Effect of Noise Exposure on Occupational Stress and Hypertension among Workers: a Meta-Analysis

Authors

  • Maria Paskanita Widjanarti Occupational Health and Safety Department, Vocational School, Universitas Sebelas Maret
  • Sumardiyono Occupational Health and Safety Department, Vocational School, Universitas Sebelas Maret
  • Aurina Firda Kusuma Wardani Occupational Health and Safety Department, Mitra Husada School of Health Sciences, Karanganyar,

DOI:

https://doi.org/10.26911/jepublichealth.2025.10.03.09

Abstract

Background: The work environment greatly affects the health condition of the workers so that there are no work-related accidents or occupational diseases. Noisy physical environmental factors above the threshold value have a risk of causing occupational diseases such as psychological work stress and hypertension. This study aims to analyze the effect of noise exposure on occupational stress and hypertension among workers.

Subjects and Method: This study is a systematic review and meta analysis with the following PICO. P: working society, I: exposure noise ≥85 dBA, C: not exposed to noise ≥85 dBA, O: Stress and Hypertension. This study used of articles published between 2009 and 2022 were comprehensively searched for using electronic databases like PubMed, ProQuest, Scopus, and Google Scholar. The keywords to search for articles were “noise exposure” OR “occupational noise” AND “occupational stress” OR “work stress” AND “hypertension”. The adjusted odds ratio was used to evaluate the effect size (aOR). To evaluate the bias risk, the Critical Appraisal Skill Program (CASP) was used. Articles were analyzed using the Review Manager 5.3 application.

Results: This study includes 14 papers, using cross-sectional and case-control study designs, from Asia, including Indonesia, Malaysia, China, Jordan, and South Korea. Based on 5 studies cross-sectional on the effects of exposure to noise in the event of work stress, work stress increases 4.88 times compared to workers who are not exposed to noise (aOR=4.88; 95% CI= 1.77 to 13.47; p= 0.002). 9 subgroup studies with cross-sectional and case-control study designs on the effect of noise exposure showed an increase of 2.47 times the incidence of hypertension compared to workers who were not exposed to noise at work (aOR= 2.47; 95% CI= 1.75 to 3.48; p<0.001).

Conclusion: Exposure to noise increases the risk of work-related stress and hypertension. Suggestions that can be made are to carry out engineering, periodic measurements, work time management, workforce education and use of PPE.

Keywords:

Noise exposure, Occupational noise, Occupational stress, Work stress, Hypertension

Correspondence

Maria Paskanita Widjanarti. Occupational Health and Safety Department, Vocational School, Universitas Sebelas Maret. Jl. Kolonel Sutarto 150K, Surakarta 57126, Indonesia. Email address: maria.paskanita@staff.uns.ac.id. Mobile: 08121022742.

References

Alyan E, Saad NM, Kamel N, Al-bawri SS, ZakariyaMA, Rahman MA (2021). Identifying the Impact of Noise Levels on Mental Stress : An EEG-fNIRS Study. J.Phys.Conf.Ser. 0–8. doi: 10.1088/1742-6596/1962/1/012006.

Attarchi M, Dehghan F, Safakhah F, Nojomi M, Mohammadi S (2012). Effect of exposure to occupational noise and shift working on blood pressure in rubber manufacturing company workers. Ind. Health 50(3); 205–213. doi: 10.1088/1742-6596/1962/1/012006.

Chang T, Hwang B, Liu C, Chen R, Wang V, Bao B, Lai J (2013). Occupational Noise Exposure and Incident Hyper-tension in Men : A Prospective Cohort Study. Am. J. Epidemiol. 177(8); 818–825. doi: 10.1093/aje/kws300.

Chen S, Ni Y, Zhang L, Kong L, Lu L, Yang Z, Yang L, et al (2017). Noise exposure in occupational setting associated with elevated blood pressure in China. BMC Public Health 17. 1–7.doi: 10.1186/s12889-017-4050-0.

Daiber A, Kröller-schön S, Oelze M, Hahad O, Li H, Schulz R, Steven S, et al. (2020). Oxidative stress and inflamemation contribute to traffic noise induced vascular and cerebral dysfunction via uncoupling of nitric oxide synthases. Redox Biol. 34(2020). doi: 10.1016/j.redox.2020.101506.

