Resumen

NTLHAKANA, L.; NELSON, G.; KHOZA-SHANGASE, K.  y  MAPOSA, I.. Predicting standard threshold shifts for occupational hearing loss among miners at a large-scale platinum mine in South Africa. J. S. Afr. Inst. Min. Metall. [online]. 2021, vol.121, n.8, pp.397-404. ISSN 2411-9717.  http://dx.doi.org/10.17159/2411-9717/1318/2021.

Occupational noise-induced hearing loss (ONIHL) is associated with various risk factors in South African mines. We investigated the association between standard threshold shifts (STSs) and exposure to noise and platinum mine dust (PMD), using demographic data, five years of annual audiometry screening results, and noise and dust exposure data. Miners' age, sex, percentage hearing loss (PLH), and dust and noise exposure data were gathered, and a linear mixed effects regression model used to predict STS. Average occupational exposure levels to noise and dust were calculated from recorded measurements. A total of 12 692 records were analysed. Most miners were male (89.6%) and more than 50% were younger than 41 years. More than 70% were exposed to > 85 dBA noise and 58% were exposed to 1.5-2.99 mg/m3 PMD. Changes in hearing levels ranged from 8.3 dBHL at baseline (2014/2015) to 10 dBHL in 2016 (STS), with no changes thereafter. The model showed that the estimated effect on STS for males was 27% and 21% higher than for females, for the left and right ear, respectively The estimated effect of age, PLH, noise exposure and years of exposure on STS was < 10% for each variable. There was no statistically significant association between PMD and STS. The combined effects of age, sex, years of exposure to noise, and noise exposure levels, and strength of associations can be used to predict STS for this group of miners. Our findings may be used to measure the efficacy of the mine's hearing conservation programme.

Palabras clave : occupational noise-induced hearing loss; noise; platinum mine dust; standard threshold shift.

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