Cardiovascular disease mortality among retired workers chronically exposed to intense occupational noise

  • Serge Andre Girard
  • Tony Leroux
  • René Verreault
  • Marilène Courteau
  • Michel Picard
  • Fernand Turcotte
  • Julie Baril
  • Olivier Richer
Original Article

Abstract

Objective

The aim of this study, conducted among retired workers (≥65 years), is to estimate the association between long-term risk of cardiovascular disease (CVD) death and (1) duration of occupational noise exposure in career and (2) noise-induced hearing loss (NIHL), the latter being used as an indicator of adverse effects for long-term exposure to occupational noise.

Methods

Data from screening activities of occupational NIHL were paired to data from death records and were used for this study. A nested case–control analysis was performed. Each case was matched with three controls for length of follow-up and economic sector. A total of 161 CVD deaths occured during an average follow-up of 6.8 years. Conditional logistic regression models were used to estimate the risk (OR) of CVD death by tertiles of duration of noise exposure and of NIHL.

Results

Conditional logistic regression models indicated that prolonged duration of noise exposure (≥36.5 years) (3rd tertile) was associated with an increased risk of CVD death (OR 1.70; 95 % CI 1.10–2.62), as compared with shorter duration (<27 years) (first tertile). Moderate NIHL (2nd tertile) (OR 1.64; 95 % CI 1.04–2.6) and severe NIHL (3rd tertile) (OR 1.66; 95 % CI 1.06–2.60) were also associated with an increase in risk of CVD death.

Conclusions

Results are consistent with recent findings on the chronic effects of occupational noise exposure persisting after retirement although it is less than during active working life.

Keywords

Ischemic heart disease Mortality Case–control study Occupational noise exposure NIHL Retired workers 

