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ENT, University General Hospital Attikon, Greece
ENT, Naval Hospital of Athens, Greece
Ophthalmology, University General Hospital Attikon, Greece
A - Research concept and design; B - Collection and/or assembly of data; C - Data analysis and interpretation; D - Writing the article; E - Critical revision of the article; F - Final approval of article;
Submission date: 2020-04-22
Final revision date: 2020-07-28
Acceptance date: 2020-09-04
Publication date: 2020-11-16
Corresponding author
Christodoulos Dimakis   

ENT, University General Hospital Attikon, rimini 1, 12462, Athens, Greece
J Hear Sci 2020;10(3):43-50
Noise-induced hearing loss (NIHL) is a common occupational disease that both shipyard and battle cruiser workers may encounter, since they are both exposed to hazardous noise levels. However, both white- and blue-collar workers are simultaneously exposed to possible daily risk-factors of incident tinnitus and subsequent hearing loss (HL), such as caffeine and smoking. The aim of the present prospective study is to investigate the prevalence of HL in these working groups of the Greek Navy and the Hellenic Shipyard SA (HSY) in Skaramanga, Greece, and to look at the correlation between OHL and hazardous noise levels as well as other individual factors.

Material and methods:
During 2015–17, multiple choice questionnaires including questions referring to socio-demographic information, educational level, and daily habits were administered, and audiograms were performed, to 120 male white- and blue-collar workers, aged 23–30 years old. Statistical analysis was conducted using SPSS v.15.

HL in battle cruiser employees was correlated with occupational noise and individual factors such as caffeine, smoking, and educational level. Additionally, HL in shipyard employees was correlated with occupational noise, alcohol and caffeine intake, smoking, and educational level. A higher level of HL appeared to be correlated with higher levels of occupational noise, lower educational level, and larger consumption of caffeine, alcohol, and smoking. Dietary habits were non-significantly statistically correlated with HL in both types of workers.

HL is a disease strongly related to the Navy and the shipyard industry. Therefore, constant monitoring of workers, implementation of hearing conservation programs, and using preventive measures are the cornerstone of preventing and treating HL. More research of HL in Navy employees should be conducted.

