Document Type : Original Articles

Authors

1 Professor, Department of Occupational Health Engineering, Research Center for Health Sciences, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran

2 MSc, Department of Occupational Health Engineering, Student’s Research Committee, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.

3 Associate Professor, Department of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.

4 MSc, Department of Occupational Health Engineering, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.

Abstract

Background: Noise pollution has a particular importance in quiet environments such as hospitals. The main objective of this study was to evaluate the effects of noise exposure on the auditory system, blood pressure and precision, concentration and other psycho-neural components.Methods: This cross-sectional study was carried out in three large hospitals of Shiraz, during the period of 2012 to 2013. The study population consisted of 81 health care personnel (the exposed group) and 79 non-exposed individuals (the referent group). Day and night time sound levels were measured at different wards of the hospitals by a sound level meter (B&K 7110). Hearing status was assessed by pure tone audiometry of subjects by an Interacoustic AD27 audiometer. Blood pressure was measured with a mercury sphygmomanometer at resting time and psycho-neural components including sleep disturbances, headache, irritability and … were evaluated by a questionnaire devised and validated for this purpose. Data were analyzed by SPSS 16 software.Results: Average sound pressure level for the exposed group (65.32±5.23 dB) was significantly higher than that of the referent group (53.26±2.46 dB) (P<0.05). Similarly, the mean values of permanent threshold shift (dB) as well as systolic and diastolic blood pressure were significantly higher in the exposed group than in their counterpart individuals (P<0.05). Likewise, symptoms such as headache and irritability were significantly more common among the exposed subjects. Conclusion: The findings suggest that exposure to sub-TLV levels of noise (recommended by ACGIH) in hospital environments is also associated with decreased hearing threshold, increased blood pressure, and prevalence of psycho-neural disorders.

Keywords

  1. Zun LS, Downey L. The Effect of Noise in the
  2. Emergency Department. Acad Emerg Med 2005;
  3. (7): 663-6.
  4. Neghab M, Maddahi M, Rajaeefard AR. Hearing
  5. Impairment and Hypertension Associated with Long
  6. Term Occupational Exposure to Noise. IRCMJ 2009;
  7. (2): 160-5.
  8. Clark WW, Bohne BA. Effect of noise on hearing.
  9. JAMA 1999; 281: 1658-9.
  10. Yildirim I, Kilinc M, Okur E, Inanc Tolun F, Kilic MA,
  11. Kurutas EB, et al. The effects of noise on hearing and
  12. oxidative stress in textile workers. Ind Health 2007;
  13. (6): 743-9.
  14. Keipert JA. The harmful effects of noise in a children’s
  15. ward. J Paediatr Child Health 2008; 21(2): 101-3.
  16. Freedman NS, Gazendam J, Levan L, Pack AI, Schwab
  17. RJ. Abnormal sleep/wake cycles and the effect of
  18. environmental noise on sleep disruption in the intensive
  19. care unit. Am J Respir Crit Care Med 2001; 163(2):
  20. -7.
  21. Van Kempen EE, Kruize H, Boshuizen HC, Ameling
  22. CB, Staatsen BA, de Hollander AE. The association
  23. between noise exposure and blood pressure and
  24. ischemic heart disease: A meta-analysis. Environ.
  25. Health Perspect 2002; 110(3): 307-17.
  26. Ising H, Kruppa B. Health effects caused by
  27. noise:Evidence in the literature from the past 25 years.
  28. Noise Health 2004; 6(22): 5-13.
  29. Penney PJ, Earl CE. Occupational noise and effects
  30. on blood pressure: exploring the relationship of
  31. hypertension and noise exposure in workers. Am Assoc
  32. Occup Health Nurses J 2004; 52(11): 476-80.
  33. Roozbahani MM, Nassiri P, Shalkouhi PJ. Risk
  34. assessment of workers exposed to noise pollution in a
  35. textile plant. Int J Environ Sci Tech 2009; 6(4): 591-6.
  36. Koszarny Z. Evaluation of acoustic conditions in
  37. hospitals of provincial capital cities. Rocz panstw zakl
  38. Hig 1991;42(4): 339-50.
  39. Tijunelis MA, Fitzsullivan E, Henderson SO. Noise in
  40. the Ed. Am J Emerg Med 2005; 23(3): 332-5.
  41. McLaren E, MaxWell-Armstrong C. Noise pollution
  42. on an acute surgical ward. Ann R Coll Surg Engl 2008;
  43. : 136-9.
  44. Buelow M. Noise Level Measurements in Four Phoenix
  45. Emergency Departments. J Emerg Nurs 2001; 27(1):
  46. -6.
  47. Noweir MH, al-Jiffry MS. Study of noise pollution in
  48. Jeddah Hospitals. J Egypt public Health Assoc 199;
  49. (3-4): 291-303.
  50. World Health Organization. WHO Guidelines for
  51. Community Noise. 1999
  52. hq/1999>.
  53. Berglund B, Lindvall T, Schwela DH. (1999). Guidelines
  54. for community noise. World Health Organization,
  55. Geneva.
  56. Juang DF, Lee CH, Yang T, Chang MC. Noise pollution
  57. and its effects on medical care workers and patients
  58. in hospitals. Int J Environ Sci Tech 2010; 7(4): 705-16.
  59. Giovinetto R, Roletti S, Saporiti F. The percentage of
  60. the population exposed to harmful acoustic pollution
  61. levels resulting from vehicular traffic in the hospital
  62. area of Turin. Radiat Prot Dosimetry 2004; 111(4):
  63. -9.
  64. Busch-Vishniac IJ, West JE, Barnhill C, Hunter T,
  65. Orellana D, Chivukula R. Noise levels in John Hopkins
  66. Hospital. J Acoust Soc Am 2005; 118(6): 3629-45.
  67. Orellana D, Busch-Vishniac IJ, West JE. Noise in
  68. the adult emergency department of Johns Hopkins
  69. Hospital. J Acoust Soc Am 2007; 121(4): 1996-9.
  70. Kracht JM, Busch-Vishniac IJ, West JE. Noise in the
  71. operating rooms of Johns Hopkins Hospital. J Acoust
  72. Soc Am 2007; 121(5 /1): 2673-80.
  73. 1998 World Heath Organization-International Society
  74. of Hypertension Guidelines for the Management of
  75. Hypertension, Guidelines Subcommittee. J Hypertes
  76. ; 17: 151-83.
  77. Hinchcliffe R. Sound, i nfrasound a nd ultrasound.
  78. In: Raffle PAB, Adam PH, Baxter PJ, Lee WR, eds.
  79. Hunter’s diseases of occupation. 8th ed. Edward
  80. Arnold, London, UK; 1994. p.271-94.
  81. Zamanian Z, Golmohamadi R, Abedini R, Hossinzadeh
  82. K, Soltanzadeh A, Ghiasvand R. Study of Smoking
  83. effect on Hearing Loss. Halth System Research (HSR)
  84. ; 9(6): 640-7 (In Persian)
  85. Nomura K, Nakao M, Morimoto T. Effect of smoking
  86. on hearing loss: quality assessment and meta-analysis.
  87. Preventive Medicine 2005; 40: 138-44.
  88. Golmohammadi R. Noise and Vibration Engineering.
  89. Daneshjoo Press 1382; 138-41.
  90. Lawton BW, Claydon M, Gennart J-Ph, Howe W,
  91. Urbanus J. “A noise exposure threshold value for
  92. hearing conservation.” REPORT-CONCAWE-WHITE
  93. SPECIAL INTEREST. 2001.