环境与职业医学2026，Vol.43Issue(6)：739-743,761,6.DOI:10.11836/JEOM25476
生产性粉尘与噪声暴露对汽车制造业工人高血糖的影响
Effects of productive dust and noise exposure on hyperglycemia in automobile manufacturing workers
摘要
Abstract
[Background]Both productive dust and noise are occupational hazards,and each can induce changes in blood glucose levels among workers. [Objective]To explore the potential interactive effects of exposure to productive dust and noise on the risk of hyperglycemia among automobile manufacturing workers. [Methods]Using a cluster sampling method,workers undergoing occupational health examination from three automobile manufacturing plants in Wuhan in 2022 were selected.Basic information was collected using a questionnaire designed by the Chinese Center for Disease Control and Pre-vention.Exposure history was obtained through occupational history interviews.Clinic indicators such as blood pressure,blood lipids,fasting blood glucose(FBG),and fatty liver status,were re-trieved from examination records.Hyperglycemia was defined as FBG>6.1 mmol·L-1.Logistic re-gression models analyzed the independent effects of occupational noise and dust exposure,while additive and multiplicative interaction models assessed their interactive effects on hyper-glycemia. [Results]The prevalence of hyperglycemia among the 1 223 participants was 7.7%.Logistic re-gression showed that using workers without exposure as reference,the odds ratios(OR)and 95%confidence intervals(CI)for hyperglycemia among workers exposed only to dust,only to noise,and to both were 2.15(1.90,4.23),2.23(1.40,5.08),and 3.75(1.95,7.24),respectively.A linear association was observed between the duration of noise exposure and blood glucose levels(P<0.05).Interaction analysis showed no multiplicative interaction or additive interaction. [Conclusion]Exposure to productive dust and noise are independent risk factors for hyperglycemia among workers.While both contribute to increased risk,no significant synergistic interaction is observed.关键词
生产性粉尘/噪声/高血糖/汽车制造业/交互作用Key words
productive dust/noise/hyperglycemia/automobile manufacturing/interaction分类
医药卫生引用本文复制引用
吴洁,王锋,胡珺,罗莹,廖永刚,陈振龙..生产性粉尘与噪声暴露对汽车制造业工人高血糖的影响[J].环境与职业医学,2026,43(6):739-743,761,6.基金项目
职业危害识别与控制湖北省重点实验室开放基金项目(OHIC2021Y08) This study was funded. （OHIC2021Y08）
