Author:
Bodin Theo,Albin Maria,Ardö Jonas,Stroh Emilie,Östergren Per-Olof,Björk Jonas
Abstract
Abstract
Background
Results from studies of road traffic noise and hypertension are heterogeneous with respect to effect size, effects among males and females and with respect to effects across age groups. Our objective was to further explore these associations.
Methods
The study used cross-sectional public health survey data from southern Sweden, including 24,238 adults (18 - 80 years old). We used a geographic information system (GIS) to assess the average road noise (LAeq 24 hr) at the current residential address. Effects on self-reported hypertension were estimated by logistic regression with adjustment for age, sex, BMI, alcohol intake, exercise, education, smoking and socioeconomic status.
Results
Modest exposure effects (OR ≈ 1.1) were generally noted in intermediate exposure categories (45 -64 dB(A)), and with no obvious trend. The effect was more pronounced at > 64 dB(A) (OR 1.45, 95% CI 1.04 - 2.02). Age modified the relative effect (p = 0.018). An effect was seen among middle-aged (40 - 59 years old) at noise levels 60 - 64 dB(A) (OR = 1.27, 95% CI 1.02 - 1.58)) and at > 64 dB(A) (OR = 1.91, 95% CI 1.19 - 3.06)). An effect was also indicated among younger adults but not among elderly. No apparent effect modification by gender, country of origin, disturbed sleep or strained economy was noted.
Conclusion
The study supports an association between road traffic noise at high average levels and self-reported hypertension in middle-aged. Future studies should use age group -specific relative effect models to account for differences in prevalence.
Publisher
Springer Science and Business Media LLC
Subject
Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health
Reference32 articles.
1. European Environmental Agency: Europes environment - The Dobris assessment. Copenahgen. 1995
2. World Health Organization: Transport-related health effects with particular focus on children. Geneva. 2004
3. Babisch W: Noise and health. Environ Health Perspect. 2005, 113 (1): A14-15.
4. Babisch W: Traffic Noise and Cardiovascular Disease: Epidemiological Review and Synthesis. Noise Health. 2000, 2 (8): 9-32. 10.1291/hypres.31.775.
5. Lundberg U: Coping with Stress: Neuroendocrine Reactions and Implications for Health. Noise Health. 1999, 1 (4): 67-74.
Cited by
107 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献