| Hearing Loss in Workers Exposed to Toluene and Noise Shu-Ju Chang,1,2 Chiou-Jong Chen,3,4 Chih-Hui Lien,5 and Fung-Chang Sung4,5,6 1Department of Industrial Management, Aletheia University, Taipei, Taiwan; 2Department of Environmental Engineering, National Ilan University, Ilan, Taiwan; 3Institute of Occupational Safety and Health, Council of Labor Affairs, Executive Yuan, Taipei, Taiwan; 4Institutes of Environmental Health, National Taiwan University College of Public Health, Taipei, Taiwan; 5Institute of Environmental Health, China Medical University College of Public Health, Taichung, Taiwan; 6Institutes of Preventive Medicine, National Taiwan University College of Public Health, Taipei, Taiwan Abstract
In this study we investigated the risk of hearing loss among workers exposed to both toluene and noise. We recruited 58 workers at an adhesive materials manufacturing plant who were exposured to both toluene and noise [78.6–87.1 A-weighted decibels ; dB(A) ], 58 workers exposed to noise only [83.5–90.1 dB(A) ], and 58 administrative clerks [67.9–72.6 dB(A) ] at the same company. We interviewed participants to obtain sociodemographic and employment information and performed physical examinations, including pure-tone audiometry tests between 0.5 and 6 kHz. A contracted laboratory certified by the Council of Labor in Taiwan conducted on-site toluene and noise exposure measurements. The prevalence of hearing loss of ≥25 dB in the toluene plus noise group (86.2%) was much greater than that in the noise-only group (44.8%) and the administrative clerks (5.0%) (p < 0.001) . The prevalence rates were 67.2, 32.8, and 8.3% (p < 0.001) , respectively, when 0.5 kHz was excluded from the estimation. Multivariate logistic regression analysis showed that the toluene plus noise group had an estimated risk for hearing loss ≥25 dB, 10.9 times higher than that of the noise–only group. The risk ratio dropped to 5.8 when 0.5 kHz was excluded from the risk estimation. Hearing impairment was greater for the pure-tone frequency of 1 kHz than for that of 2 kHz. However, the mean hearing threshold was the poorest for 6 kHz, and the least effect was observed for 2 kHz. Our results suggest that toluene exacerbates hearing loss in a noisy environment, with the main impact on the lower frequencies. Key words: adhesive products manufacturing, pure-tone audiometry, toluene, work-related hearing loss. Environ Health Perspect 114:1283–1286 (2006) . doi:10.1289/ehp.8959 available via http://dx.doi.org/ [Online 26 April 2006]
Address correspondence to F.-C. Sung, Institute of Environmental Health, China Medical University College of Public Health, 91 Hsueh Shih Rd., Floor 15, Taichung 404, Taiwan. Telephone: 886-4-2205-4070. Fax: 886-4-2201-9901. E-mail: fcsung@mail.cmu.edu.tw This research was supported by the Executive Yuan Council of Labor Affairs grant IOSH2001-M363. The authors declare they have no competing financial interests. Received 27 December 2005 ; accepted 25 April 2006.
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