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| Trends in disease burden of hearing loss attributable to occupational noise exposure in China from 1990 to 2021 |
| ZHANG Lei1, LI Yuzheng1, LI Menghan2, ZHAO Rui2, ZHAO Xiaohang2, LIAN Qingxia1
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1. The Third People's Hospital of Henan Province (Henan Provincial Occupational Disease Hospital), Zhengzhou, Henan 450052, China;
2. School of Public Health, Zhengzhou University, Zhengzhou, Henan 450001, China |
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Abstract Objective To analyze the trend of disease burden of hearing loss attributable to occupational noise exposure in China from 1990 to 2021, so as to provide the evidence for optimizing noise prevention strategies and occupational health surveillance systems. Methods Data on disability-adjusted life years (DALY) and age-standardized DALY rate (ASDR) for hearing loss attributable to occupational noise exposure in China from 1990 to 2021 were collected from the Global Burden of Disease 2021 database. The estimated annual percent change (EAPC) was used to analyze the trend in ASDR from 1990 to 2021. Results From 1990 to 2021, the DALY for hearing loss attributable to occupational noise exposure in China increased from 1.279 7 million person-years to 2.683 9 million person-years, and the ASDR increased from 123.08/105 to 133.99 /105 (EAPC=0.324%, 95%CI: 0.296%-0.352%). From 1990 to 2021, the ASDR for hearing loss attributable to occupational noise exposure among males and females in China increased from 141.04/105 and 104.92/105 to 149.99/105 and 118.06/105, with EAPC values of 0.269% (95%CI: 0.231%-0.307%) and 0.413% (95%CI: 0.392%-0.433%). In 1990, the 60-65 years age group had relatively high DALY and ASDR, with 0.157 6 million person-years and 446.06/105, respectively. In 2021, the ≥70 years group had relatively high DALY of 0.434 7 million person-years, while the 60-<65 years group had relatively high ASDR of 510.64/105. Except for the 15-20 and 20-25 years groups, all other age groups showed an increasing trend in ASDR for hearing loss attributable to occupational noise exposure from 1990 to 2021. Among them, the ASDR increased faster in the 55-<60, 60-<65, 65-<70, and ≥70 years groups, with EAPC values of 0.364% (95%CI: 0.311%-0.417%), 0.459% (95%CI: 0.389%-0.529%), 0.564% (95%CI: 0.505%-0.623%), and 0.295% (95%CI: 0.212%-0.377%), respectively. Conclusions From 1990 to 2021, the disease burden of hearing loss attributable to occupational noise exposure in China showed an increasing trend. Males, the elderly had a higher disease burden, while the burden increased faster in females and middle-aged and elderly populations.
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Received: 23 December 2025
Revised: 14 May 2026
Published: 22 June 2026
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