The effect of aircraft, road, and railway traffic noise on stroke − results of a case-control study based on secondary data
Aim: To examine the stroke risks associated with aircraft, road traffic, and railway noise exposure in a large case-control study. Materials and Methods: All people aged ≥40 years living around the Frankfurt airport that were insured by one of three large statutory health insurance funds between 200...
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| Vydáno v: | Noise & health Ročník 20; číslo 95; s. 152 - 161 |
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India
Wolters Kluwer India Pvt. Ltd
01.07.2018
Medknow Publications and Media Pvt. Ltd Medknow Publications & Media Pvt. Ltd Medknow Publications & Media Pvt Ltd Wolters Kluwer Medknow Publications |
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| Abstract | Aim: To examine the stroke risks associated with aircraft, road traffic, and railway noise exposure in a large case-control study. Materials and Methods: All people aged ≥40 years living around the Frankfurt airport that were insured by one of three large statutory health insurance funds between 2005 and 2010 were included in the study (n = 1,026,670). Address-specific exposure to aircraft, road, and railway traffic noise was estimated for 2005. We used insurance claim data to identify 25,495 newly diagnosed cases of stroke between 2006 and 2010 and compared them with 827,601 control participants. Logistic regression analysis was used to calculate the odds ratios adjusted for age, sex, local proportion of people receiving unemployment benefits, and if available individual indicators of socioeconomic status (education, occupation). Results: For 24-h continuous aircraft noise exposure, neither increased risk estimates nor a positive linear exposure-risk relation was found. However, stroke risk was statistically significantly increased by 7% [95% confidence intervals (95%CI): 2-13%] for people who were exposed to <40 dB of 24-h continuous aircraft noise, but ≥6 events of maximum nightly sound pressure levels ≥50 dB. For road and railway traffic noise, there was a positive linear exposure-risk relation: Per 10 dB the stroke risk increased by 1.7% (95%CI: 0.3-3.2%) for road traffic noise and by 1.8% (95%CI: 0.1-3.3%) for railway traffic noise. The maximum risk increase of 7% (95%CI: 0-14%) for road traffic noise and 18% (95%CI: 2-38%) for railway traffic noise was found in the exposure category ≥65 to <70 dB. Conclusion: This large case-control study indicates that traffic noise exposure may lead to an increase in stroke risk. It furthermore suggests that maximum aircraft noise levels at night increase the stroke risk even when continuous noise exposure is low, and thus highlights the relevance of maximum noise levels for research and policies on noise protection. |
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| AbstractList | Aim: To examine the stroke risks associated with aircraft, road traffic, and railway noise exposure in a large case-control study. Materials and Methods: All people aged ≥40 years living around the Frankfurt airport that were insured by one of three large statutory health insurance funds between 2005 and 2010 were included in the study (n = 1,026,670). Address-specific exposure to aircraft, road, and railway traffic noise was estimated for 2005. We used insurance claim data to identify 25,495 newly diagnosed cases of stroke between 2006 and 2010 and compared them with 827,601 control participants. Logistic regression analysis was used to calculate the odds ratios adjusted for age, sex, local proportion of people receiving unemployment benefits, and if available individual indicators of socioeconomic status (education, occupation). Results: For 24-h continuous aircraft noise exposure, neither increased risk estimates nor a positive linear exposure-risk relation was found. However, stroke risk was statistically significantly increased by 7% [95% confidence intervals (95%CI): 2-13%] for people who were exposed to <40 dB of 24-h continuous aircraft noise, but ≥6 events of maximum nightly sound pressure levels ≥50 dB. For road and railway traffic noise, there was a positive linear exposure-risk relation: Per 10 dB the stroke risk increased by 1.7% (95%CI: 0.3-3.2%) for road traffic noise and by 1.8% (95%CI: 0.1-3.3%) for railway traffic noise. The maximum risk increase of 7% (95%CI: 0-14%) for road traffic noise and 18% (95%CI: 2-38%) for railway traffic noise was found in the exposure category ≥65 to <70 dB. Conclusion: This large case-control study indicates that traffic noise exposure may lead to an increase in stroke risk. It furthermore suggests that maximum aircraft noise levels at night increase the stroke risk even when continuous noise exposure is low, and thus highlights the relevance of maximum noise levels for research and policies on noise protection. To examine the stroke risks associated with aircraft, road traffic, and railway noise exposure in a large case-control study. All people aged ≥40 years living around the Frankfurt airport that were insured by one of three large statutory health insurance funds between 2005 and 2010 were included in the study (n = 1,026,670). Address-specific exposure to aircraft, road, and railway traffic noise was estimated for 2005. We used insurance claim data to identify 25,495 newly diagnosed cases of stroke between 2006 and 2010 and compared them with 827,601 control participants. Logistic regression analysis was used to