Does aircraft noise exposure increase the risk of hypertension in the population living near airports in France?
Does aircraft noise exposure increase the risk of hypertension in the population living near airports in France?
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DOI：
10.1136/oemed-2016-103648
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发表时间：
2017-02-01
影响因子：
4.9
通讯作者：
Laumon, Bernard
中科院分区：
文献类型：
--
作者：
Evrard, Anne-Sophie;Lefevre, Marie;Laumon, Bernard
迄今为止，在欧洲6个主要机场进行的最大规模的研究，HYENA（机场附近的高血压和噪音暴露）研究，报告了与长期飞机噪音暴露相关的高血压的过度风险。DEBATS（讨论对健康的影响，飞机噪音）的研究调查了这种接触和高血压的男性和女性的风险之间的关系在法国airports.Methods血压的1244名参与者年龄大于18岁的测量。有关健康，社会经济和生活方式因素的信息收集的面对面的问卷调查在家里进行的采访。飞机噪音暴露评估每个参与者的家庭地址使用噪音地图。它们是用集成噪声模型计算的，分辨率为1 dB（A）。Logistic回归模型中的主要潜在混杂因素是高血压的危险因素：年龄，职业活动，身体质量指数，体力活动和饮酒量。结果调整后的主要潜在混杂因素，高血压的风险和飞机噪声暴露之间的因果关系被证明在夜间男性。一个10分贝（A）的增加，L-夜与OR为1.34（95%CI 1.00至1.97）。结论这些研究结果有助于整体证据表明，飞机噪声暴露在夜间可能会增加男性高血压的风险。高血压是众所周知的心血管疾病的危险因素。本研究报告的飞机噪音与高血压之间的关联表明，飞机噪音可能也是心血管疾病的危险因素。
Objectives The largest study until now around 6 major European airports, the HYENA (HYpertension and Exposure to Noise near Airports) study, reported an excess risk of hypertension related to long-term aircraft noise exposure. The DEBATS (Discussion on the health effects of aircraft noise) study investigated the relationship between this exposure and the risk of hypertension in men and in women near French airports.Methods Blood pressure of 1244 participants older than 18 years of age was measured. Information about health, socioeconomic and lifestyle factors was collected by means of a face-to-face questionnaire performed at home by an interviewer. Aircraft noise exposure was assessed for each participant's home address using noise maps. They were calculated with the Integrated Noise Model with a 1 dB(A)-resolution. The major potential confounders being risk factors for hypertension were included in the logistic regression models: age, occupational activity, body mass index, physical activity and alcohol consumption.Results After adjustment for the main potential confounders, an exposure-response relationship was evidenced between the risk of hypertension and aircraft noise exposure at night for men only. A 10-dB(A) increase in L-night was associated with an OR of 1.34 (95% CI 1.00 to 1.97).Conclusions These findings contribute to the overall evidence suggesting that aircraft noise exposure at night-time may increase the risk of hypertension in men. Hypertension is a well-known and established risk factor for cardiovascular disease. The association reported in the present study between aircraft noise and hypertension implies that aircraft noise might be a risk factor also for cardiovascular disease.