{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T20:39:14Z","timestamp":1786653554737,"version":"build-2736575974"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"131","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>\n                    <jats:bold>Objective:<\/jats:bold>\n                    This study aimed to compare occupational noise exposure levels and identify risk factors for high-frequency hearing loss (HFHL) among workers in different industries.\n                    <jats:bold>Methods:<\/jats:bold>\n                    Using typical sampling, 789 workers were recruited between January 2025 and July 2025, including those from manufacturing, construction, mining, and a low-noise-exposed control group. Demographic and occupational data were collected, personal noise exposure levels were measured, and bilateral hearing thresholds were assessed. For the comparison between groups of measurement data, an independent-samples\n                    <jats:italic toggle=\"yes\">t<\/jats:italic>\n                    -test or one-way analysis of variance was used; for categorical data, the \u03c7\n                    <jats:sup>2<\/jats:sup>\n                    test was employed. Multivariate logistic regression model was applied to analyze risk factors.\n                    <jats:bold>Results:<\/jats:bold>\n                    Significant intergroup differences in noise exposure levels were observed (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.05), with the mining group showing the highest exposure [89.74\u2009\u00b1\u20094.02 dB(A)]. HFHL prevalence was highest in the mining group (28.79%) compared with that in the other groups. The mining group exhibited a higher HFHL detection rate (28.79%) than the other groups. Multivariable logistic regression identified the following as significant risk factors: age \u226530 years [30\u201339 years: odds ratio (OR)\u2009=\u20092.320, 95% confidence interval (CI): 1.318\u20134.084,\n                    <jats:italic toggle=\"yes\">P\u2009<\/jats:italic>\n                    =\u20090.003; 40\u201349 years: OR\u2009=\u20094.500, 95% CI: 2.491\u20138.132,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001; 50\u201355 years: OR\u2009=\u20098.188, 95% CI: 4.332\u201315.476,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001], employment duration \u226511 years (11\u201320 years: OR\u2009=\u20092.298, 95% CI: 1.306\u20134.043,\n                    <jats:italic toggle=\"yes\">P\u2009<\/jats:italic>\n                    =\u20090.004; &gt;20 years: OR\u2009=\u20093.422, 95% CI: 1.888\u20136.202,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001), smoking (OR\u2009=\u20091.869, 95% CI: 1.257\u20132.778,\n                    <jats:italic toggle=\"yes\">P\u2009<\/jats:italic>\n                    =\u20090.002), and occupational noise exposure (manufacturing: OR\u2009=\u200917.600, 95% CI: 4.091\u201375.708,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001; construction: OR\u2009=\u200924.592, 95% CI: 5.848\u2013103.419,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001; mining: OR\u2009=\u200940.021, 95% CI: 9.611\u2013166.645,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001). The use of hearing protection devices (HPDs) was a significant protective factor (OR\u2009=\u20090.435, 95% CI: 0.288\u20130.657,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001).\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Occupational noise exposure is an independent risk factor for HFHL, with marked industry-specific differences. Enhanced noise control measures and improved HPD compliance, particularly in mining and construction, are urgently needed for HFHL prevention.\n                  <\/jats:p>","DOI":"10.4103\/nah.nah_196_25","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T14:00:24Z","timestamp":1777557624000},"page":"364-370","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Occupational Noise Exposure and High-Frequency Hearing Loss: A Comparative Study of Workers Across Multiple 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