Association between exposure to road traffic noise and hearing impairment: a case-control study
Purpose Noise pollution in urban areas is increasing steadily, and the study of road traffic noises and their effects on the auditory system was rare. This study investigated the potential effects of road traffic noise on auditory systems and hearing. Methods A case-control study recruited outpatien...
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| Published in | Journal of environmental health science and engineering Vol. 19; no. 2; pp. 1483 - 1489 |
|---|---|
| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Cham
Springer International Publishing
01.12.2021
BioMed Central Ltd Nature Publishing Group |
| Subjects | |
| Online Access | Get full text |
| ISSN | 2052-336X 2052-336X |
| DOI | 10.1007/s40201-021-00704-y |
Cover
| Abstract | Purpose
Noise pollution in urban areas is increasing steadily, and the study of road traffic noises and their effects on the auditory system was rare. This study investigated the potential effects of road traffic noise on auditory systems and hearing.
Methods
A case-control study recruited outpatients from the Otolaryngology department. The case group (
n
= 41) had binaural hearing loss (HL) of standard pure-tone average(PTA) ≥ 25 dB or high frequency PTA ≥ 25 dB, while the control group (
n
= 39) had binaural hearing level of any frequency < 25 dB. Detailed otologic evaluations were performed. Between-group data were evaluated using logistic regression analysis. Case or control group was identified based on the audiogram.
Results
A total of 80 subjects were recruited, including 41 with hearing impairment and 39 as control. The mean exposure level of road traffic noise was significantly higher in the case group than the control group (
p
= 0.005). A crude OR of 5.78 showed an increased risk of greater than 70 dB of road traffic noise on hearing impairment and tinnitus (
p
< 0.001). The aOR of 9.24 (
p
= 0.002) from a multiple variate analysis suggested that road traffic noise levels greater than 70 dB may have a damaging effect on hearing. Damaging effects on hearing persisted even after adjusting for confounders in the full multivariate model (aOR of 9.24 [95% CI: 2.198–38.869];
p
= 0.002).
Conclusions
Exposing to road traffic noise greater than 70 dB showed an increased risk of damage to the auditory system. These results might help public health administrators and physicians to develop programs that address the health dangers of noise. |
|---|---|
| AbstractList | Purpose
Noise pollution in urban areas is increasing steadily, and the study of road traffic noises and their effects on the auditory system was rare. This study investigated the potential effects of road traffic noise on auditory systems and hearing.
Methods
A case-control study recruited outpatients from the Otolaryngology department. The case group (
n
= 41) had binaural hearing loss (HL) of standard pure-tone average(PTA) ≥ 25 dB or high frequency PTA ≥ 25 dB, while the control group (
n
= 39) had binaural hearing level of any frequency < 25 dB. Detailed otologic evaluations were performed. Between-group data were evaluated using logistic regression analysis. Case or control group was identified based on the audiogram.
Results
A total of 80 subjects were recruited, including 41 with hearing impairment and 39 as control. The mean exposure level of road traffic noise was significantly higher in the case group than the control group (
p
= 0.005). A crude OR of 5.78 showed an increased risk of greater than 70 dB of road traffic noise on hearing impairment and tinnitus (
p
< 0.001). The aOR of 9.24 (
p
= 0.002) from a multiple variate analysis suggested that road traffic noise levels greater than 70 dB may have a damaging effect on hearing. Damaging effects on hearing persisted even after adjusting for confounders in the full multivariate model (aOR of 9.24 [95% CI: 2.198–38.869];
p
= 0.002).
