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      Noise Exposure and Self-reported Hearing Impairment among Gas-fired Electric Plant Workers in Tanzania

      research-article
      , MSc, EOH 1 , , PhD 1 , , PhD 1
      Annals of Global Health
      Levy Library Press

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          Abstract

          Background:

          Gas-fired electric plants are equipped with heavy machines, which produce hazards including noise pollution. Exposure to high level of noise of above 85dB(A) is known to bring about Noise-Induced Hearing Loss (NIHL). This study aimed to assess noise exposure level and reported prevalence of noise-induced hearing loss among workers in gas-fired electric plants.

          Material and Methods:

          This cross-sectional study was conducted in three gas-fired electric plants in Dar es Salaam (Plant A, Plant B and Plant C) from July to August 2017. A noise logging dosimeter was used to measure personal noise exposure level. A questionnaire was used to collect information on managerial factors, individual factors, socio-demographic factors and history of the participants. A short screening validated questionnaire was used to obtain noise exposure score. Frequency distribution, Chi-square test and Regression analyses were done using SPSS version 20.

          Results:

          One hundred and six participants were involved in the study. Noise exposure level among gas-fired electric plant workers was above 85dB(A), n = 37. The equivalent sound level (LAeq) measured over 8 hours was (98.6 ± 9.7) dB(A). The mean noise peak level was (139.5 ± 9.4) dB(A). Plant C had higher mean noise exposure level (TWA) of (96.9 ± 5.1) dB(A) compared to plant B 96.4 ± 3.7dB(A) and plant A 78.7 ± 11.9dB(A). Participants in both operation and maintenance had higher equivalent sound level (LAeq) measured over eight hours of 101.980 ± 3.6dB(A) compared to maintenance alone 98.5 ± 12.4dB (A) or operation 97.7 ± 8.8dB (A). Proportion of participants with reported hearing loss was 57(53.8%) where 44(41.5%) participants reported difficulty hearing people during conversations. Hearing protective devices (HPDs) were reported to be used by a majority, 101(95.3%).

          Conclusion:

          Workers in gas-fired plants are exposed to high noise levels that could damage their hearing. Hearing conservation programs should be established and maintained in this work environment.

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          Most cited references18

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          Risk factors for hearing loss in US adults: data from the National Health and Nutrition Examination Survey, 1999 to 2002.

          To evaluate and compare the effects of cardiovascular risk factors (hypertension, smoking, diabetes) and noise exposure (occupational, recreational, firearm) on frequency-specific audiometric thresholds among US adults while assessing synergistic interactions between these exposures. National cross-sectional survey. United States adults aged 20 to 69 years who participated in the 1999 to 2002 National Health and Nutrition Examination Survey (N = 3,527). Air-conduction thresholds at 0.5 to 8 kHz (dB) in the poorer-hearing ear. Multivariate models adjusted for age, sex, race/ethnicity, and educational level. : Exposure to firearm noise was significantly associated with high-frequency (4-8 kHz) hearing loss (HL), whereas smoking and diabetes were associated with significantly increased hearing thresholds across the frequency range (0.5-8 kHz). A significant interaction was observed between exposure to firearm noise and heavy smoking such that firearm noise was associated with a mean 8-dB hearing loss in heavy smokers compared with a mean 2-dB hearing loss in nonsmokers at 8 kHz. We also observed significant interactions between firearm noise exposure and diabetes. Noise exposure was associated with high-frequency HL, whereas cardiovascular risk generated by smoking and diabetes was associated with both high- and low-frequency HL. The frequency-specific effects of these exposures may offer insight into mechanisms of cochlear damage. We demonstrated an interaction between cardiovascular risk and noise exposures, possibly as a result of cochlear vulnerability due to microvascular insufficiency. Such significant interactions provide proof of principle that certain preexisting medical conditions can potentiate the effect of noise exposure on hearing. Data-based stratification of risk should guide our counseling of patients regarding HL.
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            Hearing loss among operating engineers in American construction industry.

            Occupational noise exposure and noise-induced hearing loss (NIHL) among construction workers has long been recognized as a problem in the United States, yet little is known about the prevalence of NIHL among American construction workers. The purpose of this study was to determine the prevalence and characteristics of hearing loss among operating engineers (OEs) who operate heavy construction machinery. As a part of hearing protection intervention, an audiometric test was conducted for both ears at frequencies 0.5 through 8 kHz in the soundproof booth. Prior to the audiometric test, a paper-pencil pre-hearing test questionnaire was administered and an otoscopic examination was completed. Prevalence of hearing loss was determined based on hearing threshold levels (HTLs) in the worst ear with a low fence of 25 dB. A total of 623 workers were included in the analysis and they were predominantly middle-aged Caucasian males (mean age = 43 years, Caucasian = 90%, male = 92%). Over 60% of OEs showed hearing loss in the noise-sensitive higher frequencies of 4 and 6 kHz. The rate of hearing loss was particularly higher among workers who reported longer years of working in the construction industry. Workers showed significantly poorer hearing in the left ear, and a typical characteristic of NIHL, a V-notch at 4 or 6 kHz, was not shown in this population. Thirty-eight percent reported ringing/buzzing in the ear and 62% indicated having problems in understanding what people say in loud noise. Average reported use of hearing protection devices (HPDs) was 48% of the time they were required to be used. Significant inverse relationship was found between higher frequency (4-6 kHz) hearing loss and use of HPDs (r =-0.134, p < 0.001). Workers using HPDs more had significantly better hearing than those who did not. The study demonstrated a significant NIHL problem and low use of HPDs in OEs. An effective hearing conservation program, including a periodic audiometric testing and hearing protection intervention, for this study population should be in place.
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              Usefulness of the protection motivation theory in explaining hearing protection device use among male industrial workers.

              The present study examined the usefulness of personal variables: noise annoyance, and components of the protection motivation theory (R. W. Rogers, 1983) along with social-organizational factors in explaining hearing protection device (HPD) use among Israeli manufacturing workers. Participants were 281 men exposed to harmful noise levels for which routine HPD use is required by regulation. In practice, 3 HPD user groups were identified: nonusers (n = 38), occasional users (n = 125), and regular users (n = 118). HPD use was objectively verified. HPD use was primarily related to the personal variables but not to management pressure, coworker pressure, or family support. The most powerful predictors of HPD use were perceived self-efficacy (for long-term HPD use), perceived susceptibility (to hearing loss), and noise annoyance, together explaining 48% of the outcome variance. These findings have implications for interventions aimed at motivating workers to use HPDs regularly.
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                Author and article information

                Contributors
                Journal
                Ann Glob Health
                Ann Glob Health
                2214-9996
                Annals of Global Health
                Levy Library Press
                2214-9996
                09 October 2018
                2018
                : 84
                : 3
                : 523-531
                Affiliations
                [1 ]Department of Environmental and Occupational Health, Muhimbili University of Health and Allied Sciences, TZ
                Author notes
                Corresponding author: Witness John, MSc, EOH ( witnessjohn91@ 123456gmail.com )
                Article
                10.29024/aogh.2305
                6748259
                30835397
                42453d27-97ea-4967-8c27-1df19df691a9
                Copyright: © 2018 The Author(s)

                This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.

                History
                Funding
                This research work was funded by NORHED project at MUHAS.
                Categories
                Original Research

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