我国职业噪声暴露与心理健康关系的meta分析

职业与健康 ›› 2024, Vol. 40 ›› Issue (4): 528-531.

我国职业噪声暴露与心理健康关系的meta分析

刘秀梅¹, 向定涛², 张阳², 梅勇²

1.深圳市宝安区福永人民医院感染疾病科,广东深圳 518100;
2.武汉科技大学公共卫生学院,湖北武汉 430065

收稿日期:2023-06-13 修回日期:2023-08-07 出版日期:2024-02-15 发布日期:2026-03-12
通信作者: 梅勇,教授,E-mail：meiyong2006@163.com
作者简介:刘秀梅,女,副主任医师,主要从事传染病预防与控制工作。
基金资助:
深圳市宝安区课题项目（2021JD248）

Meta-analysis of the relationship between occupational noise exposure and mental health in China

LIU Xiumei¹, XIANG Dingtao², ZHANG Yang², MEI Yong²

1. Infectious Diseases Department, Bao'an District Fuyong People's Hospital, Shenzhen Guangzhou, 518100, China;
2. School of Public Health, Wuhan University of Science and Technology, Wuhan Hubei, 430065, China

Received:2023-06-13 Revised:2023-08-07 Online:2024-02-15 Published:2026-03-12
Contact: MEI Yong,Professor,E-mail：meiyong2006@163.com

摘要/Abstract

摘要： 目的系统评价我国职业噪声暴露与心理健康的关系。方法通过检索中国知网（CNKI）、维普数据库、万方数据资源系统,收集我国已公开发表的研究职业噪声暴露与心理健康关系的相关文献,筛选并进行文献质量评级,运用RevMan 5.4软件进行统计分析。结果检索出491篇相关文献,筛选后纳入11篇文献,文献纳入率为2.24%。统计结果显示,噪声暴露对身体不适感、强迫症状、人际关系敏感、抑郁症状、敌对情绪、焦虑症状、恐怖感、偏执和精神病性症状这9项心理健康指标均可产生影响,其中主要影响表现为身体不适感、抑郁症状和焦虑症状。身体不适感合并后的标准化均数差（SMD）=0.46,95%CI为0.35~0.57;抑郁症状合并后的SMD=0.47,95%CI为0.36~0.58;焦虑症状后的SMD=0.45,95%CI为0.38~0.52。结论职业噪声暴露可能对工人的心理健康产生显著影响,主要表现为抑郁症状、焦虑症状以及身体不适感等。

关键词: 噪声, 心理健康, 症状自评量表, Meta分析

Abstract: Objective To systematically evaluate the relationship between occupational noise exposure and mental health in China. Methods Through searching the China National Knowledge Infrastructure（CNKI）,Weipu database,Wanfang data resource system,the relevant literature on the relationship between occupational noise exposure and mental health that had been publicly published in China were collected,the quality of the literature was screened and evaluated,and RevMan 5.4 software was used for statistical analysis. Results A total of 491 relevant articles were retrieved,and 11 articles were included after screening,with a literature inclusion rate of 2.24%.The statistical results showed that noise exposure could affect nine mental health indicators,including physical discomfort,obsessive-compulsive symptoms,sensitivity to interpersonal relationships,depressive symptoms,hostile emotions,anxiety symptoms,fear,paranoia,and psychotic symptoms.The main impact was manifested as physical discomfort,depressive symptoms,and anxiety symptoms.The standardized mean difference（SMD） after combining physical discomfort was 0.46,with a 95%CI of 0.35-0.57;the SMD after combining depressive symptoms was 0.47,with a 95%CI of 0.36-0.58;and the SMD after combining anxiety symptoms was 0.45,with a 95%CI of 0.38-0.52. Conclusion Occupational noise exposure may have a significant impact on workers' mental health,mainly manifested as depressive symptoms,anxiety symptoms,and physical discomfort.

Key words: Noise, Mental health, Symptom check-list 90, Meta analysis

中图分类号:

R181.3⁺1

刘秀梅, 向定涛, 张阳, 梅勇. 我国职业噪声暴露与心理健康关系的meta分析. [J]职业与健康, 2024, 40(4): 528-531.

LIU Xiumei, XIANG Dingtao, ZHANG Yang, MEI Yong. Meta-analysis of the relationship between occupational noise exposure and mental health in China. [J]OCCUPATION AND HEALTH, 2024, 40(4): 528-531.

