A Longitudinal Assessment of Hearing Loss in the World Trade Center General Responder Cohort.

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Journal of occupational and environmental medicine Pub Date : 2025-09-01 Epub Date: 2025-04-18 DOI:10.1097/JOM.0000000000003428

Nancy L Sloan, Christopher R Dasaro, Moshe Z Shapiro, Henry S Sacks, Iris G Udasin, Jacqueline M Moline, Benjamin J Luft, Denise J Harrison, Michael A Crane, Andrew C Todd, Susan L Teitelbaum

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Abstract

Objective: In analyses without adjustment for World Trade Center (WTC) noise exposure, people with WTC and neighborhood exposures from the September 11, 2001, attacks have experienced slightly elevated risks of hearing loss. We investigated incident hearing loss in the WTC General Responder Cohort by their levels of WTC exposure, their WTC noise exposure and previous occupation.

Methods: Adjusted multivariable log binomial regression models assessed persistent (≥10 months) hearing loss associated with WTC exposures using 22 years of the monitoring visit data ( n = 45,537).

Results: Compared with the lowest exposure level without WTC noise exposure, WTC noise exposure increased hearing loss risk (adjusted relative risk range: 1.19 [95% confidence interval 1.08, 1.30] to 1.58 [1.43, 1.76]).

Conclusions: The results clarify the importance of WTC noise when evaluating the associations of WTC exposures on hearing loss.

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世界贸易中心一般应答者队列听力损失的纵向评估。

摘要：目的：在未调整世界贸易中心（WTC）噪声暴露的分析中，2001年9月11日袭击事件中世贸中心及其周边环境暴露的人群听力损失风险略有升高。我们通过世贸中心暴露水平、世贸中心噪音暴露水平和以前的职业调查了世贸中心一般响应者队列的意外听力损失。方法：调整多变量对数二项回归模型评估持久性（≥10个月）听力损失与WTC暴露相关，使用22年的监测访问数据（n = 45,537）。结果：与没有WTC噪声暴露的最低暴露水平相比，WTC噪声暴露增加了听力损失的风险（调整后的相对风险范围：1.19[95%置信区间1.08,1.30]至1.58[1.43,1.76]）。结论：本研究结果阐明了在评估WTC暴露与听力损失的关系时WTC噪声的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal of occupational and environmental medicine

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