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Cardiovascular composite events and the healthy worker effect among noise-exposed workers: a retrospective cohort study

Source: Frontiers - Health • Published: 07 Jul 2026, 00:00

Cardiovascular composite events and the healthy worker effect among noise-exposed workers: a retrospective cohort study

Assessment of how occupational noise exposure relates to hypertension and ECG abnormalities and whether the healthy worker effect biases cohort findings.

Key Takeaways
  • Workers with over 120 months of noise exposure showed HR 0.621 for composite events
  • After excluding pre-employment hires the reduced risk persisted with HR 0.787
  • Baseline systolic blood pressure ≥130 mmHg was associated with HR 1.663 increased risk
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