Exposure to loud noise and risk of vestibular schwannoma

Results from the interphone international case‒control study

INTERPHONE Study Group

Research output: Contribution to journalArticle

Abstract

Objective Studies of loud noise exposure and vestibular schwannomas (VS) have shown conflicting results. The population-based INTERPHONE case‒control study was conducted in 13 countries during 2000–2004. In this paper, we report the results of analyses on the association between VS and self-reported loud noise exposure. Methods Self-reported noise exposure was analyzed in 1024 VS cases and 1984 matched controls. Life-long noise exposure was estimated through detailed questions. Odds ratios (OR) and 95% confidence intervals (CI) were estimated using adjusted conditional logistic regression for matched sets. Results The OR for total work and leisure noise exposure was 1.6 (95% CI 1.4–1.9). OR were 1.5 (95% CI 1.3–1.9) for only occupational noise, 1.9 (95% CI 1.4–2.6) for only leisure noise and 1.7 (95% CI 1.2–2.2) for exposure in both contexts. OR increased slightly with increasing lag-time. For occupational exposures, duration, time since exposure start and a metric combining lifetime duration and weekly exposure showed significant trends of increasing risk with increasing exposure. OR did not differ markedly by source or other characteristics of noise. Conclusion The consistent associations seen are likely to reflect either recall bias or a causal association, or potentially indicate a mixture of both.

Original languageEnglish
Pages (from-to)183-193
Number of pages11
JournalScandinavian Journal of Work, Environment and Health
Volume45
Issue number2
DOIs
Publication statusPublished - 2019 Jan 1

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Acoustic Neuroma
Noise
Odds Ratio
Confidence Intervals
Leisure Activities
Occupational Noise
Occupational Exposure
Logistic Models
Population

Keywords

  • Epidemiology
  • Key terms acoustic neuroma
  • Noise exposure

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Exposure to loud noise and risk of vestibular schwannoma : Results from the interphone international case‒control study. / INTERPHONE Study Group.

In: Scandinavian Journal of Work, Environment and Health, Vol. 45, No. 2, 01.01.2019, p. 183-193.

Research output: Contribution to journalArticle

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abstract = "Objective Studies of loud noise exposure and vestibular schwannomas (VS) have shown conflicting results. The population-based INTERPHONE case‒control study was conducted in 13 countries during 2000–2004. In this paper, we report the results of analyses on the association between VS and self-reported loud noise exposure. Methods Self-reported noise exposure was analyzed in 1024 VS cases and 1984 matched controls. Life-long noise exposure was estimated through detailed questions. Odds ratios (OR) and 95{\%} confidence intervals (CI) were estimated using adjusted conditional logistic regression for matched sets. Results The OR for total work and leisure noise exposure was 1.6 (95{\%} CI 1.4–1.9). OR were 1.5 (95{\%} CI 1.3–1.9) for only occupational noise, 1.9 (95{\%} CI 1.4–2.6) for only leisure noise and 1.7 (95{\%} CI 1.2–2.2) for exposure in both contexts. OR increased slightly with increasing lag-time. For occupational exposures, duration, time since exposure start and a metric combining lifetime duration and weekly exposure showed significant trends of increasing risk with increasing exposure. OR did not differ markedly by source or other characteristics of noise. Conclusion The consistent associations seen are likely to reflect either recall bias or a causal association, or potentially indicate a mixture of both.",
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AU - Deltour, Isabelle

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AU - Massardier-Pilonchéry, Amélie

AU - Schlaefer, Klaus

AU - Arm-Strong, Bruce

AU - Giles, Graham G.

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AU - Yamaguchi, Naohito

AU - Takebayashi, Toru

AU - Woodward, Alistair

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AU - Feychting, Maria

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N2 - Objective Studies of loud noise exposure and vestibular schwannomas (VS) have shown conflicting results. The population-based INTERPHONE case‒control study was conducted in 13 countries during 2000–2004. In this paper, we report the results of analyses on the association between VS and self-reported loud noise exposure. Methods Self-reported noise exposure was analyzed in 1024 VS cases and 1984 matched controls. Life-long noise exposure was estimated through detailed questions. Odds ratios (OR) and 95% confidence intervals (CI) were estimated using adjusted conditional logistic regression for matched sets. Results The OR for total work and leisure noise exposure was 1.6 (95% CI 1.4–1.9). OR were 1.5 (95% CI 1.3–1.9) for only occupational noise, 1.9 (95% CI 1.4–2.6) for only leisure noise and 1.7 (95% CI 1.2–2.2) for exposure in both contexts. OR increased slightly with increasing lag-time. For occupational exposures, duration, time since exposure start and a metric combining lifetime duration and weekly exposure showed significant trends of increasing risk with increasing exposure. OR did not differ markedly by source or other characteristics of noise. Conclusion The consistent associations seen are likely to reflect either recall bias or a causal association, or potentially indicate a mixture of both.

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