Transportation noise exposure, noise annoyance and respiratory health in adults: A repeated-measures study
Transportation noise exposure, noise annoyance and respiratory health in adults: A repeated-measures study
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DOI：
10.1016/j.envint.2018.10.006
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发表时间：
2018-12-01
影响因子：
11.8
通讯作者：
Probst-Hensch, Nicole
中科院分区：
文献类型：
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作者：
Eze, Ikenna C.;Foraster, Maria;Probst-Hensch, Nicole
交通噪声会导致睡眠障碍以及心理和生理上的持续应激反应，从而影响呼吸系统健康。然而，客观的交通噪声暴露和感知噪声烦恼与呼吸系统疾病的关联的流行病学证据是有限的。我们调查了交通噪声暴露和噪声烦恼与成人普遍呼吸道症状和哮喘发作的独立关联。（来自7049名参与者）来自三个萨帕迪亚（瑞士成人肺和心脏病队列研究）调查，我们评估了交通噪声暴露和噪声烦恼与流行性呼吸道症状和哮喘发作的关系（来自6377名参与者的10，657个嵌套观察结果）。使用瑞士噪声模型计算了参与者住所最暴露的正面的年度昼夜交通噪声，包括公路、铁路和飞机Lden（交通Lden）。交通噪音烦恼使用11点量表进行评估，参与者在每次调查中报告呼吸道症状和医生诊断的哮喘。我们估计了与交通Lden（以及源特定Lden）和噪音烦恼的关联，独立于空气污染和其他潜在的混杂因素，使用相互调整的混合Logistic和泊松模型，并在参与者的水平上应用随机截取。在所有参与者中，交通噪音烦恼与呼吸道症状和当前哮喘独立相关，噪音烦恼每1分差异的优势比（OR）和95%置信区间（CI）范围为1.03（95%CI：1.01，1.06）至1.07（95%CI：1.04，1.11）。在哮喘患者中，噪音烦恼和Lden均与哮喘症状独立相关，特别是在报告成人发作哮喘的患者中[ORLden：1.90（95% CI：1.25，2.89）/10 dB;相互作用的p值（成人发作vs.儿童发作）：0.03; OR噪声（烦恼）：1.06（95%CI：0.97，1.16）每1点差异;相互作用的p值：0.06]。交通噪声水平和烦恼与成人哮喘症状加重无相关性。这表明呼吸系统的心理和生理噪声反应，并可能与哮喘护理有关。需要更多的研究来更好地了解客观和感知噪声对哮喘病因学和整体呼吸健康的影响。
Transportation noise leads to sleep disturbance and to psychological and physiological sustained stress reactions, which could impact respiratory health. However, epidemiologic evidence on associations of objective transportation noise exposure and also perceived noise annoyance with respiratory morbidity is limited. We investigated independent associations of transportation noise exposure and noise annoyance with prevalent respiratory symptoms and incident asthma in adults.Using 17,138 observations (from 7049 participants) from three SAPALDIA (Swiss Cohort Study on Lung and Heart Diseases in Adults) surveys, we assessed associations of transportation noise exposure and noise annoyance with prevalent respiratory symptoms, and with incident asthma (in 10,657 nested observations from 6377 participants). Annual day-evening-night transportation noise comprising road, railway and aircraft Lden (Transportation Lden) was calculated for the most exposed facade of participants' residence using Swiss noise models. Transportation noise annoyance was assessed using an 11-point scale, and participants reported respiratory symptoms and doctor-diagnosed asthma at each survey. We estimated associations with transportation Lden (as well as source-specific Lden) and noise annoyance, independent of air pollution and other potential confounders, using mutually-adjusted mixed logistic and Poisson models and applying random intercepts at the level of the participants.Prevalent respiratory symptoms ranged from 5% (nocturnal dyspnoea) to 23% (regular cough/phlegm). Transportation noise annoyance, but not Lden, was independently associated with respiratory symptoms and current asthma in all participants, with odds ratios (OR) and 95% confidence intervals (CI) ranging between 1.03 (95%CI: 1.01, 1.06) and 1.07 (95% CI: 1.04, 1.11) per 1-point difference in noise annoyance. Both noise annoyance and Lden showed independent associations with asthma symptoms among asthmatics, especially in those reporting adult-onset asthma [ORLden : 1.90 (95% CI: 1.25, 2.89) per 10 dB; p-value of interaction (adult-onset vs. childhood-onset): 0.03; ORnoise (annoyance): 1.06 (95%CI: 0.97, 1.16) per 1-point difference; p-value of interaction: 0.06]. No associations were found with incident asthma.Transportation noise level and annoyance contributed to symptom exacerbation in adult asthma. This suggests both psychological and physiological noise reactions on the respiratory system, and could be relevant for asthma care. More studies are needed to better understand the effects of objective and perceived noise in asthma aetiology and overall respiratory health.