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Occup Environ Med 61:340-344 doi:10.1136/oem.2003.009183
  • Original article

Cigarette smoking, occupational exposure to noise, and self reported hearing difficulties

Table 1

Associations between self reported hearing difficulties, tinnitus, smoking, and working in a noisy occupation

Hearing problem/smoking habits Years worked in noisy job*
None <1–5 >5
No. No. (%) +ve PR (95% CI) No. No. (%) +ve PR (95% CI) No. No. (%) +ve PR (95% CI)
*Years in a job where there was a need to shout to be heard.
†Severe  =  severe or can’t hear at all in either ear, or wearing of a hearing aid; moderate  =  moderate difficulty in the worse affected ear (and no use of a hearing aid).
‡Persistent  =  most or all of the time in the past 12 months.
No. (%) +ve  =  number and % positive for the hearing outcome.
The baseline for all risk estimates was subjects who were free of auditory problems. All risks were estimated relative to those of non-smokers who had never worked in a noisy job. All PRs were adjusted for age, sex, and self report of frequent tiredness or stress and frequent headaches. The analysis excludes 50 subjects with severe hearing difficulty, 77 with moderate to severe hearing difficulty, and 49 with tinnitus who failed to provide information on years worked in a noisy job or frequency of tiredness, stress, and headaches.
Severe hearing difficulty
Never smoked 2698 45 (1.7) 1.0 551 18 (3.3) 2.2 (1.3 to 3.7) 293 31 (10.6) 4.6 (2.9 to 7.1)
Formerly smoked 1109 37 (3.3) 1.4 (0.9 to 2.1) 362 15 (4.1) 2.0 (1.1 to 3.5) 256 47 (18.4) 5.9 (3.9 to 8.7)
Currently smoking 915 23 (2.5) 1.3 (0.8 to 2.1) 338 15 (4.4) 2.4 (1.4 to 4.2) 208 30 (14.4) 5.8 (3.7 to 8.9)
Moderate/severe hearing difficulty
Never smoked 2736 83 (3.0) 1.0 573 40 (7.0) 2.4 (1.7 to 3.3) 341 79 (23.2) 5.0 (3.8 to 6.3)
Formerly smoked 1140 68 (6.0) 1.4 (1.0 to 1.8) 384 37 (9.6) 2.4 (1.7 to 3.4) 319 110 (34.5) 5.9 (4.7 to 7.4)
Currently smoking 943 51 (5.4) 1.5 (1.1 to 2.1) 367 44 (12.0) 3.3 (2.4 to 4.5) 248 70 (28.2) 5.7 (4.4 to 7.1)
Persistent tinnitus‡
Never smoked 2752 99 (3.6) 1.0 574 41 (7.1) 1.9 (1.4 to 2.7) 312 50 (16.0) 3.0 (2.2 to 4.1)
Formerly smoked 1131 59 (5.2) 1.0 (0.7 to 1.4) 394 47 (11.9) 2.4 (1.7 to 3.3) 277 68 (24.5) 3.8 (2.8 to 5.0)
Currently smoking 929 37 (4.0) 0.9 (0.6 to 1.3) 355 32 (9.0) 2.1 (1.4 to 3.0) 223 45 (20.2) 3.6 (2.5 to 4.9)

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