Exposure to aircraft and road traffic noise and associations with heart disease and stroke in six European countries: a cross-sectional study

Environmental Health

Research

Charlotte Clark¹  Federica Vigna-Taglianti²  Wolfgang Babisch³  Klea Katsouyanni⁴  Ennio Cadum⁵  Göran Pershagen⁶  Manolis Velonakis⁷  Marta Blangiardo⁸  Kees de Hoogh⁸  Sarah Floud⁹  Anna L Hansell^1,10  Wim Swart^1,11  Danny Houthuijs^1,11 

[1] Centre for Psychiatry, Barts & the London School of Medicine, Queen Mary University of London, London, UK;Department of Clinical and Biological Sciences, University of Torino “San Luigi Gonzaga”, Orbassano, Italy;Department of Environmental Hygiene, Federal Environment Agency, Berlin, Germany;Department of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece;Environmental Epidemiologic Unit, Regional Agency for Environmental Protection (ARPA), Grugliasco, Piedmont Region, Italy;Institute of Environmental Medicine, Karolinska Institute, Solna, Sweden;Laboratory of Prevention, Nurses School, National and Kapodistrian University of Athens, Athens, Greece;MRC-PHE Centre for Environment and Health, Imperial College London, London, UK;MRC-PHE Centre for Environment and Health, Imperial College London, London, UK;Cancer Epidemiology Unit, University of Oxford, Oxford, UK;MRC-PHE Centre for Environment and Health, Imperial College London, London, UK;Public Health and Primary Care, Imperial College Healthcare NHS Trust, London, UK;National Institute for Public Health and the Environment, Bilthoven, The Netherlands;

关键词: Air pollutants;    Angina pectoris;    Cardiovascular diseases;    Myocardial infarction;    Noise;    Transportation;    Stroke;   

DOI  :  10.1186/1476-069X-12-89

 received in 2013-06-03, accepted in 2013-09-25,  发布年份 2013

来源: Springer

【 摘 要 】

BackgroundAlthough a number of studies have found an association between aircraft noise and hypertension, there is a lack of evidence on associations with other cardiovascular disease. For road traffic noise, more studies are available but the extent of possible confounding by air pollution has not been established.MethodsThis study used data from the Hypertension and Environmental Noise near Airports (HYENA) study. Cross-sectional associations between self-reported ‘heart disease and stroke’ and aircraft noise and road traffic noise were examined using data collected between 2004 and 2006 on 4712 participants (276 cases), who lived near airports in six European countries (UK, Germany, Netherlands, Sweden, Greece, Italy). Data were available to assess potential confounding by NO2 air pollution in a subsample of three countries (UK, Netherlands, Sweden).ResultsAn association between night-time average aircraft noise and ‘heart disease and stroke’ was found after adjustment for socio-demographic confounders for participants who had lived in the same place for ≥ 20 years (odds ratio (OR): 1.25 (95% confidence interval (CI) 1.03, 1.51) per 10 dB (A)); this association was robust to adjustment for exposure to air pollution in the subsample. 24 hour average road traffic noise exposure was associated with ‘heart disease and stroke’ (OR: 1.19 (95% CI 1.00, 1.41), but adjustment for air pollution in the subsample suggested this may have been due to confounding by air pollution. Statistical assessment (correlations and variance inflation factor) suggested only modest collinearity between noise and NO2 exposures.ConclusionsExposure to aircraft noise over many years may increase risks of heart disease and stroke, although more studies are needed to establish how much the risks associated with road traffic noise may be explained by air pollution.

【 授权许可】

Unknown   
© Floud et al.; licensee BioMed Central Ltd. 2013. This article is published under license to BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.