3933e4efe06832022-12-21T23:57:00ZengAOSISSouth African Journal of Communication Disorders0379-80462225-47652019-05-01661e1e1110.4102/sajcd.v66i1.568498The effects of combined exposure of solvents and noise on auditory function – A systematic review and meta-analysisFaatima Nakhooda0Benn Sartorius1Samantha M. Govender2Discipline of Audiology, School of Health Sciences, University of KwaZulu-Natal, DurbanSchool of Nursing and Public Health, University of KwaZulu-Natal, DurbanDiscipline of Audiology, School of Health Sciences, University of KwaZulu-Natal, DurbanBackground: Chemical substances can negatively affect the auditory system. Chemical substances alone or combined with high-level noise have recently become a major concern as a cause of occupational hearing loss. Objective: To assess the combined effect of solvents and noise versus solvents only, or noise only, on the auditory function of workers. Method: Published articles which included noise and/or solvent exposure or combined effects of solvents and noise, studies conducted on human beings only and the use of audiological tests on participants. Results: Thirteen papers were eligible for inclusion. The participants’ ages ranged from 18 to 68 years. Results revealed that 24.5% presented with hearing loss as a result of noise exposure only; 18% presented with hearing loss owing to solvent exposure only; and a total of 43.3% presented with hearing loss owing to combined noise and solvent exposure. Furthermore, the prevalence of hearing loss in the noise and solvent group was significantly (p < 0.001) higher than the other groups in 10 out of the 13 studies analysed, with a pooled odds ratio (OR) of 2.754. Of the 178 participants (total of all participants exposed to solvents), a total of 32 participants presented with auditory pathology as a result of exposure to solvents only. There was a significantly higher pooled odds of hearing loss in noise and solvent-exposed group compared to solvent-only group (pooled OR = 2.15, 95% CI: 1.24–3.72, p = 0.006). Conclusion: The findings revealed significantly higher odds of acquiring hearing loss when workers were exposed to a combination of solvents and noise as opposed to solvents only, motivating for its inclusion into hearing conservation programmes.https://sajcd.org.za/index.php/sajcd/article/view/568Solventssolvent induced hearing LossSIHLototoxicitynoise Induced hearing loss.
spellingShingle Faatima Nakhooda
Benn Sartorius
Samantha M. Govender
The effects of combined exposure of solvents and noise on auditory function – A systematic review and meta-analysis
South African Journal of Communication Disorders
Solvents
solvent induced hearing Loss
SIHL
ototoxicity
noise Induced hearing loss.
title The effects of combined exposure of solvents and noise on auditory function – A systematic review and meta-analysis
title_full The effects of combined exposure of solvents and noise on auditory function – A systematic review and meta-analysis
title_fullStr The effects of combined exposure of solvents and noise on auditory function – A systematic review and meta-analysis
title_full_unstemmed The effects of combined exposure of solvents and noise on auditory function – A systematic review and meta-analysis
title_short The effects of combined exposure of solvents and noise on auditory function – A systematic review and meta-analysis
title_sort effects of combined exposure of solvents and noise on auditory function a systematic review and meta analysis
topic Solvents
solvent induced hearing Loss
SIHL
ototoxicity
noise Induced hearing loss.
url https://sajcd.org.za/index.php/sajcd/article/view/568
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