Conclusions
Exposing to road traffic noise greater than 70 dB showed an increased risk of damage to the auditory system. These results might help public health administrators and physicians to develop programs that address the health dangers of noise. Purpose Noise pollution in urban areas is increasing steadily, and the study of road traffic noises and their effects on the auditory system was rare. This study investigated the potential effects of road traffic noise on auditory systems and hearing. Methods A case-control study recruited outpatients from the Otolaryngology department. The case group (n = 41) had binaural hearing loss (HL) of standard pure-tone average(PTA) [greater than or equai to] 25 dB or high frequency PTA [greater than or equai to] 25 dB, while the control group (n = 39) had binaural hearing level of any frequency < 25 dB. Detailed otologic evaluations were performed. Between-group data were evaluated using logistic regression analysis. Case or control group was identified based on the audiogram. Results A total of 80 subjects were recruited, including 41 with hearing impairment and 39 as control. The mean exposure level of road traffic noise was significantly higher in the case group than the control group (p = 0.005). A crude OR of 5.78 showed an increased risk of greater than 70 dB of road traffic noise on hearing impairment and tinnitus (p < 0.001). The aOR of 9.24 (p = 0.002) from a multiple variate analysis suggested that road traffic noise levels greater than 70 dB may have a damaging effect on hearing. Damaging effects on hearing persisted even after adjusting for confounders in the full multivariate model (aOR of 9.24 [95% CI: 2.198-38.869]; p = 0.002). Conclusions Exposing to road traffic noise greater than 70 dB showed an increased risk of damage to the auditory system. These results might help public health administrators and physicians to develop programs that address the health dangers of noise. Keywords: Auditory system, Exposure, Hearing loss, Environmental noise, Industrial noise Noise pollution in urban areas is increasing steadily, and the study of road traffic noises and their effects on the auditory system was rare. This study investigated the potential effects of road traffic noise on auditory systems and hearing.PURPOSENoise pollution in urban areas is increasing steadily, and the study of road traffic noises and their effects on the auditory system was rare. This study investigated the potential effects of road traffic noise on auditory systems and hearing.A case-control study recruited outpatients from the Otolaryngology department. The case group (n = 41) had binaural hearing loss (HL) of standard pure-tone average(PTA) ≥ 25 dB or high frequency PTA ≥ 25 dB, while the control group (n = 39) had binaural hearing level of any frequency < 25 dB. Detailed otologic evaluations were performed. Between-group data were evaluated using logistic regression analysis. Case or control group was identified based on the audiogram.METHODSA case-control study recruited outpatients from the Otolaryngology department. The case group (n = 41) had binaural hearing loss (HL) of standard pure-tone average(PTA) ≥ 25 dB or high frequency PTA ≥ 25 dB, while the control group (n = 39) had binaural hearing level of any frequency < 25 dB. Detailed otologic evaluations were performed. Between-group data were evaluated using logistic regression analysis. Case or control group was identified based on the audiogram.A total of 80 subjects were recruited, including 41 with hearing impairment and 39 as control. The mean exposure level of road traffic noise was significantly higher in the case group than the control group (p = 0.005). A crude OR of 5.78 showed an increased risk of greater than 70 dB of road traffic noise on hearing impairment and tinnitus (p < 0.001). The aOR of 9.24 (p = 0.002) from a multiple variate analysis suggested that road traffic noise levels greater than 70 dB may have a damaging effect on hearing. Damaging effects on hearing persisted even after adjusting for confounders in the full multivariate model (aOR of 9.24 [95% CI: 2.198-38.869]; p = 0.002).RESULTSA total of 80 subjects were recruited, including 41 with hearing impairment and 39 as control. The