Home Email this page Print this page Bookmark this page Decrease font size Default font size Increase font size
Noise & Health  
 CURRENT ISSUE    PAST ISSUES    AHEAD OF PRINT    SEARCH   GET E-ALERTS    
 
 Next article
 Previous article
Table of Contents

Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
Citation Manager
Access Statistics
Reader Comments
Email Alert *
Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed4652    
    Printed140    
    Emailed4    
    PDF Downloaded25    
    Comments [Add]    
    Cited by others 1    

Recommend this journal

 

 ARTICLE
Year : 2013  |  Volume : 15  |  Issue : 62  |  Page : 67--72

Effect of cigarette smoking on noise-induced hearing loss in workers exposed to occupational noise in China


1 Research Center of Clinical Epidemiology; Research Center of Occupational Medicine, Peking University 3rd Hospital, Beijing 100191, China
2 Auditory Research Laboratory, State University of New York at Plattsburgh, 107 Beaumont Hall, Plattsburgh, New York 12901, USA
3 Battelle Centers for Public Health Research and Evaluation, Seattle, WA, USA
4 Dongfeng Institution of Occupational Disease Prevention, Shi Yan 442001, China
5 Research Center of Clinical Epidemiology, Peking University 3rd Hospital, Beijing 100191, China

Correspondence Address:
Yiming Zhao
Research Center of Occupational Medicine, Research Center of Clinical Epidemiology, Peking University Third Hospital, Beijing 100191
China
Login to access the Email id

Source of Support: Grant No. 1.R01.OH.002317, National Institute for Occupational Safety and Health,, Conflict of Interest: None


DOI: 10.4103/1463-1741.107159

Rights and Permissions

Excessive exposure to high noise level environments has the potential to cause noise-induced hearing loss (NIHL), and cigarette smoking has also been shown to have a potential adverse effect on hearing. The aim of this study was to determine whether smoking interacts with noise in the development of hearing loss, and if so, the extent of the contribution from smoking on NIHL. A cross-sectional study was designed to assess the effect of smoking on NIHL in 517 male workers (non-smokers: N = 199; smokers: N = 318) exposed to a high-level industrial noise environment in China. Shift-long temporal waveforms of the noise that workers were exposed to for evaluation of noise exposures, and audiometric threshold measures were obtained on all selected subjects. The subjects used hearing protection devices only within the last 1-2 years. The results suggest that smoking has an adverse effect on NIHL in workers exposed to high level industrial noise, i.e., the median high frequency hearing thresholds were significantly greater in smokers than non-smokers exposed to noise for more than 10 years. This effect was observed at 4.0 and 6.0 kHz. Smoking did not have an adverse effect on NIHL in workers exposed to noise less than 10 years. Multivariate regression analysis revealed that the odds ratio (OR) for high frequency hearing loss (i.e., hearing threshold greater than 40 dB at 4.0 kHz) were 1.94 for smokers in comparison to non-smokers. The results suggest that: (1) smokers have a higher risk of developing high frequency hearing loss than non-smokers with a similar occupational noise exposure, and (2) the interaction between cigarette smoking and high-level noise exposure may be additive. There is a need to develop and analyze a larger database of workers with well-documented exposures and smoking histories for better understanding of the effect of smoking on NIHL incurred from high-level industrial noise exposures. A better understanding of the role of smoking may lead to its incorporation into hearing risk assessment for noise exposure.






[FULL TEXT] [PDF]*


        
Print this article     Email this article