References

  1. Allison PD (1999) Logistic regression using the SAS* system: theory and application. Cary, NCGoogle Scholar
  2. Babisch W (1998) Epidemiological studies of the cardiovascular effects of occupational noise: a critical appraisal. Noise Health 1:24–39Google Scholar
  3. Babisch W (2011) Cardiovascular effects of noise. Noise Health 13:201–204CrossRefGoogle Scholar
  4. Belojevic G, Paunovic K, Jakovljevic B, Stojanov V, Ilic J, Slepcevic V, Saric-Tanaskovic M (2011) Cardiovascular effects of environmental noise: research in Serbia. Noise Health 13:217–220CrossRefGoogle Scholar
  5. Bluhm G, Eriksson C (2011) Cardiovascular effects of environmental noise: research in Sweden. Noise Health 13:212–216CrossRefGoogle Scholar
  6. Bureau de la statistique du Québec (1990) Statistiques, documents de référence: classification des activités économiques du Québec. Les publications du Québec, Québec, p 302Google Scholar
  7. Chang TY, Liu CS, Huang KH, Chen RY, Lai JS, Bao BY (2011) High-frequency hearing loss, occupational noise exposure and hypertension: a cross-sectional study in male workers. Environ Health 10:1–8CrossRefGoogle Scholar
  8. Christensen VT (2006) Hearing problems and working life, hard of hearing. The Danish national Institute of Social Research, Copenhagen, p 49Google Scholar
  9. Concha-Barrientos M, Campbell-Lendrum D, Steenland K (2004) Occupational noise: assessing the burden of disease from work-related hearing impairment at national and local levels. Environmental burden of disease series, No. 9, World Health Organization, p 33Google Scholar
  10. Davies HW, Teschke K, Kennedy SM, Hodgson MR, Hertzman C, Demers PA (2005) Occupational exposure to noise and mortality from acute myocardial infarction. Epidemiology 16:25–32CrossRefGoogle Scholar
  11. Dobie RA (2005) Estimating noise-induced permanent threshold shift from audiometric shape: the ISO-1999 model. Ear Hear 26:630–635CrossRefGoogle Scholar
  12. Fransen E, Topsakal V, Hendrickx JJ, Van Laer L, Huyghe JR, Eyken EV et al (2008) Occupational noise, smoking, and a high body mass index are risk factors for age-related hearing impairment and moderate alcohol consumption is protective: a European population-based multicenter study. J Assoc Res Otolaryngol 9:264–279CrossRefGoogle Scholar
  13. Friedland DR, Cederberg C, Tarima S (2009) Audiometric pattern as a predictor of cardiovascular status: development of a model for assessment of risk. Laryngoscope 119:473–486CrossRefGoogle Scholar
  14. Gan WQ, Davies HW, Demers PA (2010) Exposure to occupational noise and cardiovascular disease in the United States: the national health and nutrition examination survey 1999–2004, Occup Environ Med Publ Online p 8 doi: 10.1136/oem.2010.055269
  15. Gates GA, Cobb JL, D’Agostino RB, Wolf PA (1993) The relation of hearing in the elderly to the presence of cardiovascular disease and cardiovascular risk factors. Arch Otolaryngol Head Neck Surg 119:156–161CrossRefGoogle Scholar
  16. Gervais M, Massicotte P, et Champoux D (2006) Conditions de travail de santé et de sécurité des travailleurs du Québec, rapport de recherche. Québec: Institut de recherche Robert Sauvé en santé et sécurité du travail (R-449), p 139Google Scholar
  17. Girard SA, Leroux T, Verreault R, Courteau M, Picard M, Turcotte F, Baril J (2014) Falls risk and hospitalization among retired workers with occupational noise-induced hearing loss. Can J Aging 33:84–91. doi:10.1017/s0714980813000664 CrossRefGoogle Scholar
  18. Heinonen-Guzejev M, Vuorinen HS, Mussalo-Rauhamaa HM, Heikkila K, Koskenvuo M, Kaprio J (2007) The association of noise sensitivity with coronary heart and cardiovascular mortality among Finnish adults. Sci Total Environ 372:406–412CrossRefGoogle Scholar
  19. Helzner EP, Patel AS, Pratt S, Sutton-Tyrrell K, Cauley JA, Talbott E et al (2011) Hearing sensitivity in older adults: associations with cardiovascular risk factors in the health, aging, and body composition study. J Am Geriatr Soc 59:972–979CrossRefGoogle Scholar
  20. Hétu R, Boudreault V, Balthazard M, Fontaine F, Fortier P, Lemoine O (1981) Protocole d’évaluation rétrospective de l’audition d’une population exposée au bruit industriel. CORAQ, MontréalGoogle Scholar
  21. Hull RH, Kerschen SR (2010) The influence of cardiovascular health on peripheral and central auditory function in adults: a research review. Am J Audiol 19:9–16CrossRefGoogle Scholar
  22. International Standard (ISO) 1999 (1990) Acoustics: determination of occupational noise exposure and estimation of noise-induced hearing impairment. Technical Comm. ISO/TC 43 acoustics. Geneva, Switzerland: International Organization for StandardizationGoogle Scholar
  23. International Standard (ISO) 6189 (1983) Acoustics: pure tone air conduction threshold audiometry for hearing conservation purposes. International Standards Organization, GenevaGoogle Scholar
  24. International Standard (ISO) 7029 (1999) Acoustics: statistical distribution of hearing thresholds as a function of age. International Standards Organization, GenevaGoogle Scholar
  25. Johnson LG, Hawkins JE (1972) Vascular changes in the human inner ear associated with aging. Ann Otol Rhinol Laryngol 81:364–376CrossRefGoogle Scholar
  26. Jousilahti P, Vartiainen E, Tuomilehto J, Puska P (1999) Sex, age, cardiovascular risk factors, and coronary heart disease: a prospective follow-up study of 14 786 middle-aged men and women in Finland. Circulation 99:1165–1172CrossRefGoogle Scholar
  27. Kochkin S, Rogin CM (2000) Quantifying the obvious: the impact of hearing instruments on quality of life. Hear Rev 7:8–32Google Scholar