De Souza TCF, Périssé ARS, Moura M. (2015). Noise exposure and hyperten-sion: Investigation of a silent relationship Environmental and occupational health. BMC Public Health 15; 1–9.doi: 10.1186/s12889-015-1671z.

Eze IC, Foraster M, Schaffner E, Vienneau D, Pieren R, Imboden M, Wunderli JM. et al (2020). Incidence of depressssion in relation to transportation noise exposure and noise annoyance in the SAPALDIA study. Environ. Int. 144(2020).doi: 10.1016/j.envint.2020.106014.

FujinoY, Mizoue T, Izumi H, Kumashiro M, Hasegawa T, Yoshimura T (2001). Job Stress and Mental Health among Permanent Night Workers. J. Occup. Health 43; 301–306.

Hahad O, Prochaska JH, Daiber A, Muenzel T. (2019). Environmental Noise-Induced Effects on Stress Hormones, Oxidative Stress, and Vascular Dysfunction: Key Factors in the Relationship between Cerebrocardiovascular and Psycho-logical Disorders. Oxidative Med. Cel. Longev. doi: 10.1155/2019/4623109.

Handayani S (2016). The Effect of Noise on Work Stress of Employees in the Production Area of the Rambutan Palm Oil Factory of PTPN III in 2016. University of North Sumatra.

Kerns E, Masterson EA, Themann CL, Calvert GM (2018). Cardiovascular conditions, hearing difficulty, and occupational noise exposure within US industries and occupations. Am. J. Ind. Med. 61(6); 477–491. doi:10.100-2/ajim.22833

Khairani S, Achmadi UF, (2020). Analysis of the Relationship Between Noise Levels and Hypertension Incidence in Refining Workers at PT X in 2019. 1(3). J. Glob. 019; 252–259. doi: 10.7454/jnklg.v1i3.1016.

Kim H, Cheon E, Bai D, Lee YH, Koo B (2018). Stress and Heart Rate Variability: A Meta Analysis and Review of the Literature.

Kim MG, Ahn YS (2021). The relationship between occupational noise exposure and hypertension using nearest age-matching method in South Korea male workers. Cogent Eng. 8(1). doi:10.1080/23311916.2021.1909798.

Langer J, Taylour J, Smith AP (2020). Noise exposure, satisfaction with the working environment, and the wellbeing process. In: The 13th ICBEN Congress on Noise as a Public Health Problem. 11–18.

Liu CS, Young LH, Yu TY, Bao BY, Chang TY (2016). Occupational noise frequencies and the incidence of hypertension in a retrospective cohort study. Am. J. Epidemiol. 184(2); 120–128. doi: 10.1093/aje/kwv333.

Liu J, Zhu B, Xia Q, Ji X, Pan L, Bao Y, Lin Y (2020). The effects of occupational noise exposure on the cardiovascular system : review. J. Public Heal. Emerg. 4(2020).doi: 10.21037/jphe.-2020.03.07.

Marón FJM, Ferder L, Saraví FD, Manucha W (2019). Hypertension linked to allostatic load : from psychosocial stress to inflammation and mitochondrial dysfunction. Stress 22(2); 169–181. doi: 10.1080/10253890.2018.-1542683.

Mursali A, Basuki E, Dharmono S, Mursali DA, Kes M (2009). Relationship between noise and job stress at a private thread spinning company. Universa Med. 28(1), 8–16.doi: 10.18051/UnivMed.2009.v28.8-16.

Murti B (2016). Principles and Methods of Epidemiological Research, Fourth Edition. ed. Central Java.

Ningsih KW, Fitri RP (2017). The Influence of the Physical Environment on the Occurrence of Work Stress on Welding Workshop Workers in Pekanbaru City. J. Abdurrab Nurse. 1(1); 27–32.

Nserat S, Al-Musa A, Khader YS, Abu Slaih A, Iblan I (2017). Blood pressure of jordanian workers chronically exposed to noise in industrial plants. Int. J. Occup. Environ. Med. 8(4); 217–223. doi: 10.15171/ijoem.2017.1134.

