{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T23:13:57Z","timestamp":1789168437283,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T00:00:00Z","timestamp":1784160000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T00:00:00Z","timestamp":1784160000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["42507573"],"award-info":[{"award-number":["42507573"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Industrial Med"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Occupational noise is considered one of the most common occupational hazards all over the world. We aimed to explore the association between occupational noise exposure and blood pressure in Chinese adults, and the mediating role of arterial stiffness in the above\u2010mentioned association.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We surveyed machinery manufacturing company workers in Wuhan, China. Occupational noise was assessed using cumulative noise exposure (CNE). Brachial\u2010ankle pulse wave velocity (baPWV) was detected by a BP\u2010203RPE III net\u2010worked arteriosclerosis detection device. Generalized linear models and bootstrap mediating analyses were conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 839 participants were included in the study. In the analysis between cumulative noise exposure (CNE) and blood pressure, the \u03b2 value for systolic blood pressure (SBP) was 0.119 (95% confidential interval [CI]: 0.010, 0.227) and the \u03b2 value for diastolic blood pressure (DBP) was 0.162 (95% CI: 0.083, 0.241). CNE was positively associated with baPWV (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.002, 95% CI\u2009=\u20090.001, 0.003), and baPWV was positively associated with SBP (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u200951.080, 95% CI\u2009=\u200944.726, 57.433) and DBP (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u200935.927, 95% CI\u2009=\u200931.253, 40.602). baPWV mediated the associations between CNE and blood pressure; the mediation proportion was 62.41% for SBP and 37.14% for DBP, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our study suggests that occupational noise exposure is associated with elevated blood pressure, and that arterial stiffness mediated the positive association between occupational noise and blood pressure. Appropriate measures should be implemented to control for occupational noise exposure and to protect workers from cardiovascular diseases in the workplace.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ajim.70116","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T06:40:29Z","timestamp":1784270429000},"page":"857-864","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association of Noise Exposure, Arterial Stiffness, and Blood Pressure in Chinese Adults"],"prefix":"10.1002","volume":"69","author":[{"given":"Hong","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Occupational &amp; Environmental Health, School of Public Health, Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China"},{"name":"Key Laboratory of Environment and Health, Ministry of Education &amp; Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haozhe","family":"Zhang","sequence":"additional","affiliation":[{"name":"Wuhan Pulmonary Hospital Wuhan Hubei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Xiao","sequence":"additional","affiliation":[{"name":"Department of Occupational &amp; Environmental Health, School of Public Health, Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China"},{"name":"Key Laboratory of Environment and Health, Ministry of Education &amp; Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhaomin","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Occupational &amp; Environmental Health, School of Public Health, Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China"},{"name":"Key Laboratory of Environment and Health, Ministry of Education &amp; Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaiji","family":"Lang","sequence":"additional","affiliation":[{"name":"Department of Occupational &amp; Environmental Health, School of Public Health, Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China"},{"name":"Key Laboratory of Environment and Health, Ministry of Education &amp; Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuo","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Occupational &amp; Environmental Health, School of Public Health, Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China"},{"name":"Key Laboratory of Environment and Health, Ministry of Education &amp; Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College Huazhong University of Science and Technology Wuhan Hubei China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weihong","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Occupational &amp; 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