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Long-term nighttime aircraft noise exposure and risk of hypertension in a prospective cohort of female nurses

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Τίτλος: Long-term nighttime aircraft noise exposure and risk of hypertension in a prospective cohort of female nurses
Συγγραφείς: Peters, Junenette L, Grady, Stephanie T, Laden, Francine, Nelson, Elizabeth, Bozigar, Matthew, Hart, Jaime E, Manson, JoAnn E, Huang, Tianyi, Redline, Susan, Kaufman, Joel D, Forman, John P, Rexrode, Kathryn M, Levy, Jonathan I
Έτος έκδοσης: 2025
Θεματικοί όροι: Adult, Aircraft, Environmental Exposure - adverse effects, Hypertension - epidemiology, Hypertension - etiology, Noise, Transportation - adverse effects, Nurses - statistics & numerical data, Prospective Studies, Risk Factors
Περιγραφή: There is growing interest in cardiometabolic outcomes associated with nighttime noise, given that noise can disturb sleep and sleep disturbance can increase cardiometabolic risk such as hypertension. However, there is little empirical research evaluating the association between nighttime aircraft noise and hypertension risk. In this study, we expand on previous work to evaluate associations between nighttime aircraft noise exposure and self-reported hypertension incidence in the Nurses' Health Studies (NHS/NHSII), two US-wide cohorts of female nurses. Annual nighttime average aircraft sound levels (L ; ) surrounding 90 airports for 1995-2015 (in 5-year intervals) were modeled using the Aviation Environmental Design Tool and assigned to participants' geocoded addresses over time. Hypertension risk was estimated for each cohort using time-varying Cox proportional-hazards models for L ; dichotomized at 45 dB (dB), adjusting for individual-level hypertension risk factors, area-level socioeconomic status, region, and air pollution. Random effects meta-analysis was used to combine cohort results. Among 63,229 NHS and 98,880 NHSII participants free of hypertension at study baseline (1994/1995), we observed 33,190 and 28,255 new hypertension cases by 2014/2013, respectively. Although ∼1% of participants were exposed to L ; ≥45 dB, we observed an adjusted hazard ratio (HR) of 1.10 (95% CI: 0.96, 1.27) in NHS and adjusted HR of 1.12 (95% CI: 0.98, 1.28) in NHSII, comparing exposure to L ; ≥45 versus <45 dB(A). In meta-analysis, we observed an adjusted HR of 1.11 (95% CI: 1.01, 1.23). These results were attenuated with adjustment for additional variables such as body mass index. Our findings support a modest positive association between nighttime aircraft noise and hypertension risk across NHS/NHSII, which may reinforce the concept that sleep disturbance contributes to noise-related disease burden.
Τύπος εγγράφου: article in journal/newspaper
Περιγραφή αρχείου: pdf
Γλώσσα: English
Relation: ispartof: International journal of hygiene and environmental health spage 114457 vol 263; WOS:001315257000001; 99901177541301842; https://rex.libraries.wsu.edu/view/delivery/01ALLIANCE_WSU/12420438860001842/13420438850001842; alma:01ALLIANCE_WSU/bibs/99901177541301842
DOI: 10.1016/j.ijheh.2024.114457
Διαθεσιμότητα: https://doi.org/10.1016/j.ijheh.2024.114457
https://rex.libraries.wsu.edu/esploro/outputs/journalArticle/Long-term-nighttime-aircraft-noise-exposure-and/99901177541301842
https://rex.libraries.wsu.edu/view/delivery/01ALLIANCE_WSU/12420438860001842/13420438850001842
Rights: Open ; CC BY-NC V4.0
Αριθμός Καταχώρησης: edsbas.136F1F24
Βάση Δεδομένων: BASE
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  – Url: https://doi.org/10.1016/j.ijheh.2024.114457#
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  Data: Long-term nighttime aircraft noise exposure and risk of hypertension in a prospective cohort of female nurses
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  Data: There is growing interest in cardiometabolic outcomes associated with nighttime noise, given that noise can disturb sleep and sleep disturbance can increase cardiometabolic risk such as hypertension. However, there is little empirical research evaluating the association between nighttime aircraft noise and hypertension risk. In this study, we expand on previous work to evaluate associations between nighttime aircraft noise exposure and self-reported hypertension incidence in the Nurses&#39; Health Studies (NHS/NHSII), two US-wide cohorts of female nurses. Annual nighttime average aircraft sound levels (L ; ) surrounding 90 airports for 1995-2015 (in 5-year intervals) were modeled using the Aviation Environmental Design Tool and assigned to participants&#39; geocoded addresses over time. Hypertension risk was estimated for each cohort using time-varying Cox proportional-hazards models for L ; dichotomized at 45 dB (dB), adjusting for individual-level hypertension risk factors, area-level socioeconomic status, region, and air pollution. Random effects meta-analysis was used to combine cohort results. Among 63,229 NHS and 98,880 NHSII participants free of hypertension at study baseline (1994/1995), we observed 33,190 and 28,255 new hypertension cases by 2014/2013, respectively. Although ∼1% of participants were exposed to L ; ≥45 dB, we observed an adjusted hazard ratio (HR) of 1.10 (95% CI: 0.96, 1.27) in NHS and adjusted HR of 1.12 (95% CI: 0.98, 1.28) in NHSII, comparing exposure to L ; ≥45 versus &lt;45 dB(A). In meta-analysis, we observed an adjusted HR of 1.11 (95% CI: 1.01, 1.23). These results were attenuated with adjustment for additional variables such as body mass index. Our findings support a modest positive association between nighttime aircraft noise and hypertension risk across NHS/NHSII, which may reinforce the concept that sleep disturbance contributes to noise-related disease burden.
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