Associations of Noise and Socioeconomic and -Demographic Status on Cardiovascular and Respiratory Diseases on Borough Level in a Large German City State

Urban Science

Krefis, Anne Caroline¹ 

关键词: socioeconomic;    cardiovascular disease;    respiratory disease;    noise;    urban area;    spatial analysis;   

DOI  :  10.3390/urbansci1030027

学科分类：社会科学、人文和艺术（综合）

来源: mdpi

【 摘 要 】

Worldwide, cardiovascular and respiratory diseases are increasing. Environmental noise and the socioeconomic and sociodemographic situation are important factors for the diseases. Using borough health claims data from 2011 in the city of Hamburg, ecological analyses with principal component analyses were conducted to describe the relationship of road traffic noise Lden (day, evening, and night) > 65 dB(A), physician density, and social deprivation with regional prevalence rates of heart failure and hypertension (n = 67 boroughs). Additionally, associations between the considered factors with borough prevalence rates of acute bronchitis and asthma in children up to 14 years old were analyzed. The multivariate regression analyses (ANCOVA) indicated that the socioeconomic and sociodemographic borough background might be associated with cardiovascular and respiratory diseases, showing the strongest association among hypertensive female patients with 9.90 percent (p < 0.0001) in the highest social deprivation category, when compared to the group of low social deprivation. However, associations between noise, physician density, and the respective health outcomes were negligible. Results will serve as a basis for further investigations. By using data from two surveys, future studies will focus on individual level data to assess the validity of our model, and to develop strategies to reduce the prevalence of cardiovascular and respiratory diseases.

【 授权许可】

CC BY