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

Halonen, JI; Hansell, AL; Gulliver, J; Morley, D; Blangiardo, M; Fecht, D; Toledano, MB; Beevers, SD; Anderson, HR; Kelly, FJ; et al. Halonen, JI; Hansell, AL; Gulliver, J; Morley, D; Blangiardo, M; Fecht, D; Toledano, MB; Beevers, SD; Anderson, HR; Kelly, FJ; Tonne, C (2015) Road traffic noise is associated with increased cardiovascular morbidity and mortality and all-cause mortality in London. Eur Heart J, 36 (39). pp. 2653-2661. ISSN 1522-9645 https://doi.org/10.1093/eurheartj/ehv216
SGUL Authors: Anderson, Hugh Ross

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Abstract

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 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. 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.

Item Type: Article
Additional Information: © The Author 2015. Published by Oxford University Press on behalf of the European Society of Cardiology. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Cardiovascular, Epidemiology, Hospital admission, Mortality, Traffic noise, Adult, Age of Onset, Aged, Cardiovascular Diseases, Cause of Death, Environmental Exposure, Female, Hospitalization, Humans, London, Male, Middle Aged, Noise, Transportation, Prognosis, Humans, Cardiovascular Diseases, Prognosis, Hospitalization, Cause of Death, Environmental Exposure, Noise, Transportation, Age of Onset, Adult, Aged, Middle Aged, London, Female, Male, Traffic noise, Cardiovascular, Mortality, Hospital admission, Epidemiology, Cardiovascular System & Hematology, 1102 Cardiovascular Medicine And Haematology
SGUL Research Institute / Research Centre: Academic Structure > Population Health Research Institute (INPH)
Journal or Publication Title: Eur Heart J
ISSN: 1522-9645
Language: eng
Dates:
DateEvent
14 October 2015Published
23 June 2015Published Online
4 May 2015Accepted
Publisher License: Creative Commons: Attribution 4.0
Projects:
Project IDFunderFunder ID
MR/L01341X/1Medical Research Councilhttp://dx.doi.org/10.13039/501100000265
NE/I007806/1Natural Environment Research Councilhttp://dx.doi.org/10.13039/501100000270
NE/I00789X/1Natural Environment Research Councilhttp://dx.doi.org/10.13039/501100000270
NE/I008039/1Natural Environment Research Councilhttp://dx.doi.org/10.13039/501100000270
PubMed ID: 26104392
Web of Science ID: WOS:000362824800014
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/109521
Publisher's version: https://doi.org/10.1093/eurheartj/ehv216

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