mean exposure level of road traffic noise was significantly higher in the case group than the control group (p = 0.005). A crude OR of 5.78 showed an increased risk of greater than 70 dB of road traffic noise on hearing impairment and tinnitus (p < 0.001). The aOR of 9.24 (p = 0.002) from a multiple variate analysis suggested that road traffic noise levels greater than 70 dB may have a damaging effect on hearing. Damaging effects on hearing persisted even after adjusting for confounders in the full multivariate model (aOR of 9.24 [95% CI: 2.198-38.869]; p = 0.002).Exposing to road traffic noise greater than 70 dB showed an increased risk of damage to the auditory system. These results might help public health administrators and physicians to develop programs that address the health dangers of noise.CONCLUSIONSExposing to road traffic noise greater than 70 dB showed an increased risk of damage to the auditory system. These results might help public health administrators and physicians to develop programs that address the health dangers of noise. Noise pollution in urban areas is increasing steadily, and the study of road traffic noises and their effects on the auditory system was rare. This study investigated the potential effects of road traffic noise on auditory systems and hearing. A case-control study recruited outpatients from the Otolaryngology department. The case group ( = 41) had binaural hearing loss (HL) of standard pure-tone average(PTA) ≥ 25 dB or high frequency PTA ≥ 25 dB, while the control group ( = 39) had binaural hearing level of any frequency < 25 dB. Detailed otologic evaluations were performed. Between-group data were evaluated using logistic regression analysis. Case or control group was identified based on the audiogram. A total of 80 subjects were recruited, including 41 with hearing impairment and 39 as control. The mean exposure level of road traffic noise was significantly higher in the case group than the control group ( = 0.005). A crude OR of 5.78 showed an increased risk of greater than 70 dB of road traffic noise on hearing impairment and tinnitus ( < 0.001). The aOR of 9.24 ( = 0.002) from a multiple variate analysis suggested that road traffic noise levels greater than 70 dB may have a damaging effect on hearing. Damaging effects on hearing persisted even after adjusting for confounders in the full multivariate model (aOR of 9.24 [95% CI: 2.198-38.869]; = 0.002). Exposing to road traffic noise greater than 70 dB showed an increased risk of damage to the auditory system. These results might help public health administrators and physicians to develop programs that address the health dangers of noise. Noise pollution in urban areas is increasing steadily, and the study of road traffic noises and their effects on the auditory system was rare. This study investigated the potential effects of road traffic noise on auditory systems and hearing. A case-control study recruited outpatients from the Otolaryngology department. The case group (n = 41) had binaural hearing loss (HL) of standard pure-tone average(PTA) [greater than or equai to] 25 dB or high frequency PTA [greater than or equai to] 25 dB, while the control group (n = 39) had binaural hearing level of any frequency < 25 dB. Detailed otologic evaluations were performed. Between-group data were evaluated using logistic regression analysis. Case or control group was identified based on the audiogram. A total of 80 subjects were recruited, including 41 with hearing impairment and 39 as control. The mean exposure level of road traffic noise was significantly higher in the case group than the control group (p = 0.005). A crude OR of 5.78 showed an increased risk of greater than 70 dB of road traffic noise on hearing impairment and tinnitus (p < 0.001). The aOR of 9.24 (p = 0.002) from a multiple variate analysis suggested that road traffic noise levels greater than 70 dB may have a damaging effect on hearing. Damaging effects on hearing persisted even after adjusting for confounders in the full multivariate model (aOR of 9.24 [95% CI: 2.198-38.869]; p = 0.002). Exposing to road traffic noise greater than 70 dB showed an increased risk of damage to the auditory system. These results might help public