Relationship between occupational noise exposure and hypertension: Cross-sectional evidence from real-world
BackgroundOccupational noise is one of the most common and prevalent occupational hazards worldwide and may induce adverse auditory and/or non-auditory health effects. However, the relationship between occupational noise exposure and hypertension is controversial and has long been debated.MethodsBas...
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Frontiers Media S.A.
2022-12-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.1037246/full |
| _version_ | 1828088882214731776 |
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| author | Ling Zhang Siqi Chen Zhuowang Chen Wenjun Yin Wenjuan Fu Fang He Zhen Pan Guilin Yi Xiaodong Tan |
| author_facet | Ling Zhang Siqi Chen Zhuowang Chen Wenjun Yin Wenjuan Fu Fang He Zhen Pan Guilin Yi Xiaodong Tan |
| author_sort | Ling Zhang |
| collection | DOAJ |
| description | BackgroundOccupational noise is one of the most common and prevalent occupational hazards worldwide and may induce adverse auditory and/or non-auditory health effects. However, the relationship between occupational noise exposure and hypertension is controversial and has long been debated.MethodsBased on large sample cross-sectional data from all registered occupational health examination units from 2021 to 2022 (N = 101,605), this study aimed to analyze the prevalence of hearing loss and hypertension and to explore the influencing factors of hypertension of workers in Wuhan. Descriptive statistics, univariate analyses and multivariate analyses were used. Forest plot and nomograms were constructed for the visualization of predictive results. The ROC curve, AUC, C-index and calibration curves were used to assess the predictive accuracy and validity. DCA was performed to evaluate the net benefit that workers could receive.ResultsHigher rate of high-frequency hearing loss (25.3%), speech frequency hearing loss (8.8%), ECG abnormalities (31.9%) and hypertension (21.0%) were found in workers exposed to occupational noise in Wuhan. Occupational noise exposure (OR = 1.09, 95% CI: 1.01–1.18, p = 0.04), growth of age (OR: 1.07, 95% CI: 1.07–1.07, p < 0.001), overweight (OR: 1.82, 95% CI: 1.73–1.92, p < 0.001), obesity (OR: 3.62, 95% CI: 3.42–3.83, p < 0.001), hyperglycemia (OR: 1.84, 95% CI: 1.73–1.96, p < 0.001), hypercholesterolemia (OR = 1.34; 95% CI 1.22–1.48; p < 0.001), ECG abnormalities (OR = 1.11; 95% CI 1.07–1.15; p < 0.001) and family history of hypertension (OR = 1.69; 95% CI 1.58–1.81; p < 0.001) were risk factors of hypertension for workers. Male workers had a relatively higher hypertension risk than female workers (OR = 1.61; 95% CI 1.54–1.69; p < 0.001). Ear protective measures could not reduce the risk of hypertension in workers. Our nomogram has good predictive accuracy and validity. A dynamic nomogram to predict the workers' risk of hypertension was established publicly available online.ConclusionOccupational noise exposure may elevate workers' hypertension risk. More effective and relevant prevention measures should be taken. Our nomogram may help identify high-risk workers and facilitate timely interventions. |
| first_indexed | 2024-04-11T05:31:18Z |
| format | Article |
| id | doaj.art-41ea0952886341c79e819a10281ee9e1 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-11T05:31:18Z |
| publishDate | 2022-12-01 |
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| spelling | doaj.art-41ea0952886341c79e819a10281ee9e12022-12-22T17:11:23ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-12-011010.3389/fpubh.2022.10372461037246Relationship between occupational noise exposure and hypertension: Cross-sectional evidence from real-worldLing Zhang0Siqi Chen1Zhuowang Chen2Wenjun Yin3Wenjuan Fu4Fang He5Zhen Pan6Guilin Yi7Xiaodong Tan8Department of Preventive Medicine, School of Public Health, Wuhan University, Wuhan, ChinaWuhan Prevention and Treatment Center for Occupational Diseases, Wuhan, ChinaWuhan Prevention and Treatment Center for Occupational Diseases, Wuhan, ChinaWuhan Prevention and Treatment Center for