ORIGINAL PAPER
Exposure to self-reported occupational noise and diabetes – A cross-sectional relationship 
in 7th European Social Survey (ESS7, 2014)
			
	
 
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				Medical University of Plovdiv, Plovdiv, Bulgaria
(Faculty of Public Health, Department of Hygiene and Ecomedicine)
				 
			 
										
				
				
		
		 
			
			
		
		
		
		
			
			 
			Online publication date: 2017-04-14
			 
		 		
		
		 
	
							
					    		
    			 
    			
    				    					Corresponding author
    					    				    				
    					Angel Mario Dzhambov   
    					Medical University of Plovdiv, Faculty of Public Health, Department of Hygiene and Ecomedicine, Vassil Aprilov
Blvd., 15A, 4002, Plovdiv, Bulgaria
    				
 
    			
				 
    			 
    		 		
			
							 
		
	 
		
 
 
Int J Occup Med Environ Health. 2017;30(4):537-51
		
 
 
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ABSTRACT
Objectives: Almost nothing is known about the effect of occupational noise on diabetes, and this is particularly relevant
given the wide spread of both noise exposure and diabetes. This study has aimed to determine whether occupational noise
exposure is associated with higher risk of diabetes in Europe. Material and Methods: This study is based on 7th European
Social Survey (ESS7, 2014) – a multi-country population-based questionnaire survey, which covered 28 221 Europeans
aged ≥ 15 years old. Data on self-reported noise exposure, diabetes and other sociodemographic and work-related
factors was available. The odds of prevalent diabetes were explored using unconditional logistic regression. Results: In
the total sample (N = 23 486), participants ever exposed to very loud noise had no substantive increase in the odds of
diabetes (odds ratio (OR) = 1.01, 95% confidence interval (CI): 0.78–1.32). There were subgroups with non-significantly
increased odds: men (OR = 1.12, 95% CI: 0.87–1.45), the elderly (OR = 1.09, 95% CI: 0.91–1.31), ethnic minority members
(OR = 1.55, 95% CI: 0.91–2.62), those with secondary education (OR = 1.05, 95% CI: 0.78–1.41) and those living in
small cities/towns (OR = 1.07, 95% CI: 0.89–1.29). Low-skilled white-collar workers had OR = 1.34 (95% CI: 1.09–1.64).
Among participants employed during the preceding 5 years the odds were OR = 1.24 (95% CI: 0.95–1.61). Conclusions: Self-reported occupational noise was not associated with increased odds of prevalent diabetes in the total sample. Sensitivity
analyses revealed some subgroups with non-significantly higher odds. Our results suggest that further delve into the relationship
between occupational noise and diabetes is feasible and warranted. Int J Occup Med Environ Health 2017;30(4):537–551