Prävalenz und berufliches Risiko von Schwerhörigkeit und Hörverlust, Tinnitus und Schwindel – gematchte Kohortenstudie
摘要
Hearing loss, hearing impairment, tinnitus, vertigo and dizziness are common conditions but the occupational risk is not well understood, particularly in female-dominated occupational groups. This retrospective matched cohort study aimed to analyze the frequency of these conditions in the general population and the occupational risk of developing them in selected occupational groups, compared to groups with lower exposure (e.g., office workers). The study was based on routine data from the nationwide statutory health insurance system from 2016–2020. The prevalences of tinnitus, hearing impairment and dizziness/vertigo in the general population were 2.4%, 3.1% and 3.9%, respectively. Women were more frequently affected by tinnitus, dizziness and vertigo than men. Tinnitus and hearing impairment became more prevalent with age, whereas dizziness and vertigo were distributed relatively evenly across all age groups. Compared with less exposed occupational groups, childcare workers had significantly higher odds for dizziness and vertigo (odds ratio, OR, 1.14) and hearing problems (OR 1.10). These results emphasize the importance of preventive measures in noisy work environments, such as childcare facilities and highlight the influence of work on the development of these conditions.