SynthesisBMJ open2020
Occupational noise-induced hearing loss in China: a systematic review and meta-analysis.
Synthesis in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
60 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Prevalence and risk factors of hearing loss among the middle-aged and older population in China: a systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023Pooled it
- Research Progress and Suggestions on the Noise Equal Energy Hypothesis: A Systematic Review and Meta-analysis.Noise & healthPooled it
- Applying Machine Learning Models to Predict Occupational Noise-Induced Hearing Loss: A Systematic Review and Meta-analysis.Noise & healthPooled it
- Occupational Hearing Loss in the Intensive Care Unit: A Comparative Study Between ICU and Non-ICU Nursing Staff.Nursing in critical care · 2026Article
- Combined effects of xylene and noise exposure at realistic low levels on hearing impairment: a cross-sectional study in China.Preventive medicine reports · 2026Article
- Estimates for sensory impairments requiring rehabilitation in China and globally: a comparative analysis of trends from 1990 to 2021 and future projections based on the GBD-WHO rehabilitation database 2021.Journal of global health · 2026Article
- Predicting hearing loss in noise-exposed petrochemical workers: Influencing factors and a nomogram model.Public health in practice (Oxford, England) · 2026Article
- Characteristics of Older Adults Seeking Hearing Aids for the First Time and Initial Fitting Parameters in Mainland China.Audiology research · 2026Article
- Prevalence and sex differences in moderate-to-severe hearing loss among older adults: a cross-sectional study.BMC geriatrics · 2026Article
- Elucidating the burden of dual-sensory impairment in community-based older individuals in a multi-ethnic society.Scientific reports · 2026Article
- Development and empirical validation of a multi-criteria decision-making model for the assessment of noise-induced hearing loss (NIHL) in high-exposure industrial settings.BMC public health · 2026Article
- Genetic and Environmental Factors Shaping Hearing Loss: Xenobiotics, Mechanisms and Translational Perspectives.Journal of xenobiotics · 2026Review
- Review
- A review of occupational noise-induced hearing loss: focus on mechanisms and preventive measures.British medical bulletin · 2025Review
- Transient-Evoked Otoacoustic Emissions May Reveal Damage to Outer Hair Cells Caused by Exposure to Recreational Noise: A Narrative Review.Medicina (Kaunas, Lithuania) · 2025Review
- Associations Between Occupational Noise Exposure, Aging, and Gender and Hearing Loss: A Cross-Sectional Study in China.Audiology research · 2025Article
- Assessment of Semicircular Canal Functioning Using a Video Head Impulse Test in Individuals with Occupational Noise Exposure.Journal of the American Academy of Audiology · 2025Article
- Evaluation of fetal exposure to environmental noise using a computer-generated model.Nature communications · 2025Article
- Evaluation of the Decrease in DPOAE Levels After VEMP Testing in Clinical Patients Referred to the Vertigo Outpatient Clinic.Journal of clinical medicine · 2025Article
- The association between occupational noise exposure and hearing loss among petrochemical enterprise workers in Hainan, South China.Scientific reports · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveMost of the Chinese occupational population are becoming at risk of noise-induced hearing loss (NIHL). However, there is a limited number of literature reviews on occupational NIHL in China. This study aimed to analyse the prevalence and characteristics of occupational NIHL in the Chinese population using data from relevant studies.
designSystematic review and meta-analysis.
methodsFrom December 2019 to February 2020, we searched the literature through databases, including Web of Science, PubMed, MEDLINE, Scopus, the China National Knowledge Internet, Chinese Sci-Tech Journal Database (weip.com), WanFang Database and China United Library Database, for studies on NIHL in China published in 1993-2019 and analysed the correlation between NIHL and occupational exposure to noise, including exposure to complex noise and coexposure to noise and chemicals.
resultsA total of 71 865 workers aged 33.5±8.7 years were occupationally exposed to 98.6±7.2 dB(A) (A-weighted decibels) noise for a duration of 9.9±8.4 years in the transportation, mining and typical manufacturing industries. The prevalence of occupational NIHL in China was 21.3%, of which 30.2% was related to high-frequency NIHL (HFNIHL), 9.0% to speech-frequency NIHL and 5.8% to noise-induced deafness. Among manufacturing workers, complex noise contributed to greater HFNIHL than Gaussian noise (overall weighted OR (OR)=1.95). Coexposure to noise and chemicals such as organic solvents, welding fumes, carbon monoxide and hydrogen sulfide led to greater HFNIHL than noise exposure alone (overall weighted OR=2.36). Male workers were more likely to experience HFNIHL than female workers (overall weighted OR=2.26). Age, noise level and exposure duration were also risk factors for HFNIHL (overall weighted OR=1.35, 5.63 and 1.75, respectively).
conclusionsThe high prevalence of occupational NIHL in China was related to the wide distribution of noise in different industries as well as high-level and long-term noise exposure. The prevalence was further aggravated by exposure to complex noise or coexposure to noise and specific chemicals. Additional efforts are needed to reduce occupational noise exposure in China.
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