health administrators and physicians to develop programs that address the health dangers of noise. PurposeNoise pollution in urban areas is increasing steadily, and the study of road traffic noises and their effects on the auditory system was rare. This study investigated the potential effects of road traffic noise on auditory systems and hearing.MethodsA case-control study recruited outpatients from the Otolaryngology department. The case group (n = 41) had binaural hearing loss (HL) of standard pure-tone average(PTA) ≥ 25 dB or high frequency PTA ≥ 25 dB, while the control group (n = 39) had binaural hearing level of any frequency < 25 dB. Detailed otologic evaluations were performed. Between-group data were evaluated using logistic regression analysis. Case or control group was identified based on the audiogram.ResultsA total of 80 subjects were recruited, including 41 with hearing impairment and 39 as control. The mean exposure level of road traffic noise was significantly higher in the case group than the control group (p = 0.005). A crude OR of 5.78 showed an increased risk of greater than 70 dB of road traffic noise on hearing impairment and tinnitus (p < 0.001). The aOR of 9.24 (p = 0.002) from a multiple variate analysis suggested that road traffic noise levels greater than 70 dB may have a damaging effect on hearing. Damaging effects on hearing persisted even after adjusting for confounders in the full multivariate model (aOR of 9.24 [95% CI: 2.198–38.869]; p = 0.002).ConclusionsExposing to road traffic noise greater than 70 dB showed an increased risk of damage to the auditory system. These results might help public health administrators and physicians to develop programs that address the health dangers of noise. |
| Audience | Academic |
| Author | Liu, Chiu-Shong Chen, Kuang-Chao Tsai, Ming-Hsui Lin, Chia-Der Wang, Tang-Chuan Chang, Ta-Yuan Wu, Che-Ming Tyler, Richard S. Chen, Yi-Hung Hwang, Bing-Fang |
| Author_xml | – sequence: 1 givenname: Tang-Chuan surname: Wang fullname: Wang, Tang-Chuan organization: Department of Public Health, College of Public Health, China Medical University, School of Medicine, College of Medicine, China Medical University, Department of Otolaryngology-Head and Neck Surgery, China Medical University Hsinchu Hospital – sequence: 2 givenname: Ta-Yuan surname: Chang fullname: Chang, Ta-Yuan email: tychang@mail.cmu.edu.tw, tangchuan1020@gmail.com organization: Department of Occupational Safety and Health, College of Public Health, China Medical University – sequence: 3 givenname: Richard S. surname: Tyler fullname: Tyler, Richard S. organization: Department of Otolaryngology - Head and Neck Surgery, University of Iowa – sequence: 4 givenname: Bing-Fang surname: Hwang fullname: Hwang, Bing-Fang organization: Department of Occupational Safety and Health, College of Public Health, China Medical University – sequence: 5 givenname: Yi-Hung surname: Chen fullname: Chen, Yi-Hung organization: Graduate Institute of Acupuncture, College of Chinese Medicine, China Medical University – sequence: 6 givenname: Che-Ming surname: Wu fullname: Wu, Che-Ming organization: Department of Otolaryngology – Head and Neck Surgery, Chang Gung Memorial Hospital – sequence: 7 givenname: Chiu-Shong surname: Liu fullname: Liu, Chiu-Shong organization: School of Medicine, College of Medicine, China Medical University – sequence: 8 givenname: Kuang-Chao surname: Chen fullname: Chen, Kuang-Chao organization: School of Medicine, College of Medicine, China Medical University – sequence: 9 givenname: Chia-Der surname: Lin fullname: Lin, Chia-Der organization: School of Medicine, College of Medicine, China Medical University – sequence: 10 givenname: Ming-Hsui surname: Tsai fullname: Tsai, Ming-Hsui organization: School of Medicine, College of Medicine, China Medical University |