Pelegrin AC, Canuet L, Rodríguez ÁA, Morales MP. Predictive factors of occupational noise-induced hearing loss in Spanish workers: a prospective study. Noise Health, 2015 Sep-Oct; 17(78): 343–9.
Masterson EA, Tak S, Themann CL, Wall DK, Groenewold MR, Deddens JA, Calvert GM. Prevalence of hearing loss in the United States by industry. Am J Ind Med, 2013 Jun; 56(6): 670–81.
Suter AH. Construction noise: exposure, effects, and the potential for remediation; a review and analysis. AIHA J, 2002 Nov- Dec; 63(6): 768–89.
Hong O, Lusk SL, Ronis DL. Ethnic differences in predictors of hearing protection behavior between black and white workers. Res Theory Nurs Pract, 2005;19: 63–76.
Palmer, KT, Coggon, D, Syddall, HE, Pannett, B, Griffin, MJ. Occupational exposure to noise and hearing difficulties in Great Britain. Suffolk: HSE Books, 2001.
Alexopoulos EC, Tsouvaltzidou T. Hearing loss in shipyard employees. Indian J Occup Environ Med, 2015 Jan-Apr; 19(1): 14–18.
Yankaskas K. Prelude: noise-induced tinnitus and hearing loss in the military. Hear Res, 2013; 295: 3–8.
Pfannenstiel TJ. Noise-induced hearing loss: a military perspective. Curr Opin Otolaryngol Head Neck Surg, 2014; 22: 384–7.
Collee A, Legrand C, Govaerts B, Van Der Veken P, De Boodt F, Degrave E. Occupational exposure to noise and the prevalence of hearing loss in a Belgian military population: a cross-sectional study. Noise Health, 2011; 13: 64–70.
Annual Benefits Report, Fiscal Year 2012. Department of Veteran Affairs, 2012.
Directive 2003/10/EC of the European Parliament and of the Council of 6 February 2003 on the minimum health and safety requirements regarding the exposure of workers to the risks arising from physical agents (noise) (Seventeenth individual Directive within the meaning of Article 16(1) of Directive 89/391/EEC). Official Journal of the European Union 46(42): 38–44.
Kirchner DB, Evenson E, Dobie RA, Rabinowitz P, Crawford J, Kopke R, et al. ACOEM Task Force on Occupational Hearing Loss. J Occup Environ Med, 201254(1): 106–8.
Leensen MC, Dreschler WA. The applicability of a speech-innoise screening test in occupational hearing conservation. Int J Audiol, 2013; 52(7): 455–65.
Feder K, Michaud D, McNamee J, Fitzpatrick E, Davies H, Leroux T. Prevalence of hazardous occupational noise exposure, hearing loss, and hearing protection usage among a representative sample of working Canadians. J Occup Environ Med, 2017; 59(1), 92–113.
Forshaw C. Report of an International Expert Symposium on the Usefulness of Otoacoustic Emissions (OAE) Testing in Occupational Health Surveillance, 8–9 February 2011. Manchester: Corporate Medical Unit, Health & Safety Executive, 2011.
Marshall L, Lapsley Miller JA, Heller LM. Distortion-product otoacoustic emissions as a screening tool for noise-induced hearing loss. Noise Health, 2001; 3(12): 43–60.
Sliwinska-Kowalska M, Kotylo, P. Otoacoustic emissions in industrial hearing loss assessment. Noise Health, 2001; 3(12): 75–84.
Helleman HW, Eising H, Limpens J. Otoacoustic emissions versus audiometry in monitoring hearing loss after long-term noise exposure: a systematic review. Scand J Work Environ Health, 2018 Nov 1; 44(6): 585–600.
Ologe FE, Olajide TG, Nwawolo CC, Oyejola BA. Deterioration of noise-induced hearing loss among bottling factory workers. J Laryngol Otol, 2008 Aug; 122(8): 786–94.
Masterson EA, Themann CL, Calvert GM. Prevalence of hearing loss among noise-exposed workers within the agriculture, forestry, fishing, and hunting sector, 2003–2012. Am J Ind Med, 2018 January; 61(1): 42–50.
U.S. Department of Commerce, The Kraus Organization Limited. North American Industry Classification System: United States. White Plains, MD: Automated Graphic Systems, Inc; 2007.
Social Insurance Institute – Unified Insurance Fund of Employees: Occupational Diseases 2009 and Retrospective Data for 2003–2009.
Rachiotis G, Alexopoulos C, Drivas S. Occupational exposure to noise, and hearing function among electro production workers. Auris Nasus Larynx, 2006; 33: 381–5.
Ruan Q, Ma C, Zhang R, Yu Z. Current status of auditory aging and anti-aging research. Geriatr Gerontol Int, 2014; 14: 40–53.
Kidd AR, Bao J. Recent advances in the study of age-related hearing loss: a mini-review. Gerontology, 2012; 58: 490–6.
Chole RA, McKenna M. Pathophysiology of otosclerosis. Otol Neurotol, 2001; 22: 249–57.
Alexopoulos EC, Kavadi Z, Bakoyannis G, Papantonopoulos S. Subjective risk assessment and perception in the Greek and English bakery industries. J Environ Public Health, 2009; 2009: 891754.
Nilsson R, Lidén G, Sandén A. Noise exposure and hearing impairment in the shipbuilding industry. Scand Audiol, 1977; 6: 59–68.
Prince MM. Distribution of risk factors for hearing loss: implications for evaluating risk of occupational noise-induced hearing loss. J Acoust Soc Am, 2002; 112: 557–67.
Curhan SG, Eavey R, Shargorodsky J, Curhan GC. Prospective study of alcohol use and hearing loss in men. Ear Hear, 2011 Feb; 32(1): 46–52.
Seidman MD, Quirk WS, Shirwany NA. Mechanisms of alterations in the microcirculation of the cochlea. Ann N Y Acad Sci, 1999; 884: 226–32.
Rosenhall U, Sixt E, Sundh V, Svanborg A. Correlations between presbyacusis and extrinsic noxious factors. Audiology, 1993; 32: 234–43.
Fransen E, Topsakal V, Hendrickx JJ et al. Occupational noise, smoking, and a high body mass index are risk factors for age-related hearing impairment and moderate alcohol consumption is protective: a European population-based multicenter study. J Assoc Res Otolaryngol, 2008; 9: 261–3.
Helzner EP, Cauley JA, Pratt SR et al. Race and sex differences in age-related hearing loss: the Health, Aging and Body Composition Study. J Am Geriatr Soc, 2005; 53: 2119–27.
Zawawi F, Bezdjian A, Mujica-Mota M, Rappaport J, Daniel SJ. Association of caffeine and hearing recovery after acoustic overstimulation events in a guinea pig model. JAMA Otolaryngol Head Neck Surg, 2016 Apr; 142(4): 383–8.
Hu H, Sasaki N, Ogasawara T et al. Smoking, smoking cessation, and the risk of hearing loss: Japan Epidemiology Collaboration on Occupational Health Study. Nicotine & Tobacco Research. April 2019; 21(4): 481–8.
Mahboubi H, Zardouz S, Oliaei S, Pan D, Bazargan M, Djalilian HR. Noise-induced hearing threshold shift among US adults and implications for noise-induced hearing loss: National Health and Nutrition Examination Surveys. Eur Arch Otorhinolaryngol, 2013; 270: 461–7.
Greek Ministry of Labour and Social Insurance. Presidential Decree 85/91: Protection of Workers from the Risks Related to Exposure to Noise at Work, in Compliance with Directive 86/188/EEC. 1991.
Fernández MD, Quintana S, Chavarría N, Ballesteros JA. Noise exposure of workers of the construction sector. Appl Acoust, 2009; 70: 753–60.
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