calculate the odds ratios adjusted for age, sex, local proportion of people receiving unemployment benefits, and if available individual indicators of socioeconomic status (education, occupation). For 24-h continuous aircraft noise exposure, neither increased risk estimates nor a positive linear exposure-risk relation was found. However, stroke risk was statistically significantly increased by 7% [95% confidence intervals (95%CI): 2-13%] for people who were exposed to <40 dB of 24-h continuous aircraft noise, but ≥6 events of maximum nightly sound pressure levels ≥50 dB. For road and railway traffic noise, there was a positive linear exposure-risk relation: Per 10 dB the stroke risk increased by 1.7% (95%CI: 0.3-3.2%) for road traffic noise and by 1.8% (95%CI: 0.1-3.3%) for railway traffic noise. The maximum risk increase of 7% (95%CI: 0-14%) for road traffic noise and 18% (95%CI: 2-38%) for railway traffic noise was found in the exposure category ≥65 to <70 dB. This large case-control study indicates that traffic noise exposure may lead to an increase in stroke risk. It furthermore suggests that maximum aircraft noise levels at night increase the stroke risk even when continuous noise exposure is low, and thus highlights the relevance of maximum noise levels for research and policies on noise protection. Aim: To examine the stroke risks associated with aircraft, road traffic, and railway noise exposure in a large case–control study. Materials and Methods: All people aged ≥40 years living around the Frankfurt airport that were insured by one of three large statutory health insurance funds between 2005 and 2010 were included in the study (n = 1,026,670). Address-specific exposure to aircraft, road, and railway traffic noise was estimated for 2005. We used insurance claim data to identify 25,495 newly diagnosed cases of stroke between 2006 and 2010 and compared them with 827,601 control participants. Logistic regression analysis was used to calculate the odds ratios adjusted for age, sex, local proportion of people receiving unemployment benefits, and if available individual indicators of socioeconomic status (education, occupation). Results: For 24-h continuous aircraft noise exposure, neither increased risk estimates nor a positive linear exposure–risk relation was found. However, stroke risk was statistically significantly increased by 7% [95% confidence intervals (95%CI): 2–13%] for people who were exposed to To examine the stroke risks associated with aircraft, road traffic, and railway noise exposure in a large case-control study.AIMTo examine the stroke risks associated with aircraft, road traffic, and railway noise exposure in a large case-control study.All people aged ≥40 years living around the Frankfurt airport that were insured by one of three large statutory health insurance funds between 2005 and 2010 were included in the study (n = 1,026,670). Address-specific exposure to aircraft, road, and railway traffic noise was estimated for 2005. We used insurance claim data to identify 25,495 newly diagnosed cases of stroke between 2006 and 2010 and compared them with 827,601 control participants. Logistic regression analysis was used to calculate the odds ratios adjusted for age, sex, local proportion of people receiving unemployment benefits, and if available individual indicators of socioeconomic status (education, occupation).MATERIALS AND METHODSAll people aged ≥40 years living around the Frankfurt airport that were insured by one of three large statutory health insurance funds between 2005 and 2010 were included in the study (n = 1,026,670). Address-specific exposure to aircraft, road, and railway traffic noise was estimated for 2005. We used insurance claim data to identify 25,495 newly diagnosed cases of stroke between 2006 and 2010 and compared them with 827,601 control participants. Logistic regression analysis was used to calculate the odds ratios adjusted for age, sex, local proportion of people receiving unemployment benefits, and if available individual indicators of socioeconomic status (education, occupation).For 24-h continuous aircraft noise exposure, neither increased risk estimates nor a positive linear exposure-risk relation was found. However, stroke risk was statistically significantly increased by 7% [95% confidence intervals (95%CI): 2-13%] for people who were exposed to <40 dB of 24-h continuous aircraft noise, but ≥6 events of maximum nightly sound pressure levels ≥50 dB. For road and railway traffic noise, there was a positive linear exposure-risk relation: Per 10 dB the stroke risk increased by 1.7% (95%CI: 0.3-3.2%) for road traffic noise and by 1.8% (95%CI: 0.1-3.3%) for railway traffic noise. The maximum risk increase of 7% (95%CI: 0-14%) for road traffic noise and 18% (95%CI: 2-38%) for railway traffic noise was found in the exposure category ≥65 to <70 dB.RESULTSFor 24-h continuous aircraft noise exposure, neither increased risk estimates nor a positive linear exposure-risk relation was found. However, stroke risk was statistically significantly increased by 7% [95% confidence intervals (95%CI): 2-13%] for people who were exposed to <40 dB of 24-h continuous aircraft noise, but ≥6 events of maximum nightly sound pressure levels ≥50 dB. For road and railway traffic noise, there was a positive linear exposure-risk relation: Per 10 dB the stroke risk increased by 1.7% (95%CI: 0.3-3.2%) for road traffic noise and by 1.8% (95%CI: 0.1-3.3%) for railway traffic noise. The maximum risk increase of 7% (95%CI: 0-14%) for road traffic noise and 18% (95%CI: 2-38%) for railway traffic noise was found in the exposure category ≥65 to <70 dB.This large case-control study indicates that traffic noise exposure may lead to an increase in stroke risk. It furthermore suggests that maximum aircraft noise levels at night increase the stroke risk even when continuous noise exposure is low, and thus highlights the relevance of maximum noise levels for research and policies on noise protection.CONCLUSIONThis large case-control study indicates that traffic noise exposure may lead to an increase in stroke risk. It furthermore suggests that maximum aircraft noise levels at night increase the stroke risk even when continuous noise exposure is low, and thus highlights the relevance of maximum noise levels for research and policies on noise protection. |
