Effects of combined exposure to metals, solvents, and noise on permanent threshold shifts.

Abstract:

BACKGROUND:Studies suggest metal and solvent exposure may damage hearing. This study evaluated the association between exposures classified as high for metals, solvents, and noise on permanent threshold shift (PTS) development. METHODS:A total of 1,546 personnel at an industrial shipyard were divided into five exposure groups based on level of concentration: high noise, high metals/solvents, high metals/noise, high metals/solvents/noise, and a low metals/solvents/noise reference group. Hearing threshold changes were analyzed to identify development of a PTS. RESULTS:Logistic regression indicated high metals/solvents and high metals/solvent/noise groups had significantly greater odds ratios of 2.4; 95%CI [1.02, 2.85] and 1.7; 95%CI [1.46, 3.94], respectively, compared to a reference group. Both groups were associated with PTSs while controlling for age, gender, and exposure duration. CONCLUSIONS:Simultaneous exposures classified as high for metals and solvents may damage hearing. Results suggest the need for expanding hearing conservation programs to consider combinations of exposures to metals, solvents, and noise. Am. J. Ind. Med. 60:227-238, 2017. © 2017 Wiley Periodicals, Inc.

journal_name

Am J Ind Med

authors

Schaal N,Slagley J,Zreiqat M,Paschold H

doi

10.1002/ajim.22690

subject

Has Abstract

pub_date

2017-03-01 00:00:00

pages

227-238

issue

3

eissn

0271-3586

issn

1097-0274

journal_volume

60

pub_type

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