Nuaim R, Rasdi I, Norkhadijah S, ZAE (2015). The Relationship between Noise with Stress and Sleep Distur-bances among Manufacturing Work-ers. Asia Pacific Environ. Occup. Heal. J. 1(1); 9–14.

Nuzulia S (2010). Dinamika stress kerja, self efficacy dan strategi coping.

Pretzsch A. Seidler. A, Hegewald. J. (2021). Health Effects of Occupational Noise. Curr. Pollut. Rep. 7; 344–358. doi: 10.1007/s40726-021-00194-4.

Putra WS, Heriyani F, Djallalluddin (2020). The relationship between house noise and the incidence of hypertension. Homeostatis 3(1); 91–96.

Radun J, Maula H, Rajala V, Scheinin M, Hongisto V. (2022). Acute stress effects of impulsive noise during mental work. J. Environ. Psychol. 81-(2022). doi: 10.1016/j.jenvp.2022.10-1819.

Recio A, Linares C, Banegas JR, Díaz J. (2016). Road traffic noise effects on cardiovascular, respiratory, and meta-bolic health: An integrative model of biological mechanisms. Environ. Res. 146; 359–370. doi: 10.1016/j.envres-.2015.12.036.

Sarkar S, Menon V, Padhy S, Kathiresan P. (2024). Mental health and well ‑ being at the workplace. Indian J. Psychiatry | 66(2); s353-64.doi: 10.4103/Indianjpsychiatry.indian-jpsychiatry-608-23

Shrestha A, Shiqi M. (2017). Occupational Noise Exposure in Relation to Hypertension: A Cross-sectional Study in the Steel Factory. Occup. Med. Heal. Aff. 05(3); 1–10.doi: 10.4172/2329-6879.1000266.

Stanovská M, Tomášková H. (2024). Health Impact of Environmental and Industrial Noise – A Narrative Review. Med. Pr. Work. Heal. Saf. 75(5); 425–431. doi: 10.13075/mp.5893.01491.

Tak S, Davis RR, Calvert GM. (2009). Exposure to Hazardous Workplace Noise and Use of Hearing Protection Devices Among US Workers — NHANES , 1999 – 2004. Am. J. Ind. Med. 52(5); 358–371.doi: 10.1002/ajim.20690.

Utami LN, IdrisH. (2020). Relationship between risk factors and increased blood pressure in workers. Public Heal. Saf. Int. J. Januari 1(1); 29–37. doi: 10.55642/phasij.v1i01.

Wang F, Song X, Li F, Bai Y, Han L, Zhang H, Zhang F. et al., (2018). Occupational noise exposure and hyperten-sion: a case-control study. J. Public Heal. Emerg. 2; 30–30. doi: 10.21037/jphe.2018.12.01.

Wu X, Li C, Zhang X, Song Y, Zhao D, Lan Y, Zhou B (2022). The Impact of Occupational Noise on Hypertension Risk: A Case-Control Study in Automobile Factory Personnel. Front. Cardiovasc. Med. 9; 1–8.doi: 10.338-9/fcvm.2022.803695.

Yanti N, Mulyadi A, Afandi D (2013). Analysis of the Relationship between the Physical Work Environment and the Occurrence of Work Stress in Welding Workshop Industry Workers in Pekanbaru City in 2013.

Zhang D, Wu D, Wang S, Jiao J, Yang Y, Zhou W, Zeng D. et al., (2024). The influence of occupational noise expo-sure on blood pressure and hearing loss among female workers of child bearing age. BMC Public Health 24; 1–7.doi: 10.1186/s12889-024-19004-9.

Zhou F, Shrestha A, Mai S, Tao Z, Li J, Wang Z, Meng X (2019a). Relationship between occupational noise exposure and hypertension: A cross-sectional study in steel factories. Am. J. Ind. Med. 62(11); 961–968.doi: 10.1002/ajim.23034.

Downloads

Published
2025-07-16

Issue
Vol. 10 No. 3 (2025)

Section
flow-chart-line Articles

How to Cite
Widjanarti, M. P., Sumardiyono, & Wardani, A. F. K. (2025). Effect of Noise Exposure on Occupational Stress and Hypertension among Workers: a Meta-Analysis . Journal of Epidemiology and Public Health, 10(3), 384–398. https://doi.org/10.26911/jepublichealth.2025.10.03.09