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Exposure-response relationship between traffic noise and the risk of stroke: a systematic review with meta-analysis

Angel M. Dzhambov orcid id ; Department of Hygiene and Ecomedicine Faculty of Public Health, Medical University of Plovdiv, Plovdiv, Bulgaria
Donka D. Dimitrova ; Department of Health Management and Health Economics, Faculty of Public Health, Medical University of Plovdiv, Plovdiv, Bulgaria

Puni tekst: engleski pdf 474 Kb

str. 136-151

preuzimanja: 594



Traffic noise is an established risk factor for some cardiovascular diseases such as hypertension and ischaemic heart disease, but the evidence regarding stroke is still limited. In this study we aimed to systematically review the related epidemiological data and make a meta-analysis of the risk of stroke morbidity associated with road and air traffic noise exposure. We searched articles in English, Spanish, and Russian indexed in MEDLINE, EMBASE, and Google Scholar on 24 November 2015. Qualitative synthesis was made for 13 studies, and 11 studies were included in quality effects meta-analyses. Overall, they were of high quality. Based on six studies (n≈8,790,671 participants) for road traffic noise, we found a pooled relative risk (RR) of stroke per 10 dB to be 1.03 (95 % CI: 0.87, 1.22). In the 70-75 dB noise range
(versus <55 dB) RR increased to 1.29 (95 % CI: 0.74, 2.24). For air traffic noise we pooled five studies (n≈16,132,075 participants) and the RR per 10 dB was 1.05 (95 % CI: 1.00, 1.10). The air traffic group had low heterogeneity, whereas the road traffic group had high heterogeneity, but there was evidence of publication bias. In conclusion, we have established a small but elevated risk of stroke to be associated with both road and air traffic noise exposure, but the association was statistically significant only with the latter. The effect of road traffic noise followed a non-linear trend.

Ključne riječi

aircraft, cerebrovascular disease, cardiovascular disease, noise exposure, road traffic, transportation

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Podaci na drugim jezicima: hrvatski

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