Effect of Occupational Noise Exposure on the Prevalence of Benign Vocal Fold Lesions: A Nationwide Population-Based Study
1
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives. Voice abuse in noisy environments can result in voice disorders. However, insufficient studies have sought to dif-ferentiate vocal cord lesions through laryngoscopic examinations among workers in noisy environments. This study in-vestigated the relationship between a history of noise exposure in the workplace and benign vocal fold lesions (BVFLs). Methods. We used Korea National Health and Nutrition Examination Survey data from 2010 to 2012. The chi-square testwas used to compare characteristics between two groups according to the presence or absence of BVFLs. To investi-gate the association between BVFLs and noise exposure in the workplace, we calculated adjusted odds ratios and95% confidence intervals (CIs) using multiple logistic regression analysis. Results. In total, 10,170 participants with available laryngoscopy results were enrolled. Smoking history, hypertension, dia-betes, and exposure to noise for more than 3 months at the workplace were significantly more common in participantswith BVFLs. After adjusting for age, sex, smoking, drinking, obesity, hypertension, diabetes, income, education, andoccupation as confounders, we confirmed that BVFLs were 1.52 times more likely (95% CI, 1.157–1.990) to occurin individuals with occupational noise exposure. Conclusion. Working in a noisy environment could induce BVFLs in workers through voice abuse. Social recognition that anoisy environment is a risk factor for BVFLs needs to be improved, and preventive measures should be implemented.
Abstract
Objectives. Voice abuse in noisy environments can result in voice disorders. However, insufficient studies have sought to dif-ferentiate vocal cord lesions through laryngoscopic examinations among workers in noisy environments. This study in-vestigated the relationship between a history of noise exposure in the workplace and benign vocal fold lesions (BVFLs). Methods. We used Korea National Health and Nutrition Examination Survey data from 2010 to 2012. The chi-square testwas used to compare characteristics between two groups according to the presence or absence of BVFLs. To investi-gate the association between BVFLs and noise exposure in the workplace, we calculated adjusted odds ratios and95% confidence intervals (CIs) using multiple logistic regression analysis. Results. In total, 10,170 participants with available laryngoscopy results were enrolled. Smoking history, hypertension, dia-betes, and exposure to noise for more than 3 months at the workplace were significantly more common in participantswith BVFLs. After adjusting for age, sex, smoking, drinking, obesity, hypertension, diabetes, income, education, andoccupation as confounders, we confirmed that BVFLs were 1.52 times more likely (95% CI, 1.157–1.990) to occurin individuals with occupational noise exposure. Conclusion. Working in a noisy environment could induce BVFLs in workers through voice abuse. Social recognition that anoisy environment is a risk factor for BVFLs needs to be improved, and preventive measures should be implemented.
참고문헌 (26)
- Jung SY, "Trends in the Incidence and Treatment of Benign Vocal Fold Lesions in Korea, 2006-2015 : a nationwide population-based Study", J Voice, 34(1), pp.100~104 (2020)
- Bhattacharyya N, "The prevalence of voice problems among adults in the United States", Laryngoscope, 124(10), pp.2359~2362 (2014)
- Flint PW, "Cummings otolaryngology: head and neck surgery" (2020), Elsevier Health Sciences
- Lyberg Ahlander V, "Teachers’ voice use in teaching environments : a field study using ambulatory phonation monitor", J Voice, 28(6), pp.841~ (2014)
- Ziegler A, "Behavioral treatment of voice disorders in teachers", Folia Phoniatr Logop, 62(1-2), pp.9~23 (2010)
- Jarosinska D, "Development of the WHO environmental noise guidelines for the european region : an introduction", Int J Environ Res Public Health, 15(4), pp.813~ (2018)
- Fernandez MD, "Noise exposure of workers of the construction sector", Appl Acoust, 70(5), pp.753~760 (2009)
- Martins RH, "Voice disorders : etiology and diagnosis", J Voice, 30(6), pp.761~ (2016)
- Feder RJ, "Noise pollution as factor in voice disorders", Otolaryngol Head Neck Surg, 91(5), pp.469~ (1983)
- Toki EI, "How does noise pollution exposure affect vocal behavior? : a systematic review", AIMS Med Sci, 8(2), pp.116~137 (2021)
- Brumm H, "The evolution of the Lombard effect : 100 years of psychoacoustic research", Behaviour, 148(11-13), pp.1173~1198 (2011)
- Miri AK, "Mechanical characterization of vocal fold tissue : a review study", J Voice, 28(6), pp.657~667 (2014)
- Gray SD, "Biomechanical and histologic observations of vocal fold fibrous proteins", Ann Otol Rhinol Laryngol, 109(1), pp.77~85 (2000)
- Hoffman MR, "Multidisciplinary management of pediatric voice and swallowing disorders", pp.49~61 (2020), Springer International Publishing
- Dailey SH, "Surgical management of sulcus vocalis and vocal fold scarring", Otolaryngol Clin North Am, 39(1), pp.23~42 (2006)
- Niebudek-Bogusz E, "An overview of occupational voice disorders in Poland", Int J Occup Med Environ Health, 26(5), pp.659~669 (2013)
- Abdelhamid A, "The nature and risk factors of minimal associated pathological lesions of vocal folds at two hospitals in the gulf area", J Voice, 36(3), pp.438~ (2022)
- Lyberg-Ahlander V, "Prevalence of voice disorders in the general population, based on the Stockholm Public Health Cohort", J Voice, 33(6), pp.900~905 (2019)
- Beltsis A, "Double probe pH-monitoring findings in patients with benign lesions of the true vocal folds : comparison with typical GERD and the effect of smoking", Eur Arch Otorhinolaryngol, 268(8), pp.1169~1174 (2011)
- Erickson-Levendoski E, "Investigating the effects of caffeine on phonation", J Voice, 25(5), pp.e215~9 (2011)
- Bosso JR, "Vocal characteristics of patients with morbid obesity", J Voice, 35(2), pp.329~ (2021)
- Bjorntorp P, "Neuroendocrine ageing", J Intern Med, 238(5), pp.401~404 (1995)
- Rontal E, "Vocal cord dysfunction : an industrial health hazard", Ann Otol Rhinol Laryngol, 88(Pt 1), pp.818~821 (1979)
- Pretzsch A, "Health effects of occupational noise", Curr Pollut Rep, 7(3), pp.344~358 (2021)
- Cohen SM, "Self-reported impact of dysphonia in a primary care population : an epidemiological study", Laryngoscope, 120(10), pp.2022~2032 (2010)
- Holmberg EB, "Efficacy of a behaviorally based voice therapy protocol for vocal nodules", J Voice, 15(3), pp.395~412 (2001)