参考文献

[1] 谢庆堂,陈开,罗健,等.职业性噪声作业工人双耳高频平均听阈与耳鸣的关系[J].中国医药指南,2020,18(21):28-30.
[2] BOGER M E,SAMPAIO A L L,OLIVEIRA C A C P D.Analysis of hearing and tinnitus in workers exposed to occupational noise[J].Int Tinnitus J,2017,20(2):88-92.
[3] GUSKI R,SCHRECKENBERG D,SCHUEMER R.WHO environmental noise guidelines for the european region:A systematic review on environmental noise and annoyance[J].Int J Envir Res Public Health,2017, 14(12):15-39.
[4] 曾伟楠,全鹏,辜美惜,等.SCL-90的因素结构:传统因素模型与双因素模型[J].中国卫生统计,2016,33(5):742-745.
[5] GÜLIÜM A G,NURAY B M,EROL B.The effects of tinnitus and/or hearing loss on the symptom checklist-90-revised test[J].ANLA,2013,40(2):154-161.
[6] 曹婧媛,傅文青,吴鹏飞,等.江苏省SCL-90-R常模的建立[J].中国临床心理学杂志,2009,17(6):681-683.
[7] 白忠贞,顾涛.对某汽配厂接触噪声工人90项症状自评量表的调查研究[J].铁路节能环保与安全卫生,1996,23(4):260-262.
[8] SHI Y L,ZHAO J,AI F L,et al.Evaluating the quality of case-control studies involving the association between tobacco exposure and diseases in a Chinese population based on the Newcastle-Ottawa scale and post-hoc power[J].BES,2022,35(9):861-866.
[9] 杨欣,曹金龙,潘惠娟,等.卵巢低反应患者高孕激素状态下促排卵方案与拮抗剂方案临床应用效果对比的meta分析[J].中华生殖与避孕杂志,2022,42(4):379-387.
[10] NORRIS J M,SIMPSON B S,BALL R,et al.A modified Newcastle-Ottawa scale for assessment of study quality in genetic urological research[J].Eur Urol,2020,79(3):325-326.
[11] 曾宪涛,刘慧,陈曦,等.Meta分析系列之四:观察性研究的质量评价工具[J].中国循证心血管医学杂志,2012,4(4):17-19.
[12] 何寒青,陈坤.Meta分析中的异质性检验方法[J].中国卫生统计,2006,23(6):486-490.
[13] 付金玉,秦超英.累积Meta分析合并效应量的一种简便算法[J].中国循证医学杂志,2016,16(8):984-987.
[14] 张世洪. Meta分析应合理设置亚组分析与敏感性分析以准确解释结果[J].中国现代神经疾病杂志,2016,16(1):1-2.
[15] 俞慧强,郑辉烈,李悦,等.Meta分析发表偏倚诊断方法研究[J].中国卫生统计,2011,28(4):402-405.
[16] 寇苏生,宋雨默,游玉红,等.噪声作业职工脑电图与心理状态分析[J].职业与健康,2000,16(11):21-22.
[17] 马万赋,王红.噪声对女工心理健康水平的影响[J].工业卫生与职业病,2001,27(3):172-173.
[18] 卓倬,龙云芳.纺织噪声对工人的心理状况影响研究[J].职业卫生与病伤,2002,17(3):172-174.
[19] 叶运莉,李爱玲,高绪芳.噪声对工人心理影响的研究[J].泸州医学院学报,2003,26(4):317-319.
[20] 沈金水,黄炳华.石板材业噪声对工人的心理卫生状况调查[J].职业卫生与病伤,2003,18(3):186-187.
[21] 孙丙坤. 纺织噪声对作业工人心理健康的影响[J].郑州大学学报:医学版,2007,42(4):734-737.
[22] 杨松涛,宿萍,吴进,等.纺织工作环境及其噪声对女工心理健康的影响[J].中国组织工程研究,2007,11(35):7004-7008.
[23] 章红顺. 生产性噪声对工人健康状况的影响[J].海峡预防医学杂志,2008,14(2):73-74.
[24] 王培席,杨新华,闫娟.噪声和高气湿对棉纺厂女工心理状况的影响[J].中国职业医学,2009,36(1):84-85.
[25] 杨慧琴,贺家勇,段新光,等.噪声岗位员工心理健康状况分析与EAP应对效果评价[J].新疆医科大学学报,2016,39(12):1583-1585.
[26] KE J,DU J,LUO X.The effect of noise content and level on cognitive performance measured by electroencephalography(EEG)[J].Autom Constr,2021,130(3):103836.
[27] LI A,MARTINO E,MANSOUR A,et al.Environmental noise exposure and mental health:Evidence from a population-based longitudinal study[J].AJPM,2022,63(2):39-48.
[28] CERLETTI P,EZE I C,SCHAFFNER E,et al.The independent association of source-specific transportation noise exposure,noise annoyance and noise sensitivity with health-related quality of life[J].Environ Int,2020,143(15):105960.
[29] 李云霞,袁素娥,李辉.医院噪声对护理人员的职业危害及管理对策[J].护理学杂志,2018,33(16):99-102.
[30] FUKS K B,GUDRUM W,XAVIER B,et al.Long-term exposure to ambient air pollution and traffic noise and incident hypertension in seven cohorts of the European study of cohorts for air pollution effects (ESCAPE)[J].Eur Heart J,2017,13:983-990.
[31] 黄伟雄,陈远骥.职业性噪声聋患者心理健康与应对方式分析[J].饮食保健,2019,6(26):49-50.
[32] 詹思延. 流行病学[M].北京:人民卫生出版社,2017:156-158.
[33] 黄爱君,詹思延.系统综述和Meta分析[J].中国药物应用与监测,2009,6(4):257-259.
[34] 胡敏,邓喆轩.某石化企业短丝装置噪声职业病危害调查与分析[J].安全、健康和环境,2019,19(6):18-21.
[35] 蒋斌杰. 职业健康监护中存在的问题及对策[J].心理医生,2016,22(3):236-237.
[36] 孙娟. 隐性听力损失在职业健康监护中的研究进展[J].中华劳动卫生职业病杂志,2021,39(6):478-480.