Occupation and behavioural factors on hearing impairment in workers in noise-producing occupations

Introduction. Identification of early signs of occupational hearing loss among workers in noise occupations is an extremely important aspect of preserving the labour potential of the economy.
Materials and methods. Sociological (survey to identify behavioural factors), hygienic (study of factors in the working environment and the labour process) and clinical-functional (anthropometry, examination by an otorhinolaryngologist, audiometry) studies of workers (two hundred six people) in noise occupations in bearing production were carried out.
Results. Working conditions of workers in the production of bearings have been established to be characterized by the impact of increased levels of noise, general and local vibration, thermal radiation, and the hardness of the labour process. Depending on the type of production operations performed and the complex of influencing factors, working conditions are classified as harmful degrees 2–4 (classes 3.2–3.4). The proportion of people with hearing impairment was 16.5% of the total number of those examined. The prevalence of hearing impairment increased statistically significantly with increasing age (p<0.001). In the group of workers with hearing impairment, compared to the group without impairment, an excess of the proportion of people who do not adhere to the principles of a healthy lifestyle - smoking, insufficient physical activity, unhealthy diet was found; a statistically significant excess of the proportion of people with a body mass index level indicating to the presence of pre-obesity and obesity (p=0.005).
Limitations determined by the boundaries of the study of industrial and behavioural factors that determine hearing impairment among workers in noise-producing occupations at a bearing production enterprise.
Conclusion. There is shown the role of occupation and behavioural factors in the development of hearing impairment in metalworking workers, which requires further research to develop comprehensive preventive measures.

bearing production workers, production and behavioral factors, hearing impairment, prevention

1. ВОЗ. Всемирный доклад по проблемам слуха: резюме; 2021. Доступно: https://apps.who.int/iris/bitstream/handle/10665/339956/9789240027497-rus.pdf

2. Таварткиладзе Г.А. Нарушения слуха и глухота – глобальная проблема современного здравоохранения. Альманах Института коррекционной педагогики. 2021; (45): 1–8. https://elibrary.ru/wagjdq

3. GBD 2019 Hearing Loss Collaborators. Hearing loss prevalence and years lived with disability, 1990-2019: findings from the Global Burden of Disease Study 2019. Lancet. 2021; 397(10278): 996–1009. https://doi.org/10.1016/S0140-6736(21)00516-X

4. Аденинская Е.Е., Бухтияров И.В., Бушманов А.Ю., Дайхенс Н.А., Денисов Э.И., Измеров Н.Ф. и др. Федеральные клинические рекомендации по диагностике, лечению и профилактике потери слуха, вызванной шумом. Медицина труда и промышленная экология. 2016; (3): 37–48. https://elibrary.ru/zvqgct

5. Государственный доклад «О состоянии санитарно-эпидемиологического благополучия населения в Российской Федерации в 2022 году»; 2023.

6. Вильк М.Ф., Панкова В.Б., Федина И.Н. Профессиональная тугоухость — социально значимая проблема. Здравоохранение Российской Федерации. 2019; 63(5): 258–63. https://doi.org/10.18821/0044-197X-2019-63-5-258-263 https://elibrary.ru/rghtwr

7. Li X., Rong X., Wang Z., Lin A. Association between smoking and noise-induced hearing loss: a meta-analysis of observational studies. Int. J. Environ. Res. Public Health. 2020; 17(4): 1201. http://doi.org/10.3390/ijerph17041201

8. Morais-Moreno C., Montero-Bravo A.M., Puga A.M., de Lourdes Samaniego-Vaesken M., Ruperto M., Marco Mendez R., et al. Function and nutritional status in aviation pilots from spain exposed to high acoustic damage. Nutrients. 2022; 4(20): 4321. https://doi.org/10.3390/nu14204321

9. Баланова Ю.А., Шальнова С.А., Деев А.Д., Имаева А.Э., Концевая А.В., Муромцева Г.А. и др. Ожирение в российской популяции ‒ распространенность и ассоциации с факторами риска хронических неинфекционных заболеваний. Российский кардиологический журнал. 2018; 23(6): 123–30. https://doi.org/10.15829/1560-4071-2018-6-123-130 https://elibrary.ru/xslttn

10. Драпкина О.М., Концевая А.В., Калинина А.М., Авдеев С.Н., Агальцов М.В., Александрова Л.М. и др. Профилактика хронических неинфекционных заболеваний в Российской Федерации. Национальное руководство 2022. Кардиоваскулярная терапия и профилактика. 2022; 21(4): 3235. https://doi.org/10.15829/1728-8800-2022-3235 https://elibrary.ru/dnbvat

11. Yang J.R., Hidayat K., Chen C.L., Li Y.H., Xu J.Y., Qin L.Q. Body mass index, waist circumference, and risk of hearing loss: A meta-analysis and systematic review of observational study. Environ. Health Prev. Med. 2020; 25(1): 25. https://doi.org/10.1186/s12199-020-00862-9

12. Сухова А.В., Преображенская Е.А. Особенности профессиональной потери слуха при комбинированном воздействии шума и вибрации. Здравоохранение Российской Федерации. 2023; 67(6): 570–6. https://doi.org/10.47470/0044-197X-2023-67-6-570-576 https://elibrary.ru/gcxplv

13. Weier M.H. The association between occupational exposure to hand-arm vibration and hearing loss: a systematic literature review. Saf. Health Work. 2020; 11(3): 249–61. https://doi.org/10.1016/j.shaw.2020.04.003

14. Ferreira D.G., Oliveira G.L., Meira A.L., Lacerda A. Auditory effects of combined exposure: interaction between carbon monoxide, noise and smoking. Rev. Soc. Bras. Fonoaudiol. 2012; 17(4): 405–11. https://doi.org/10.1590/S1516-80342012000400007

15. Golmohammadi R., Darvishi E. The combined effects of occupational exposure to noise and other risk factors – a systematic review. Noise Health. 2019; 21(101): 125–41. https://doi.org/10.4103/nah.NAH_4_18

16. Chen C.J., Dai Y.T., Sun Y.M., Lin Y.C., Juang Y.J. Evaluation of auditory fatigue in combined noise, heat and workload exposure. Ind. Health. 2007; 45(4): 527–34. https://doi.org/10.2486/indhealth.45.527

17. Илькаева Е.Н., Волгарева А.Д., Шайхлисламова Э.О. Оценка вероятности формирования профессиональных нарушений органа слуха у работников, подвергающихся воздействию производственного шума. Медицина труда и промышленная экология. 2008; 48(9): 27–30. https://elibrary.ru/khpdbd

18. Syed A.H., Hina F., Chandnani A., Kumar V., Kumar J., Garg I., et al. Effect of cigarette smoking on hearing levels in young and middle-aged males. Cureus. 2021; 13(5): 15093. https://doi.org/0.7759/cureus.15093

19. Evans M.B., Tonini R., Shope C.D., Oghalai J.S., Jerger J.F., Insull W.Jr., et al. Dyslipidemia and auditory function. Otol. Neurotol. 2006; 27(5): 609–61. https://doi.org/10.1097/01.mao.0000226286.19295.34

20. Технопром. Средства индивидуальной защиты от шума: современный подход к здоровью. Доступно: https://3m-t.ru/sredstva-individualnoj-zashhity-ot-shuma-sovremennyj-podhod-k-zdorovyu/