Road traffic noise is associated with increased cardiovascular morbidity and mortality and all-cause mortality in London.
Road traffic noise is associated with increased cardiovascular morbidity and mortality and all-cause mortality in London.
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DOI：
10.1093/eurheartj/ehv216
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发表时间：
2015-10-14
影响因子：
39.3
通讯作者：
Tonne C
中科院分区：
文献类型：
--
作者：
Halonen JI;Hansell AL;Gulliver J;Morley D;Blangiardo M;Fecht D;Toledano MB;Beevers SD;Anderson HR;Kelly FJ;Tonne C
道路交通噪音与高血压有关，但对住院率和死亡率的长期影响的证据有限。我们研究了长期暴露于道路交通噪声对一般人群的住院率和死亡率的影响。研究人群包括欧洲最大城市之一伦敦的860万居民。我们通过Poisson回归模型评估了小区域水平的日间（7：00-22：59）和夜间（23：00-06：59）道路交通噪声与所有成人（≥25岁）和老年人（≥75岁）心血管住院率和全因和心血管死亡率的相关性。我们调整了年龄，性别，区域水平的社会经济剥夺，种族，吸烟，空气污染和邻里空间结构的模型。日间暴露于道路交通噪音的中位数为55.6分贝。白天道路交通噪声增加了卒中住院的风险，在>60与<55 dB的地区，成人的相对危险度（RR）为1.05 [95%置信区间（CI）：1.02-1.09]，老年人为1.09（95% CI：1.04-1.14）。夜间噪音仅在老年人中与中风入院有关。白天噪声与成人全因死亡率显著相关[RR 1.04（95%CI：1.00-1.07），区域>60 vs.<55 dB]。与心血管疾病、缺血性心脏病和中风的死亡率呈正相关，但无显著性。老年人的结果相似。长期暴露于道路交通噪声与一般人群中全因死亡率和心血管死亡率和发病率的风险增加有关，特别是老年人的中风。
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. 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 noise was 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. 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.