| Audience | Academic |
| Author | Seidler, Andreas Seidler, Anna Swart, Enno Hegewald, Janice Wagner, Mandy Weihofen, Verena Schubert, Melanie Dröge, Patrik Zeeb, Hajo |
| AuthorAffiliation | 4 Department of Prevention and Evaluation, Leibniz-Institute for Prevention Research and Epidemiology – BIPS, Bremen, Germany 1 Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany 2 NHMRC Clinical Trials Centre, The University of Sydney, Australia 3 Institute of Social Medicine and Health Economics, Otto-von-Guericke-University Magdeburg, Germany 5 Health Sciences Bremen, University of Bremen, Germany |
| AuthorAffiliation_xml | – name: 3 Institute of Social Medicine and Health Economics, Otto-von-Guericke-University Magdeburg, Germany – name: 5 Health Sciences Bremen, University of Bremen, Germany – name: 2 NHMRC Clinical Trials Centre, The University of Sydney, Australia – name: 4 Department of Prevention and Evaluation, Leibniz-Institute for Prevention Research and Epidemiology – BIPS, Bremen, Germany – name: 1 Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany |
| Author_xml | – sequence: 1 givenname: Anna surname: Seidler fullname: Seidler, Anna organization: Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden; NHMRC Clinical Trials Centre, The University of Sydney – sequence: 2 givenname: Janice surname: Hegewald fullname: Hegewald, Janice organization: Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden – sequence: 3 givenname: Melanie surname: Schubert fullname: Schubert, Melanie organization: Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden – sequence: 4 givenname: Verena surname: Weihofen fullname: Weihofen, Verena organization: Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden – sequence: 5 givenname: Mandy surname: Wagner fullname: Wagner, Mandy organization: Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden – sequence: 6 givenname: Patrik surname: Dröge fullname: Dröge, Patrik organization: Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden – sequence: 7 givenname: Enno surname: Swart fullname: Swart, Enno organization: Institute of Social Medicine and Health Economics, Otto-von-Guericke-University Magdeburg – sequence: 8 givenname: Hajo surname: Zeeb fullname: Zeeb, Hajo organization: Department of Prevention and Evaluation, Leibniz-Institute for Prevention Research and Epidemiology − BIPS, Bremen; Health Sciences Bremen, University of Bremen – sequence: 9 givenname: Andreas surname: Seidler fullname: Seidler, Andreas organization: Institute and Policlinic of Occupational and Social Medicine, Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/30136675$$D View this record in MEDLINE/PubMed |
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| Keywords | traffic noise Case-control study stroke Case–control study |
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| Snippet | Aim: To examine the stroke risks associated with aircraft, road traffic, and railway noise exposure in a large case-control study. Materials and Methods: All... To examine the stroke risks associated with aircraft, road traffic, and railway noise exposure in a large case-control study. All people aged ≥40 years living... Aim: To examine the stroke risks associated with aircraft, road traffic, and railway noise exposure in a large case–control study. Materials and Methods: All... To examine the stroke risks associated with aircraft, road traffic, and railway noise exposure in a large case-control study.AIMTo examine the stroke risks... |
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| SubjectTerms | Adult Aircraft Aircraft - statistics & numerical data Aircraft noise Airports Analysis Cardiovascular disease Case studies Case-Control Studies Case–control study Confidence intervals Control methods Employment Environmental aspects Environmental Exposure - adverse effects Environmental Exposure - analysis Estimates Exposure Female Germany - epidemiology Health aspects Health insurance Health risks Heart attacks Humans Hypertension Insurance Male Middle Aged Mortality Motor Vehicles - statistics & numerical data Noise levels Noise, Transportation - adverse effects Odds Ratio Original Public health Railroads Railroads - statistics & numerical data Regression analysis Risk Risk Factors Roads & highways Sleep Social class Socioeconomics Statistical analysis Stroke Stroke - epidemiology Stroke - etiology Studies Systematic review Traffic Traffic noise Transportation noise |
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| Title | The effect of aircraft, road, and railway traffic noise on stroke − results of a case-control study based on secondary data |
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