首页|我国职业噪声暴露与心理健康关系的meta分析

我国职业噪声暴露与心理健康关系的meta分析

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

NoiseMental healthSymptom check-list 90Meta analysis

刘秀梅、向定涛、张阳、梅勇

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深圳市宝安区福永人民医院感染疾病科,广东深圳 518100

武汉科技大学公共卫生学院,湖北武汉 430065

噪声 心理健康 症状自评量表 Meta分析

深圳市宝安区课题

2021JD248

2024

职业与健康
天津市疾病预防控制中心 中华预防医学会

职业与健康

CSTPCD
影响因子:0.737
ISSN:1004-1257
年,卷(期):2024.40(4)
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