title: Hearing difficulty attributable to employment by industry and occupation: an analysis of the National Health Interview Survey--United States, 1997 to 2003.
abstract: OBJECTIVE
  To estimate the national burden of hearing difficulty among workers in US industries and occupations.
  
  
  METHODS
  Data on 130,102 employed National Health Interview Survey respondents between the ages of 18 to 65 years who were interviewed between 1997 and 2003 were analyzed to estimate the population prevalence, adjusted prevalence ratios, and fractions of hearing difficulty attributable to employment.
  
  
  RESULTS
  The estimated population prevalence of hearing difficulty was 11.4% (24% attributable to employment). The adjusted prevalence ratios of hearing difficulty were highest for railroads, mining, and primary metal manufacturing industry. Occupations with increased risk of hearing difficulty were mechanics/repairers, machine operators, and transportation equipment operators.
  
  
  CONCLUSIONS
  Hearing difficulty was differentially distributed across various industries. In industries with high rates, employers and workers should take preventive action to reduce the risk of occupational hearing loss.
authors.affiliation: Division of Surveillance, Hazard Evaluations, and Field Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, 4676 Columbia Parkway, Cincinnati, OH 45226, USA. stak@cdc.gov
authors.forename: SangWoo
authors.initials: S
authors.lastname: Tak
authors.forename: Geoffrey M
authors.initials: GM
authors.lastname: Calvert
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D004651:Employment; D005260:Female; D006306:Health Surveys; D006319:Hearing Loss, Sensorineural / Q000453:epidemiology*; D006801:Humans; D007221:Industry; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000453:epidemiology*; D009790:Occupations; D015995:Prevalence; D014481:United States / Q000453:epidemiology