  28. Lercher R, Botteldooren D, Widmann U, Uhrner U, Kammeringer E (2011) Cardiovascular effects of environmental noise: research in Austria. Noise Health 13:234–250CrossRefGoogle Scholar
  29. Maschke C (2011) Cardiovascular effects of environmental noise: research in Germany. Noise Health 13:205–211CrossRefGoogle Scholar
  30. McNamee R, Burgess G, Dippnall WM, Cherry N (2006) Occupational noise exposure and ischaemic heart disease mortality. Occup Environ Med 63:813–819CrossRefGoogle Scholar
  31. Morata TC, Themann CL, Randolph RF, Verbsky BL, Byrne DC, Reeves ER (2005) Working in noise with a hearing loss: perceptions from workers, supervisors, and hearing conservation program managers. Ear Hear 26:529–545CrossRefGoogle Scholar
  32. Nash SD, Cruickshanks OKJ, Klein R, Dlein BEK, Nieto FJ, Huang GH, Pankow JS, Tweed TS (2011) The prevalence of hearing impairment and associated risk factors. The beaver dam offspring study. Arch Otolaryngol Head Neck Surg 137:432–438CrossRefGoogle Scholar
  33. Ndrepepa A, Twardelle D (2011) Relationship between noise annoyance from road traffic noise and cardiovascular diseases: a meta-analysis. Noise Health 13:251–259CrossRefGoogle Scholar
  34. Nelson IN, Nelson RY, Concha-Barrientos M, Fingerhut M (2005) The global burden of occupational noise-induced hearing loss. Am J Ind Med 48:446–458CrossRefGoogle Scholar
  35. Organisation mondiale de la santé (OMS) (1975), Classification internationale des maladies, 9e révision. Genève: OMS, vol 1; vol 2Google Scholar
  36. Organisation mondiale de la santé (OMS) (2008), Classification statistique internationale des Maladies et des problèmes de Santé connexes, 10e Révision. Volume 1, Genève, p 1335Google Scholar
  37. Picard M, Girard SA, Simard M, Larocque R, Leroux T, Turcotte F (2008a) Association of work-related accidents with noise exposure in the workplace and noise-induced hearing loss base on the experience of some 240,000 person-years of observation. Accid Anal Prev 40:1644–1652CrossRefGoogle Scholar
  38. Picard M, Girard SA, Courteau M, Leroux T, Larocque R, Turcotte F, Lavoie M, Simard M (2008b) Could driving safety be compromised by noise exposure at work and noise-induced hearing loss? Traffic Inj Prev 9:489–499CrossRefGoogle Scholar
  39. Règlement sur la santé et la sécurité du travail (LRQ, chapitre S-2.1, r. 13). http://www2.publicationsduquebec.gouv.qc.ca/dynamicSearch/telecharge.php?type=3&file=/S_2_1/S2_1R13.HTM, Web. 13 Aug 2013
  40. Sancini A, Tomei G, Vitarelli A, Caciari T, Samperi I, Pacchiarotti A, Scala B, Schifano MP, Scimitto L, Fiaschetti M, Cetica C, Tomei F, Ciarrocca M (2012) Cardiovascular risk in rotogravure industry. J Occup Environ Med 54:551–557. doi:10.1097/JOM.0b013e318247a42d CrossRefGoogle Scholar
  41. Shalev AY, Yehuda R (1998) Longitudinal development of traumatic stress disorders. In: Yehuda R (ed) Psychological trauma. American Psychiatric Press, Washington (DC), pp 31–66Google Scholar
  42. Stansfeld S, Crombie R (2011) Cardiovascular effects of environmental noise: research in the United Kingdom. Noise Health 13:229–233CrossRefGoogle Scholar
  43. Susmano A, Rosenbush SW (1988) Hearing loss and ischemic heart disease. Am J Otol 9:403–408Google Scholar
  44. Tak S, Davis RR, Calvert GM (2009) Exposure to hazardous workplace noise and use of hearing protection devices among US workers –NHANES, 1999–2004. Am J Ind Med 52:358–371CrossRefGoogle Scholar
  45. Tomei G, Fioravanti M, Cerratti D, Sancini A, Tomao E, Rosati MV, Vacca D, Palitti T, Di Famiani M, Giubilati R, De Sio S, Tomei F (2010) Occupational exposure to noise and the cardiovascular system: a meta-analysis. Sci Total Environ 408:681–689CrossRefGoogle Scholar
  46. Topilla E, Pyykko I, Starck J, Kaksonen R, Ishizaki H (2000) Individual risk factors in the development of noise-induced hearing loss. Noise Health 8:59–70Google Scholar
  47. Topilla E, Pyykko I, Starck J (2001) Age and noise-induced hearing loss. Scand Audiol 30:236–244CrossRefGoogle Scholar
  48. Van Kempen E (2011) Cardiovascular effects of environmental noise: research in The Netherlands. Noise Health 13:221–228CrossRefGoogle Scholar
  49. Van Kempen EEMM, Kruize H, Boshuizen HC, Ameling CB, Staatsen BAM, de Hollander AEM (2002) The association between noise exposure and blood pressure and ischemic heart disease: a meta-analysis, research article. Environ Health Perspect 110:307–317CrossRefGoogle Scholar
  50. Virkkunen H, Kauppinen T, Tenkanen L (2005) Long-term effect of occupational noise on the risk of coronary heart disease. Scand J Work Environ Health 31:291–299CrossRefGoogle Scholar
  51. Virkkunen H, Härmä M, Kauppinen T, Tenkanen L (2006) The triad of shift work, occupational noise, and physical workload and risk of coronary heart disease. Occup Environ Med 63:378–386CrossRefGoogle Scholar
  52. Yoshioka M, Uchida Y, Sugiura S, Ando F, Shimokata H, Nomura H, Nakashima T (2010) The impact of arterial sclerosis on hearing with and without occupational noise exposure: a population-based aging study in males. Auris Nasus Larynx 37:558–564CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  • Serge Andre Girard
    • 1
  • Tony Leroux
    • 2
    • 3
  • René Verreault
    • 4
  • Marilène Courteau
    • 1
  • Michel Picard
    • 2
  • Fernand Turcotte
    • 4
  • Julie Baril
    • 1
    • 2
  • Olivier Richer
    • 1
  1. 1.Institut national de santé publique du QuébecQuébecCanada
  2. 2.École d’orthophonie et d’audiologieUniversité de MontréalMontréalCanada
  3. 3.Laboratoire d’études sur l’auditionInstitut Raymond-Dewar, Centre de recherche interdisciplinaire en réadaptationMontréalCanada
  4. 4.Département de médecine sociale et préventiveUniversité LavalQuébecCanada

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