Road traffic noise is associated with increased cardiovascular morbidity and mortality and all-cause mortality in London

被引：172

作者：

Halonen, Jaana I. ^{[1
]}

Hansell, Anna L. ^{[2
,3
]}

Gulliver, John ^{[2
]}

Morley, David ^{[2
]}

Blangiardo, Marta ^{[2
]}

Fecht, Daniela ^{[2
]}

Toledano, Mireille B. ^{[2
]}

Beevers, Sean D. ^{[4
]}

Anderson, Hugh Ross ^{[4
]}

Kelly, Frank J. ^{[4
]}

Tonne, Cathryn ^{[1
,4
]}

机构：

[1] London Sch Hyg & Trop Med, Dept Social & Environm Hlth Res, London WC1H 9SH, England

[2] Univ London Imperial Coll Sci Technol & Med, Sch Publ Hlth, Dept Epidemiol & Biostat, UK Small Area Hlth Stat Unit,MRC PHE Ctr Environm, London W2 1PG, England

[3] Imperial Coll Healthcare NHS Trust, London, England

[4] Kings Coll London, MRC PHE Ctr Environm & Hlth, Waterloo SE1 9NH, ON, Canada

来源：

EUROPEAN HEART JOURNAL | 2015年 / 36卷 / 39期

基金：

英国医学研究理事会; 英国经济与社会研究理事会; 英国自然环境研究理事会;

关键词：

Traffic noise; Cardiovascular; Mortality; Hospital admission; Epidemiology; LONG-TERM EXPOSURE; AIR-POLLUTION; HEART-DISEASE; HYPERTENSION; AIRCRAFT; MODELS; STROKE; HEALTH; RISK;

D O I：

10.1093/eurheartj/ehv216

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Aims Road traffic noise has been associated with hypertension but evidence for the long-term effects on hospital admissions and mortality is limited. We examined the effects of long-term exposure to road traffic noise on hospital admissions and mortality in the general population. Methods and results The study population consisted of 8.6 million inhabitants of London, one of Europe's largest cities. We assessed small-area-level associations of day- (7:00-22:59) and nighttime (23:00-06:59) road traffic noise with cardiovascular hospital admissions and all-cause and cardiovascular mortality in all adults (>= 25 years) and elderly (>= 75 years) through Poisson regression models. We adjusted models for age, sex, area-level socioeconomic deprivation, ethnicity, smoking, air pollution, and neighbourhood spatial structure. Median daytime exposure to road traffic noise was 55.6 dB. Daytime road traffic noise increased the risk of hospital admission for stroke with relative risk (RR) 1.05 [95% confidence interval (CI): 1.02-1.09] in adults, and 1.09 (95% CI:1.04-1.14) in the elderly in areas.60 vs.,55 dB. Nighttime noise was associated with stroke admissions only among the elderly. Daytime noisewas significantly associated with all-cause mortality in adults [RR 1.04 (95% CI:1.00-1.07) in areas.60 vs.,55 dB]. Positive but non-significant associations were seen with mortality for cardiovascular and ischaemic heart disease, and stroke. Results were similar for the elderly. Conclusions Long-term exposure to road traffic noise was associated with small increased risks of all-cause mortality and cardiovascular mortality and morbidity in the general population, particularly for stroke in the elderly.

引用

页码：2653 / 2661

页数：9