Association of long-term exposure to community noise and traffic-related air pollution with coronary heart disease mortality.
نویسندگان
چکیده
In metropolitan areas, road traffic is a major contributor to ambient air pollution and the dominant source of community noise. The authors investigated the independent and joint influences of community noise and traffic-related air pollution on risk of coronary heart disease (CHD) mortality in a population-based cohort study with a 5-year exposure period (January 1994-December 1998) and a 4-year follow-up period (January 1999-December 2002). Individuals who were 45-85 years of age and resided in metropolitan Vancouver, Canada, during the exposure period and did not have known CHD at baseline were included (n = 445,868). Individual exposures to community noise and traffic-related air pollutants, including black carbon, particulate matter less than or equal to 2.5 μm in aerodynamic diameter, nitrogen dioxide, and nitric oxide, were estimated at each person's residence using a noise prediction model and land-use regression models, respectively. CHD deaths were identified from the provincial death registration database. After adjustment for potential confounders, including traffic-related air pollutants or noise, elevations in noise and black carbon equal to the interquartile ranges were associated with 6% (95% confidence interval: 1, 11) and 4% (95% confidence interval: 1, 8) increases, respectively, in CHD mortality. Subjects in the highest noise decile had a 22% (95% confidence interval: 4, 43) increase in CHD mortality compared with persons in the lowest decile. These findings suggest that there are independent effects of traffic-related noise and air pollution on CHD mortality.
منابع مشابه
Environmental inequality and circulatory disease mortality gradients.
STUDY OBJECTIVE Studies in Europe and North America have reported that living in a disadvantaged neighbourhood is associated with an increased incidence of coronary heart disease. The aim of this study was to test the hypotheses that exposure to traffic and air pollution might account for some of the socioeconomic differences in mortality rates in a city where residents are covered by universal...
متن کاملLong-Term Exposure to Traffic-Related Air Pollution and the Risk of Coronary Heart Disease Hospitalization and Mortality
BACKGROUND Epidemiologic studies have demonstrated that exposure to road traffic is associated with adverse cardiovascular outcomes. OBJECTIVES We aimed to identify specific traffic-related air pollutants that are associated with the risk of coronary heart disease (CHD) morbidity and mortality to support evidence-based environmental policy making. METHODS This population-based cohort study ...
متن کاملAssessment of combined Noise-Air quality and combined exposure to Noise-Air pollution at the curbside open-air microenvironment of Kolkata city, India
A four year long research programme divided into four phases has been designed for the first time to assess the combined Noise-Air quality and combined exposure to Noise-Air pollution at the curbside open-air microenvironment of Kolkata city, India. The results and the findings of the different phases of study had already been published. The objective of the review work is to fuse the findings ...
متن کاملAssessment of combined Noise-Air quality and combined exposure to Noise-Air pollution at the curbside open-air microenvironment of Kolkata city, India
A four year long research programme divided into four phases has been designed for the first time to assess the combined Noise-Air quality and combined exposure to Noise-Air pollution at the curbside open-air microenvironment of Kolkata city, India. The results and the findings of the different phases of study had already been published. The objective of the review work is to fuse the findings ...
متن کاملLong-term traffic air and noise pollution in relation to mortality and hospital readmission among myocardial infarction survivors.
BACKGROUND There is relatively little evidence of health effects of long-term exposure to traffic-related pollution in susceptible populations. We investigated whether long-term exposure to traffic air and noise pollution was associated with all-cause mortality or hospital readmission for myocardial infarction (MI) among survivors of hospital admission for MI. METHODS Patients from the Myocar...
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ورودعنوان ژورنال:
- American journal of epidemiology
دوره 175 9 شماره
صفحات -
تاریخ انتشار 2012