Road traffic noise, noise sensitivity, noise annoyance, psychological and physical health and mortality

<p><strong>Background</strong></p> Both physical and psychological health outcomes have been associated with exposure to environmental noise. Noise sensitivity could have the same moderating effect on physical and psychological health outcomes related to environmental noise e...

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Main Authors: Stansfeld, S, Clark, C, Smuk, M, Gallacher, J, Babsich, W
Format: Journal article
Language:English
Published: BioMed Central 2021
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author Stansfeld, S
Clark, C
Smuk, M
Gallacher, J
Babsich, W
author_facet Stansfeld, S
Clark, C
Smuk, M
Gallacher, J
Babsich, W
author_sort Stansfeld, S
collection OXFORD
description <p><strong>Background</strong></p> Both physical and psychological health outcomes have been associated with exposure to environmental noise. Noise sensitivity could have the same moderating effect on physical and psychological health outcomes related to environmental noise exposure as on annoyance but this has been little tested. <p><strong>Methods</strong></p> A cohort of 2398 men between 45 and 59 years, the longitudinal Caerphilly Collaborative Heart Disease study, was established in 1984/88 and followed into the mid-1990s. Road traffic noise maps were assessed at baseline. Psychological ill-health was measured in phase 2 in 1984/88, phase 3 (1989/93) and phase 4 (1993/7). Ischaemic heart disease was measured in clinic at baseline and through hospital records and records of deaths during follow up. We examined the longitudinal associations between road traffic noise and ischaemic heart disease morbidity and mortality using Cox Proportional Hazard Models and psychological ill-health using Logistic Regression; we also examined whether noise sensitivity and noise annoyance might moderate these associations. We also tested if noise sensitivity and noise annoyance were longitudinal predictors of ischaemic heart disease morbidity and mortality and psychological ill-health. <p><strong>Results</strong></p> Road traffic noise was not associated with ischaemic heart disease morbidity or mortality. Neither noise sensitivity nor noise annoyance moderated the effects of road traffic noise on ischaemic heart disease morbidity or mortality. High noise sensitivity was associated with lower ischaemic heart disease mortality risk (HR = 0.74, 95%CI 0.57, 0.97). Road traffic noise was associated with Phase 4 psychological ill-health but only among those exposed to 56-60dBA (fully adjusted OR = 1.82 95%CI 1.07, 3.07). Noise sensitivity moderated the association of road traffic noise exposure with psychological ill-health. High noise sensitivity was associated longitudinally with psychological ill-health at phase 3 (OR = 1.85 95%CI 1.23, 2.78) and phase 4 (OR = 1.65 95%CI 1.09, 2.50). Noise annoyance predicted psychological ill-health at phase 4 (OR = 2.47 95%CI 1.00, 6.13). <p><strong>Conclusions</strong></p> Noise sensitivity is a specific predictor of psychological ill-health and may be part of a wider construct of environmental susceptibility. Noise sensitivity may increase the risk of psychological ill-health when exposed to road traffic noise. Noise annoyance may be a mediator of the effects of road traffic noise on psychological ill-health.
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spelling oxford-uuid:5f5fe3cb-3a6f-4748-8025-e05ba0e327232022-03-26T17:46:36ZRoad traffic noise, noise sensitivity, noise annoyance, psychological and physical health and mortalityJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:5f5fe3cb-3a6f-4748-8025-e05ba0e32723EnglishSymplectic ElementsBioMed Central2021Stansfeld, SClark, CSmuk, MGallacher, JBabsich, W<p><strong>Background</strong></p> Both physical and psychological health outcomes have been associated with exposure to environmental noise. Noise sensitivity could have the same moderating effect on physical and psychological health outcomes related to environmental noise exposure as on annoyance but this has been little tested. <p><strong>Methods</strong></p> A cohort of 2398 men between 45 and 59 years, the longitudinal Caerphilly Collaborative Heart Disease study, was established in 1984/88 and followed into the mid-1990s. Road traffic noise maps were assessed at baseline. Psychological ill-health was measured in phase 2 in 1984/88, phase 3 (1989/93) and phase 4 (1993/7). Ischaemic heart disease was measured in clinic at baseline and through hospital records and records of deaths during follow up. We examined the longitudinal associations between road traffic noise and ischaemic heart disease morbidity and mortality using Cox Proportional Hazard Models and psychological ill-health using Logistic Regression; we also examined whether noise sensitivity and noise annoyance might moderate these associations. We also tested if noise sensitivity and noise annoyance were longitudinal predictors of ischaemic heart disease morbidity and mortality and psychological ill-health. <p><strong>Results</strong></p> Road traffic noise was not associated with ischaemic heart disease morbidity or mortality. Neither noise sensitivity nor noise annoyance moderated the effects of road traffic noise on ischaemic heart disease morbidity or mortality. High noise sensitivity was associated with lower ischaemic heart disease mortality risk (HR = 0.74, 95%CI 0.57, 0.97). Road traffic noise was associated with Phase 4 psychological ill-health but only among those exposed to 56-60dBA (fully adjusted OR = 1.82 95%CI 1.07, 3.07). Noise sensitivity moderated the association of road traffic noise exposure with psychological ill-health. High noise sensitivity was associated longitudinally with psychological ill-health at phase 3 (OR = 1.85 95%CI 1.23, 2.78) and phase 4 (OR = 1.65 95%CI 1.09, 2.50). Noise annoyance predicted psychological ill-health at phase 4 (OR = 2.47 95%CI 1.00, 6.13). <p><strong>Conclusions</strong></p> Noise sensitivity is a specific predictor of psychological ill-health and may be part of a wider construct of environmental susceptibility. Noise sensitivity may increase the risk of psychological ill-health when exposed to road traffic noise. Noise annoyance may be a mediator of the effects of road traffic noise on psychological ill-health.
spellingShingle Stansfeld, S
Clark, C
Smuk, M
Gallacher, J
Babsich, W
Road traffic noise, noise sensitivity, noise annoyance, psychological and physical health and mortality
title Road traffic noise, noise sensitivity, noise annoyance, psychological and physical health and mortality
title_full Road traffic noise, noise sensitivity, noise annoyance, psychological and physical health and mortality
title_fullStr Road traffic noise, noise sensitivity, noise annoyance, psychological and physical health and mortality
title_full_unstemmed Road traffic noise, noise sensitivity, noise annoyance, psychological and physical health and mortality
title_short Road traffic noise, noise sensitivity, noise annoyance, psychological and physical health and mortality
title_sort road traffic noise noise sensitivity noise annoyance psychological and physical health and mortality
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AT clarkc roadtrafficnoisenoisesensitivitynoiseannoyancepsychologicalandphysicalhealthandmortality
AT smukm roadtrafficnoisenoisesensitivitynoiseannoyancepsychologicalandphysicalhealthandmortality
AT gallacherj roadtrafficnoisenoisesensitivitynoiseannoyancepsychologicalandphysicalhealthandmortality
AT babsichw roadtrafficnoisenoisesensitivitynoiseannoyancepsychologicalandphysicalhealthandmortality