Aircraft noise and cardiovascular morbidity and mortality near Heathrow Airport: A case-crossover study.

Autor: Itzkowitz, Nicole1,2 (AUTHOR), Gong, Xiangpu3,4 (AUTHOR), Atilola, Glory1,5 (AUTHOR), Konstantinoudis, Garyfallos1 (AUTHOR), Adams, Kathryn3 (AUTHOR), Jephcote, Calvin3 (AUTHOR), Gulliver, John3,4 (AUTHOR), Hansell, Anna L3,4 (AUTHOR), Blangiardo, Marta1 (AUTHOR) m.blangiardo@imperial.ac.uk
Předmět:
Zdroj: Environment International. Jul2023, Vol. 177, pN.PAG-N.PAG. 1p.
Abstrakt: Aircraft noise causes annoyance and sleep disturbance and there is some evidence of associations between long-term exposures and cardiovascular disease (CVD). We investigated short-term associations between previous day aircraft noise and cardiovascular events in a population of 6.3 million residing near Heathrow Airport using a case-crossover design and exposure data for different times of day and night. We included all recorded hospitalisations (n = 442,442) and deaths (n = 49,443) in 2014–2018 due to CVD. Conditional logistic regression was used to estimate the ORs and adjusted for NO 2 concentration, temperature, and holidays. We estimated an increase in risk for 10 dB increment in noise during the previous evening (L eve OR = 1.007, 95% CI 0.999–1.015), particularly from 22:00–23:00 h (OR = 1.007, 95% CI 1.000–1.013), and the early morning hours 04:30–06:00 h (OR = 1.012, 95% CI 1.002–1.021) for all CVD admissions, but no significant associations with day-time noise. There was effect modification by age-sex, ethnicity, deprivation, and season, and some suggestion that high noise variability at night was associated with higher risks. Our findings are consistent with proposed mechanisms for short-term impacts of aircraft noise at night on CVD from experimental studies, including sleep disturbance, increases in blood pressure and stress hormone levels and impaired endothelial function. [ABSTRACT FROM AUTHOR]
Databáze: GreenFILE