Transportation noise exposure and cardiovascular mortality: 15-years of follow-up in a nationwide prospective cohort in Switzerland

Background: Death from cardiovascular diseases (CVD) has been associated with transportation noise. This nationwide cohort, with state-of-the-art exposure assessment, evaluates these associations by noise source. Methods: Road traffic, railway and aircraft noise for 2001 and 2011 were linked to 4.1...

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Autores principales:	Danielle Vienneau, Apolline Saucy, Beat Schäffer, Benjamin Flückiger, Louise Tangermann, Massimo Stafoggia, Jean Marc Wunderli, Martin Röösli
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Transportation noise Road traffic Railway Aircraft Lden Cardiovascular mortality Environmental sciences GE1-350
Acceso en línea:	https://doaj.org/article/ba480a25532543cc89b1f6ee7048f1c7
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spelling	oai:doaj.org-article:ba480a25532543cc89b1f6ee7048f1c72021-11-12T04:24:24ZTransportation noise exposure and cardiovascular mortality: 15-years of follow-up in a nationwide prospective cohort in Switzerland0160-412010.1016/j.envint.2021.106974https://doaj.org/article/ba480a25532543cc89b1f6ee7048f1c72022-01-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S0160412021005997https://doaj.org/toc/0160-4120Background: Death from cardiovascular diseases (CVD) has been associated with transportation noise. This nationwide cohort, with state-of-the-art exposure assessment, evaluates these associations by noise source. Methods: Road traffic, railway and aircraft noise for 2001 and 2011 were linked to 4.1 million adults in the Swiss National Cohort, accounting for address history. Mean noise exposure in 5-year periods was calculated. Time-varying Cox regression models, with age as timescale, were applied to all and cause-specific cardiovascular causes of death. Models included all three noise sources plus PM2.5, adjusted for individual and spatial covariates. Nighttime noise events for all sources combined (expressed as intermittency ratio or number of events) were considered in sensitivity analyses. Absolute excess risk was calculated by multiplying deaths/100,000 person-years by the excess risk (hazard ratio-1) within each age/sex group. Results: During a 15-year follow-up, there were 277,506 CVD and 34,200 myocardial infarction (MI) deaths. Associations (hazard ratio; 95%-CIs) for road traffic, railway and aircraft noise and CVD mortality were 1.029 (1.024–1.034), 1.013 (1.010–1.017), and 1.003 (0.996–1.010) per 10 dB Lden, respectively. Associations for MI mortality were a respective 1.043 (1.029–1.058), 1.020 (1.010–1.030) and 1.040 (1.020–1.060) per 10 dB Lden. Blood pressure-related, ischemic heart disease, and all stroke mortality were significantly associated with road traffic and railway noise, while ischemic stroke mortality was associated with aircraft noise. Associations were mostly linear, often starting below 40 dB Lden for road traffic and railway noise. Higher levels of noise intermittency were also independently associated with each outcome. While the absolute number of deaths attributed to noise increased with age, the hazard ratios declined with age. Relative and absolute risk was higher in males compared to females. Conclusion: Independent of air pollution, transportation noise exposure is associated with all and cause-specific CVD mortality, with effects starting below current guideline limits.Danielle VienneauApolline SaucyBeat SchäfferBenjamin FlückigerLouise TangermannMassimo StafoggiaJean Marc WunderliMartin RöösliElsevierarticleTransportation noiseRoad trafficRailwayAircraftLdenCardiovascular mortalityEnvironmental sciencesGE1-350ENEnvironment International, Vol 158, Iss , Pp 106974- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Transportation noise Road traffic Railway Aircraft Lden Cardiovascular mortality Environmental sciences GE1-350
spellingShingle	Transportation noise Road traffic Railway Aircraft Lden Cardiovascular mortality Environmental sciences GE1-350 Danielle Vienneau Apolline Saucy Beat Schäffer Benjamin Flückiger Louise Tangermann Massimo Stafoggia Jean Marc Wunderli Martin Röösli Transportation noise exposure and cardiovascular mortality: 15-years of follow-up in a nationwide prospective cohort in Switzerland
description	Background: Death from cardiovascular diseases (CVD) has been associated with transportation noise. This nationwide cohort, with state-of-the-art exposure assessment, evaluates these associations by noise source. Methods: Road traffic, railway and aircraft noise for 2001 and 2011 were linked to 4.1 million adults in the Swiss National Cohort, accounting for address history. Mean noise exposure in 5-year periods was calculated. Time-varying Cox regression models, with age as timescale, were applied to all and cause-specific cardiovascular causes of death. Models included all three noise sources plus PM2.5, adjusted for individual and spatial covariates. Nighttime noise events for all sources combined (expressed as intermittency ratio or number of events) were considered in sensitivity analyses. Absolute excess risk was calculated by multiplying deaths/100,000 person-years by the excess risk (hazard ratio-1) within each age/sex group. Results: During a 15-year follow-up, there were 277,506 CVD and 34,200 myocardial infarction (MI) deaths. Associations (hazard ratio; 95%-CIs) for road traffic, railway and aircraft noise and CVD mortality were 1.029 (1.024–1.034), 1.013 (1.010–1.017), and 1.003 (0.996–1.010) per 10 dB Lden, respectively. Associations for MI mortality were a respective 1.043 (1.029–1.058), 1.020 (1.010–1.030) and 1.040 (1.020–1.060) per 10 dB Lden. Blood pressure-related, ischemic heart disease, and all stroke mortality were significantly associated with road traffic and railway noise, while ischemic stroke mortality was associated with aircraft noise. Associations were mostly linear, often starting below 40 dB Lden for road traffic and railway noise. Higher levels of noise intermittency were also independently associated with each outcome. While the absolute number of deaths attributed to noise increased with age, the hazard ratios declined with age. Relative and absolute risk was higher in males compared to females. Conclusion: Independent of air pollution, transportation noise exposure is associated with all and cause-specific CVD mortality, with effects starting below current guideline limits.
format	article
author	Danielle Vienneau Apolline Saucy Beat Schäffer Benjamin Flückiger Louise Tangermann Massimo Stafoggia Jean Marc Wunderli Martin Röösli
author_facet	Danielle Vienneau Apolline Saucy Beat Schäffer Benjamin Flückiger Louise Tangermann Massimo Stafoggia Jean Marc Wunderli Martin Röösli
author_sort	Danielle Vienneau
title	Transportation noise exposure and cardiovascular mortality: 15-years of follow-up in a nationwide prospective cohort in Switzerland
title_short	Transportation noise exposure and cardiovascular mortality: 15-years of follow-up in a nationwide prospective cohort in Switzerland
title_full	Transportation noise exposure and cardiovascular mortality: 15-years of follow-up in a nationwide prospective cohort in Switzerland
title_fullStr	Transportation noise exposure and cardiovascular mortality: 15-years of follow-up in a nationwide prospective cohort in Switzerland
title_full_unstemmed	Transportation noise exposure and cardiovascular mortality: 15-years of follow-up in a nationwide prospective cohort in Switzerland
title_sort	transportation noise exposure and cardiovascular mortality: 15-years of follow-up in a nationwide prospective cohort in switzerland
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/ba480a25532543cc89b1f6ee7048f1c7
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Transportation noise exposure and cardiovascular mortality: 15-years of follow-up in a nationwide prospective cohort in Switzerland

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