https://repositorio.ufba.br/handle/ri/14887
Tipo: | Artigo de Periódico |
Título: | Interaction between noise and cigarette smoking for the outcome of hearing loss among women: a population-based study |
Título(s) alternativo(s): | American Journal of Industrial Medicine |
Autor(es): | Ferrite, Silvia Santana, Vilma Sousa Marshall, Stephen W. |
Autor(es): | Ferrite, Silvia Santana, Vilma Sousa Marshall, Stephen W. |
Abstract: | Background: We investigated the interaction between exposure to noise and smoking in relation to prevalence of hearing loss among women. Methods: A sample of women aged 20–49 years (n = 1,723) from a population-based cross-sectional study carried out in Brazil in 2006 was examined. Hearing loss was assessed using a yes–no validated question. Biological interaction was analyzed using the additive scale and measured with interaction contrast ratio (ICR) and assessment of dose–response relationship. Results: The combined effect of exposure to noise and cigarette smoking on hearing loss (adjusted prevalence ratio (PRadj) = 3.94, 95% confidence interval (CI): 2.81, 5.52) was greater than expected based on the additive single effects of smoking (PRadj = 1.39, 95% CI: 1.07, 1.81) and noise (PRadj = 2.66, 95% CI: 1.86, 3.82). ICR estimates were not statistically significant. The prevalence of hearing loss among noise-exposed women increased with duration of smoking (P trend = 0.026), number of cigarettes smoked per day (P trend = 0.034), cumulative tobacco use (P trend = 0.030), and early age at smoking initiation (P trend = 0.047). Conclusions: Noise and smoking may have a combined effect on hearing loss but further studies are still needed. A dose–response relation of smoking for the noise effect among women is suggested. |
Palavras-chave: | Cross-sectional studies Noise-induced hearing loss Occupational health Smoking Women |
Tipo de Acesso: | Acesso Aberto |
URI: | http://repositorio.ufba.br/ri/handle/ri/14887 |
Data do documento: | 2013 |
Aparece nas coleções: | Artigo Publicado em Periódico (ICS) |
Arquivo | Descrição | Tamanho | Formato | |
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10.1002ajim.22142.pdf | 101,98 kB | Adobe PDF | Visualizar/Abrir |
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