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JarosińskaDHérouxMÈWilkhuPDevelopment of the WHO environmental noise guidelines for the European Region: An introductionInt J Environ Res Public Health201815481310.3390/ijerph15040813Published 2018 Apr 20 DzhambovAMLercherPRoad traffic noise exposure and depression/anxiety: an updated systematic review and meta-analysisInt J Environ Res Public Health20191621413410.3390/ijerph16214134 LeTNStraatmanLVLeaJWesterbergBCurrent insights in noise-induced hearing loss: a literature review of the underlying mechanism, pathophysiology, asymmetry, and management optionsJ Otolaryngol Head Neck Surg2017464110.1186/s40463-017-0219-x KirchnerDBEvensonEDobieRARabinowitzPCrawfordJKopkeROccupational noise-induced hearing loss: ACOEM task force on occupational hearing lossJ Occup Environ Med20125410610810.1097/JOM.0b013e318242677d GuptaSMittalSKumarASinghKDSelf assessment of hearing quality and noise-related attitudes among traffic policemen of PatialaIndia Int J Prev Med20145511515 LanYRobertsHKwanMPHelbichMTransportation noise exposure and anxiety: a systematic review and meta-analysisEnviron Res20201911101181:CAS:528:DC%2BB3cXhsl2hs7rI10.1016/j.envres.2020.110118 DanielENoise and hearing loss: a reviewJ Sch Health20077722523110.1111/j.1746-1561.2007.00197.x BlairBDBrindleySDinkelooEMcKenzieLMAdgateJLResidential noise from nearby oil and gas well construction and drillingJ Expo Sci Environ Epidemiol20182853854710.1038/s41370-018-0039-8 WeihofenVMHegewaldJEulerUSchlattmannPZeebHSeidlerAAircraft noise and the risk of strokeDtsch Arztebl Int201911614237244 ChenCNenovABobbinRPNoise exposure alters the response of outer hair cells to ATPHear Res1995882152211:CAS:528:DyaK28Xis1Kitw%3D%3D10.1016/0378-5955(95)00115-K FinkDJWhat is a safe noise level for the public?Am J Public Health2017107444510.2105/AJPH.2016.303527 BasheerRBhargaviPGPrakashHPKnowledge, attitude, and practice of printing press workers towards noise-induced hearing lossNoise Health2019216268 DzhambovAMLercherPRoad traffic noise exposure and birth outcomes: an updated systematic review and meta-analysisInt J Environ Res Public Health20191614252210.3390/ijerph16142522 VlachokostasCAchillasCMichailidouAVMoussiopoulosNMeasuring combined exposure to environmental pressures in urban areas: an air quality and noise pollution assessment approachEnviron Int2012398181:CAS:528:DC%2BC38XjslyitA%3D%3D10.1016/j.envint.2011.09.007 FritschiLBrownALKimRSchwelaDHKephalopoulosSBurden of disease from environmental noise2011BonnWorld Health Organization (WHO) AlimohammadiISoltaniRSandrockSAzkhoshMGohariMRThe effects of road traffic noise on mental performanceIranian J Environ Health Sci Eng20131011810.1186/1735-2746-10-18 AlbertiPWNoise induced hearing lossBmj.19923045221:STN:280:DyaK383hs1Knuw%3D%3D10.1136/bmj.304.6826.522 Basner M, Brink M, Bristow A, de Kluizenaar Y, Finegold L, Hong J, et al. 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HongOKerrMJPolingGLDharSUnderstanding and preventing noise-induced hearing lossDis Mon20135911011810.1016/j.disamonth.2013.01.002 GraydonKWaterworthCMillerHGunasekeraHGlobal burden of hearing impairment and ear diseaseJ Laryngol Otol2019133118251:STN:280:DC%2BB3c7itV2jtA%3D%3D10.1017/S0022215118001275 SohmerHPathophysiological mechanisms of hearing lossJ Basic Clin Physiol Pharmacol199781131251:STN:280:DyaK1c%2FptFyitw%3D%3D10.1515/JBCPP.1997.8.3.113 GilliverMBeachEFWilliamsWNoise with attitude: influences on young people's decisions to protect their hearingInt J Audiol201352Suppl 1S26S3210.3109/14992027.2012.743049 ClarkCPaunovicKWHO environmental noise guidelines for the European region: a systematic review on environmental noise and cognitionInt J Environ Res Public Health201815228510.3390/ijerph15020285 GoinesLHaglerLNoise pollution: a modem plagueSouth Med J200710028729410.1097/SMJ.0b013e3180318be5 ChangTYBeelenRLiSFChenTILinYJBaoBYRoad traffic noise frequency and prevalent hypertension in Taichung, Taiwan: a cross-sectional studyEnviron Health2014133710.1186/1476-069X-13-37 Berglund B, Lindvall T, Schwela D.H. Guidelines for community noise. World Health Organization. 