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We used logistic and marginal logistic regression models to explore the association between otalgia and hearing impairment and WTC arrival time.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The highest\u2010exposed group had greater odds of persistent ear symptoms (OR 1.33, 95%CI 1.11\u20101.59) compared with the least\u2010exposed; the odds of persistent hearing problems between the groups were not significantly different. We found consistent WTC\u2010exposure gradients when the average population odds of these outcomes were assessed each year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our findings demonstrate that the odds of long\u2010term ear symptoms were significantly associated with the intensity of WTC exposure.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajim.22925","type":"journal-article","created":{"date-parts":[[2018,12,7]],"date-time":"2018-12-07T02:59:38Z","timestamp":1544151578000},"page":"43-49","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Persistent self\u2010reported ear and hearing problems among World Trade Center\u2010exposed firefighters and emergency medical service workers, 2001\u20102017\u2014A longitudinal cohort analysis"],"prefix":"10.1002","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0750-2735","authenticated-orcid":false,"given":"Hilary L.","family":"Colbeth","sequence":"first","affiliation":[{"name":"Fire Department of the City of New York Bureau of Health Services Brooklyn New York"},{"name":"Pulmonology Division, Department of Medicine Montefiore Medical Center Bronx New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Zeig\u2010Owens","sequence":"additional","affiliation":[{"name":"Fire Department of the City of New York Bureau of Health Services Brooklyn New York"},{"name":"Pulmonology Division, Department of Medicine Montefiore Medical Center Bronx New York"},{"name":"Department of Epidemiology and Population Health Albert Einstein College of Medicine Bronx New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yang","family":"Liu","sequence":"additional","affiliation":[{"name":"Fire Department of the City of New York Bureau of Health Services Brooklyn New York"},{"name":"Pulmonology Division, Department of Medicine Montefiore Medical Center Bronx New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8322-4573","authenticated-orcid":false,"given":"Mayris P.","family":"Webber","sequence":"additional","affiliation":[{"name":"Fire Department of the City of New York Bureau of Health Services Brooklyn New York"},{"name":"Department of Epidemiology and Population Health Albert Einstein College of Medicine Bronx New York"},{"name":"Department of Epidemiology and Population Health Montefiore Medical Center Bronx New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theresa M.","family":"Schwartz","sequence":"additional","affiliation":[{"name":"Fire Department of the City of New York Bureau of Health Services Brooklyn New York"},{"name":"Pulmonology Division, Department of Medicine Montefiore Medical Center Bronx New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles B.","family":"Hall","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Population Health Albert Einstein College of Medicine Bronx New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David J.","family":"Prezant","sequence":"additional","affiliation":[{"name":"Fire Department of the City of New York Bureau of Health Services Brooklyn New York"},{"name":"Pulmonology Division, Department of Medicine Albert Einstein College of Medicine Bronx New York"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,12,6]]},"reference":[{"unstructured":"Centers for Disease Control and Prevention (CDC). 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