摘要
目的分析噪声作业工人发生疑似职业性噪声聋(ONID)的影响因素。方法采用判断抽样方法,以2012—2016年进行职业健康检查的38 770名噪声作业工人为研究对象,收集其职业健康检查资料,分析疑似ONID发病情况及影响因素。结果共检出125例疑似ONID病例,检出率为0.32%。多因素Logistic回归分析结果显示:男性噪声作业工人发生疑似ONID的风险高于女性(P<0.01),比值比(OR)及其95%可信区间(CI)分别为1.98(1.22~3.19);年龄越大、噪声作业工龄越长者,发生疑似ONID的风险越高(P<0.01),OR及其95%CI分别为1.79(1.43~2.25)和1.84(1.47~2.30);外资企业噪声作业工人发生疑似ONID的风险高于内资企业者(P<0.01),金属制造行业企业噪声作业工人发生疑似ONID的风险高于非金属制造行业企业者(P<0.01),OR及其95%CI分别为1.83(1.19~2.82)和2.02(1.40~2.94)。结论疑似ONID的发病受性别、年龄、工龄、企业经济类型及行业因素的影响。
Objective To analyze the influencing factors of suspected occupational noise-induced deafness （ONID） in noise-exposed workers. Methods A total of 38 770 noise-exposed workers engaged in occupational health examination were collected as the study subjects from 2012-2016 by judgment sampling method. The data of workers＇ occupational medical examination was collected, and the incidence and influencing factors of suspected ONID were analyzed. Results A total of 125 cases of suspected ONID were detected and the detection rate was 0. 32%. The result of multivariate Logistic regression showed that male workers exposed to noise had a higher risk of suspected ONID than female workers （P 〈 0.01）. The odds ratio （OR） and 95% confidence interval （CI） were 1.98（1.22-3.19）. The older the age and the longer service length of workers exposed to noise, the higher the risk of suspected ONID （P 〈 0. 01 ）. The ORs and 95% Cls were 1.79 （ 1.43-2. 25） and 1.84 （1.47-2.30） respectively. The noise-exposed workers had a higher risk of suspected ONID in foreign-funded enterprises than domestic-funded enterprises （P 〈 0. 01 ）. The noise-exposed workers had a higher risk of suspected ONID in metal manufacturing industries than in non-metal manufacturing industries （ P 〈 0. 01 ）. Tile ORs and 95% Cls were 1.83 （ 1.19-2. 82） and 2. 02 （ 1.40-2. 94） respectively. Conclusion The incidence of suspected ONID is affected by factors of gender, age, length of service, economy type of enterprises and industry type.
作者
邱奕冰
邱星元
边寰锋
余日安
QIU Yibing , QIU Xingyuan, BIAN Huanfeng, YU Rian(School of Public Health, Guangdong Pharmaceutical University, Guangzhou, Guangdong 510310, Chin)
出处
《中国职业医学》
CAS
北大核心
2018年第1期66-70,共5页
China Occupational Medicine
关键词
疑似职业病
噪声
职业性噪声聋
影响因素
分析
Suspected occupational disease
Noise
Occupational noise-induced deafness
Influencing factor
Analysis