Occupational Diseases, Wuhan, ChinaWuhan Prevention and Treatment Center for Occupational Diseases, Wuhan, ChinaWuhan Prevention and Treatment Center for Occupational Diseases, Wuhan, ChinaWuhan Prevention and Treatment Center for Occupational Diseases, Wuhan, ChinaWuhan Prevention and Treatment Center for Occupational Diseases, Wuhan, ChinaDepartment of Preventive Medicine, School of Public Health, Wuhan University, Wuhan, ChinaBackgroundOccupational noise is one of the most common and prevalent occupational hazards worldwide and may induce adverse auditory and/or non-auditory health effects. However, the relationship between occupational noise exposure and hypertension is controversial and has long been debated.MethodsBased on large sample cross-sectional data from all registered occupational health examination units from 2021 to 2022 (N = 101,605), this study aimed to analyze the prevalence of hearing loss and hypertension and to explore the influencing factors of hypertension of workers in Wuhan. Descriptive statistics, univariate analyses and multivariate analyses were used. Forest plot and nomograms were constructed for the visualization of predictive results. The ROC curve, AUC, C-index and calibration curves were used to assess the predictive accuracy and validity. DCA was performed to evaluate the net benefit that workers could receive.ResultsHigher rate of high-frequency hearing loss (25.3%), speech frequency hearing loss (8.8%), ECG abnormalities (31.9%) and hypertension (21.0%) were found in workers exposed to occupational noise in Wuhan. Occupational noise exposure (OR = 1.09, 95% CI: 1.01–1.18, p = 0.04), growth of age (OR: 1.07, 95% CI: 1.07–1.07, p < 0.001), overweight (OR: 1.82, 95% CI: 1.73–1.92, p < 0.001), obesity (OR: 3.62, 95% CI: 3.42–3.83, p < 0.001), hyperglycemia (OR: 1.84, 95% CI: 1.73–1.96, p < 0.001), hypercholesterolemia (OR = 1.34; 95% CI 1.22–1.48; p < 0.001), ECG abnormalities (OR = 1.11; 95% CI 1.07–1.15; p < 0.001) and family history of hypertension (OR = 1.69; 95% CI 1.58–1.81; p < 0.001) were risk factors of hypertension for workers. Male workers had a relatively higher hypertension risk than female workers (OR = 1.61; 95% CI 1.54–1.69; p < 0.001). Ear protective measures could not reduce the risk of hypertension in workers. Our nomogram has good predictive accuracy and validity. A dynamic nomogram to predict the workers' risk of hypertension was established publicly available online.ConclusionOccupational noise exposure may elevate workers' hypertension risk. More effective and relevant prevention measures should be taken. Our nomogram may help identify high-risk workers and facilitate timely interventions.https://www.frontiersin.org/articles/10.3389/fpubh.2022.1037246/fulloccupational healthoccupational noisehearing losshypertensionnomogram |
| spellingShingle | Ling Zhang Siqi Chen Zhuowang Chen Wenjun Yin Wenjuan Fu Fang He Zhen Pan Guilin Yi Xiaodong Tan Relationship between occupational noise exposure and hypertension: Cross-sectional evidence from real-world Frontiers in Public Health occupational health occupational noise hearing loss hypertension nomogram |
| title | Relationship between occupational noise exposure and hypertension: Cross-sectional evidence from real-world |
| title_full | Relationship between occupational noise exposure and hypertension: Cross-sectional evidence from real-world |
| title_fullStr | Relationship between occupational noise exposure and hypertension: Cross-sectional evidence from real-world |
| title_full_unstemmed | Relationship between occupational noise exposure and hypertension: Cross-sectional evidence from real-world |
| title_short | Relationship between occupational noise exposure and hypertension: Cross-sectional evidence from real-world |
| title_sort | relationship between occupational noise exposure and hypertension cross sectional evidence from real world |
| topic | occupational health occupational noise hearing loss hypertension nomogram |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.1037246/full |
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