1999. https://apps.who.int/iris/handle/10665/66217 ShresthaIShresthaBLPokharelMAmatyaRCKarkiDRPrevalence of noise induced hearing loss among traffic police personnel of Kathmandu Metropolitan CityKathmandu Univ Med J (KUMJ)201192742781:STN:280:DC%2BC38jivVGktg%3D%3D10.3126/kumj.v9i4.6343 ZhaoFManchaiahVKFrenchDPriceSMMusic exposure and hearing disorders: an overviewInt J Audiol201049546410.3109/14992020903202520 704_CR3 F Zhao (704_CR32) 2010; 49 704_CR4 704_CR5 L Fritschi (704_CR28) 2011 K Graydon (704_CR33) 2019; 133 C Vlachokostas (704_CR31) 2012; 39 O Hong (704_CR14) 2013; 59 TY Chang (704_CR17) 2014; 13 C Chen (704_CR20) 1995; 88 DB Kirchner (704_CR16) 2012; 54 C Clark (704_CR6) 2018; 15 TN Le (704_CR15) 2017; 46 D Jarosińska (704_CR26) 2018; 15 H Sohmer (704_CR21) 1997; 8 E Daniel (704_CR30) 2007; 77 AM Dzhambov (704_CR8) 2019; 16 R Basheer (704_CR10) 2019; 21 M Gilliver (704_CR29) 2013; 52 I Alimohammadi (704_CR22) 2013; 10 R Guski (704_CR23) 2017; 14 VM Weihofen (704_CR7) 2019; 116 PW Alberti (704_CR13) 1992; 304 S Gupta (704_CR18) 2014; 5 K Khoza-Shangase (704_CR9) 2020; 67 L Goines (704_CR2) 2007; 100 I Shrestha (704_CR19) 2011; 9 704_CR1 704_CR12 BD Blair (704_CR11) 2018; 28 Y Lan (704_CR25) 2020; 191 DJ Fink (704_CR27) 2017; 107 AM Dzhambov (704_CR24) 2019; 16 |
| References_xml | – reference: Berglund B, Lindvall T, Schwela D.H. Guidelines for community noise. World Health Organization. 1999. https://apps.who.int/iris/handle/10665/66217 – reference: Calzolari Carmona GR. Influence of noise on the auditory capacity of traffic agents in the city of Córdoba. Rev Fac Cien Med Univ Nac Cordoba. 1988;46:27–9. – reference: Basner M, Clark C, Hansell A, Hileman JI, Janssen S, Shepherd K, et al. Aviation noise impacts: state of the science. 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ICBEN review of research on the biological effects of noise 2011-2014. Noise Health. 2015;17(75):57–82. – reference: GuptaSMittalSKumarASinghKDSelf assessment of hearing quality and noise-related attitudes among traffic policemen of PatialaIndia Int J Prev Med20145511515 – reference: DanielENoise and hearing loss: a reviewJ Sch Health20077722523110.1111/j.1746-1561.2007.00197.x – reference: HongOKerrMJPolingGLDharSUnderstanding and preventing noise-induced hearing lossDis Mon20135911011810.1016/j.disamonth.2013.01.002 – reference: ZhaoFManchaiahVKFrenchDPriceSMMusic exposure and hearing disorders: an overviewInt J Audiol201049546410.3109/14992020903202520 – reference: LeTNStraatmanLVLeaJWesterbergBCurrent insights in noise-induced hearing loss: a literature review of the underlying mechanism, pathophysiology, asymmetry, and management optionsJ Otolaryngol Head Neck Surg2017464110.1186/s40463-017-0219-x – reference: ChangTYBeelenRLiSFChenTILinYJBaoBYRoad traffic noise frequency and prevalent hypertension in Taichung, Taiwan: a cross-sectional studyEnviron Health2014133710.1186/1476-069X-13-37 – reference: WeihofenVMHegewaldJEulerUSchlattmannPZeebHSeidlerAAircraft noise and the risk of strokeDtsch Arztebl Int201911614237244 – reference: FritschiLBrownALKimRSchwelaDHKephalopoulosSBurden of disease from environmental noise2011BonnWorld Health Organization (WHO) – reference: Hemmingsen JG, Møller P, Jantzen K, Jönsson BA, Albin M, Wierzbicka A, et al. Controlled exposure to diesel exhaust and traffic noise--effects on oxidative stress and activation in mononuclear blood cells. Mutat Res. 2015;775:66–71. – reference: SohmerHPathophysiological mechanisms of hearing lossJ Basic Clin Physiol Pharmacol199781131251:STN:280:DyaK1c%2FptFyitw%3D%3D10.1515/JBCPP.1997.8.3.113 – reference: BasheerRBhargaviPGPrakashHPKnowledge, attitude, and practice of printing press workers towards noise-induced hearing lossNoise Health2019216268 – reference: ChenCNenovABobbinRPNoise exposure alters the response of outer hair cells to ATPHear Res1995882152211:CAS:528:DyaK28Xis1Kitw%3D%3D10.1016/0378-5955(95)00115-K – volume: 5 start-page: 511 year: 2014 ident: 704_CR18 publication-title: India Int J Prev Med – volume: 100 start-page: 287 year: 2007 ident: 704_CR2 publication-title: South Med J doi: 10.1097/SMJ.0b013e3180318be5 – volume: 21 start-page: 62 year: 2019 ident: 704_CR10 publication-title: Noise Health – volume: 28 start-page: 538 year: 2018 ident: 704_CR11 publication-title: J Expo Sci Environ Epidemiol doi: 10.1038/s41370-018-0039-8 – volume: 15 start-page: 285 issue: 2 year: 2018 ident: 704_CR6 publication-title: Int J Environ Res Public Health doi: 10.3390/ijerph15020285 – volume: 39 start-page: 8 year: 2012 ident: 704_CR31 publication-title: Environ Int doi: 10.1016/j.envint.2011.09.007 – ident: 704_CR1 – volume: 46 start-page: 41 year: 2017 ident: 704_CR15 publication-title: J Otolaryngol Head Neck Surg doi: 