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Epidemiologic considerations in the evaluation of occupational hearing loss.

Authors
Morata-TC; Lemasters-GK
Source
Occup Med: State of the Art Rev 1995 Jul; 10(3):641-656
Link
NIOSHTIC No.
00229442
Abstract
Epidemiological issues associated with occupational hearing loss were explored in this review. Strategies for the analysis of occupational hearing loss were described. Lists of characteristics of noise induced or chemically induced hearing loss as well as descriptions of the clinical presentations of such occurrences intended to assist in their diagnosis were presented. Several types of epidemiologic studies, such as cross sectional, case/control, retrospective and prospective cohort, and nested case/control studies, were described and critiqued. Considerations in study design including sample size, survey measures and instruments, the role of bias, subject recruitment, and clinical evaluation were discussed. In addition, aspects of data analysis such as the contribution of different audiometric tests to the outcome of epidemiological studies of occupational hearing loss and the roles of multicollinearity, confounding, and effect modification were examined. The authors conclude that a careful identification of subtle underlying associations and confounders is needed for the examination of complex exposure/disease relationships.
Keywords
NIOSH-Author; Analytical-methods; Hearing-disorders; Hearing-loss; Hearing-impairment; Noise-induced-hearing-loss; Epidemiology; Occupational-exposure
CODEN
SAOME4
Publication Date
19950701
Document Type
Journal Article
Editors
Morata-TC; Dunn-DE
Fiscal Year
1995
NTIS Accession No.
NTIS Price
ISBN No.
9781560531814
Issue of Publication
3
ISSN
0885-114X
NIOSH Division
DBBS
Source Name
Occupational Medicine: State of the Art Reviews. Occupational Hearing Loss
State
OH
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