If we want to provide the efficient training intervention to increase the duration of using hearing protection devices (HPDs) by workers, we need a tool that can estimate the person’s hearing threshold taking into account noise exposure level, age, and work history, and compare them with audiometry to find out the percent reduction of workers hearing loss.
First, the workers noise exposure level was determined according to ISO 9612, then 4000 Hz audiometry was done to find age and work history. On basis of ISO 1999 the hearing threshold was estimated and if the hearing protection device was not used continuously and correctly, the hearing protection device’s actual performance was reduced adjusted with person’s audiometry. After training intervention, the estimate was done again and was compared with the adjusted audiometry.
According to ISO 1999 standard estimation results, the percent reduction of the workers hearing loss level was 6.48 dB in intervention group. This level remained unchanged in control group. The mean score of hearing threshold estimation (standard ISO 1999) was statistically more significant than mean score of hearing threshold (p-value ¡ 0.001). The results show not significant change in control group due to lack of changing of noise exposure level.
In regards to the results of hearing threshold estimation based on ISO 1999 and comparing with workers audiometry, it can be seen that BASNEF training intervention increases the duration of using the HPDs and it could be effective in reducing hearing threshold related to noise.
Noise exposure is one of the most important physical agents in the workplace which can induce job stress in several ways. The aim of this study was to model the interactions between independent and mediating variables and job stress using structural equation modeling. In this study, Weinstein’s noise sensitivity scale, noise annoyance questionnaire, Health and Safety Executive (HSE) job stress questionnaire and job satisfaction scale were used. To assess worker’s noise exposure, the 8-hours equivalent continuous A-weighted sound pressure level (LAeq;8 h), was measured based on ISO 9612 (2009). To achieve the aims of study, the structural equation model was run using R software 3.4.1 and Cytoscape software 3.6.0. Based on the results, while there was a direct positive correlation of noise exposure on total job stress, there were also indirect positive effects through job satisfaction and noise sensitivity as mediator variables. Using hearing protective devices negatively affected total job stress through a direct pathway and an indirect pathway when job satisfaction was a mediator variable. Regarding the total effect of noise exposure and using hearing protection devices on job stress subscales, it can be concluded that noise exposure and using hearing protection devices had greatest effect on colleagues support and demand, respectively. It can be concluded that noise exposure and lack of hearing protective devices have a significant positive effect on job stress among workers of a textile industry. In addition to the direct effect, this factor can induce job stress through noise sensitivity, job satisfaction and noise annoyance. Therefore, measures which can decrease any of the mentioned factors, also can alleviate job stress.