10.1186/s40463-017-0219-x – volume: 13 start-page: 37 year: 2014 ident: 704_CR17 publication-title: Environ Health doi: 10.1186/1476-069X-13-37 – ident: 704_CR5 – volume: 49 start-page: 54 year: 2010 ident: 704_CR32 publication-title: Int J Audiol doi: 10.3109/14992020903202520 – volume: 54 start-page: 106 year: 2012 ident: 704_CR16 publication-title: J Occup Environ Med doi: 10.1097/JOM.0b013e318242677d – volume: 88 start-page: 215 year: 1995 ident: 704_CR20 publication-title: Hear Res doi: 10.1016/0378-5955(95)00115-K – volume: 15 start-page: 813 issue: 4 year: 2018 ident: 704_CR26 publication-title: Int J Environ Res Public Health doi: 10.3390/ijerph15040813 – volume: 16 start-page: 2522 issue: 14 year: 2019 ident: 704_CR8 publication-title: Int J Environ Res Public Health doi: 10.3390/ijerph16142522 – volume: 77 start-page: 225 year: 2007 ident: 704_CR30 publication-title: J Sch Health doi: 10.1111/j.1746-1561.2007.00197.x – volume: 52 start-page: S26 issue: Suppl 1 year: 2013 ident: 704_CR29 publication-title: Int J Audiol doi: 10.3109/14992027.2012.743049 – volume: 67 start-page: e1 year: 2020 ident: 704_CR9 publication-title: S Afr J Commun Disord – volume: 191 start-page: 110118 year: 2020 ident: 704_CR25 publication-title: Environ Res doi: 10.1016/j.envres.2020.110118 – volume: 107 start-page: 44 year: 2017 ident: 704_CR27 publication-title: Am J Public Health doi: 10.2105/AJPH.2016.303527 – volume: 14 start-page: 1539 issue: 12 year: 2017 ident: 704_CR23 publication-title: Int J Environ Res Public Health doi: 10.3390/ijerph14121539 – ident: 704_CR3 doi: 10.4103/1463-1741.153373 – volume: 59 start-page: 110 year: 2013 ident: 704_CR14 publication-title: Dis Mon doi: 10.1016/j.disamonth.2013.01.002 – volume: 10 start-page: 18 issue: 1 year: 2013 ident: 704_CR22 publication-title: Iranian J Environ Health Sci Eng doi: 10.1186/1735-2746-10-18 – ident: 704_CR4 doi: 10.1016/j.mrfmmm.2015.03.009 – volume: 16 start-page: 4134 issue: 21 year: 2019 ident: 704_CR24 publication-title: Int J Environ Res Public Health doi: 10.3390/ijerph16214134 – volume: 304 start-page: 522 year: 1992 ident: 704_CR13 publication-title: Bmj. doi: 10.1136/bmj.304.6826.522 – volume: 9 start-page: 274 year: 2011 ident: 704_CR19 publication-title: Kathmandu Univ Med J (KUMJ) doi: 10.3126/kumj.v9i4.6343 – volume: 8 start-page: 113 year: 1997 ident: 704_CR21 publication-title: J Basic Clin Physiol Pharmacol doi: 10.1515/JBCPP.1997.8.3.113 – ident: 704_CR12 – volume: 133 start-page: 18 issue: 1 year: 2019 ident: 704_CR33 publication-title: J Laryngol Otol doi: 10.1017/S0022215118001275 – volume: 116 start-page: 237 issue: 14 year: 2019 ident: 704_CR7 publication-title: Dtsch Arztebl Int – volume-title: Burden of disease from environmental noise year: 2011 ident: 704_CR28 |
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Noise pollution in urban areas is increasing steadily, and the study of road traffic noises and their effects on the auditory system was rare. This... Noise pollution in urban areas is increasing steadily, and the study of road traffic noises and their effects on the auditory system was rare. This study... Purpose Noise pollution in urban areas is increasing steadily, and the study of road traffic noises and their effects on the auditory system was rare. This... PurposeNoise pollution in urban areas is increasing steadily, and the study of road traffic noises and their effects on the auditory system was rare. This... |
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| SubjectTerms | Analysis Auditory system Binaural hearing Case studies Control systems Damage Earth and Environmental Science Environment Environmental Economics Environmental Engineering/Biotechnology Environmental Health Environmental Law/Policy/Ecojustice Exposure Hearing Hearing loss Impairment Investigations Noise Noise control Noise levels Noise pollution Otolaryngology Public health Quality of Life Research Regression analysis Research Article Roads & highways Tinnitus Traffic Traffic engineering Transportation noise Urban areas Waste Management/Waste Technology |
| Title | Association between exposure to road traffic noise and hearing impairment: a case-control study |
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