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CN 34-1304/RISSN 1674-3679

Volume 24 Issue 7
Jul.  2020
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XU Zi-han, DAI Dong-mei, GAO Jiao-jiao, DUAN Jun, WEI Qian-nan, YI Wei-zhuo, PAN Ru-bing, HE Yang-yang, LIU Xiang-guo, TANG Chao, SONG Sha-sha, SU Hong. The interactive effects of occupational noise exposure and high temperature on cardiovascular system[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2020, 24(7): 773-778. doi: 10.16462/j.cnki.zhjbkz.2020.07.006
Citation: XU Zi-han, DAI Dong-mei, GAO Jiao-jiao, DUAN Jun, WEI Qian-nan, YI Wei-zhuo, PAN Ru-bing, HE Yang-yang, LIU Xiang-guo, TANG Chao, SONG Sha-sha, SU Hong. The interactive effects of occupational noise exposure and high temperature on cardiovascular system[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2020, 24(7): 773-778. doi: 10.16462/j.cnki.zhjbkz.2020.07.006

The interactive effects of occupational noise exposure and high temperature on cardiovascular system

doi: 10.16462/j.cnki.zhjbkz.2020.07.006
Funds:

National Natural Science Foundation of China 8177120532

More Information
  • Corresponding author: SU Hong, E-mail:suhong5151@sina.com
  • Received Date: 2020-04-08
  • Rev Recd Date: 2020-05-14
  • Publish Date: 2020-07-28
  •   Objective   To investigate the effects of different noise exposure levels on the cardiovascular system, so as to evaluate whether there was an interactive effect between occupational noise exposure and other exposures (ambient temperature or harmful gas exposure).   Methods   Retrospective cohort study designs were used. Occupational health examination results from 2014 to 2018 in the largest chemical enterprise in Anhui, China, were collected. According to the noise exposure assessment, selected subjects were divided into high-exposure group (≥ 80 dB(A)), medium-exposure group (70-79 dB(A)) and low-exposure group (< 70 dB(A)). The ambient temperature was graded (Grade I-IV) according to the high temperature operation classification standard. SPSS 23.0 software was used to establish the Cox regression models to analyze exposure-effect relationship. χ2 test was applied to compare the constitution of cigarette usage, alcohol intake, regular exercise and others among the three exposure groups.   Results   Compared with the low-exposure group, workers exposed to occupational noise ≥ 80 dB(A) and 70-79 dB(A) were at risk for hypertension, respectively, with hazard ratio(HR)and 95% confidence interval of 1.85 (95% CI:1.36-2.52) and 1.29 (95% CI:1.03-1.60). Occupational exposure to noise levels above 80 dB(A) could increase the risk of electrocardiogram abnormality (HR=1.31, 95%CI:1.06-1.63). In addition, workers exposed to both high temperature and occupational noise ≥ 80 dB(A) exhibited a further increased risk of hypertension (HR=8.98, 95% CI:3.25-24.86).   Conclusions   Occupational noise exposure can increase the risk of cardiovascular disease in occupational population, and there is an interactive effect between occupational noise exposure and high temperature.
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