The role of aircraft noise annoyance and noise sensitivity in the association between aircraft noise levels and hypertension risk: Results of a pooled analysis from seven European countries

Baudin, Clémence; Lefèvre, Marie; Babisch, Wolfgang; Cadum, Ennio; Champelovier, Patricia; Dimakopoulou, Konstantina; Houthuijs, Danny; Lambert, Jacques; Laumon, Bernard; Pershagen, Göran; Stansfeld, Stephen; Velonaki, Venetia Sofia; Hansell, Anna; Evrard, Anne

doi:10.1016/j.envres.2020.110179

Cited by 44 publications

(33 citation statements)

References 41 publications

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“…In the literature, increased noise sensitivity has been associated with increased blood pressure [39], health complaints (including cardiac complaints) [31,40], hypertension [42], psychological distress [40] and the use of psychotropic drugs (sleeping pills, tranquilizers and pain relievers) [43]. The gradient observed for the use of antihypertensive medication with higher levels of noise sensitivity in the UK echoes the association found between aircraft noise levels and the use of antihypertensive medication in the pooled analyses of the HYENA and DEBATS studies [38]. Noise sensitivity has been shown to be related to psychological disorders [40] -this being relevant to the association with medication.…”

Section: Discussionmentioning

confidence: 94%

“…This role has been assumed in particular in studies on psychological disorders or mental health [27,34,35]. In addition, it has been stated that aircraft noise annoyance may have a modifying role in the relationship between aircraft noise levels and hypertension risk [36][37][38]: this association would be higher in highly annoyed participants.…”

Section: Introductionmentioning

confidence: 99%

“…The association between noise sensitivity and adverse effects of noise has also been little studied, but the findings are consistent: noise sensitivity has been found to be associated with increased blood pressure [39], health complaints (including cardiac complaints) [31,40,41], hypertension, psychological distress [40] and the use of psychotropic drugs (sleeping pills, tranquilizers and analgesics) [42,43]. In addition, some studies have found stronger associations between noise exposure and some adverse health effects in highly sensitive individuals: a modifying effect of noise sensitivity has been suggested in the association between aircraft noise levels and anxiety and nervous complaints [31], psychological disorders [44,45], heart rate [46], hypertension [38] and selfreported physical health problems [29,31,47].…”

Section: Introductionmentioning

confidence: 99%

“…In this study, the larger number of participants obtained by pooling data from two major European studies on aircraft noise and health that used similar methodology, HYENA (HYpertension and Exposure to Noise near Airports) and DEBATS (Discussion on the health effects of aircraft noise) provided additional power to explore interactions and offered for the first time the opportunity to investigate the impact of aircraft noise annoyance and noise sensitivity on medication use, and their modifying and mediating role on the relationship between aircraft noise levels and medication use in such a large study population. For this purpose, the same methodology as that followed in the article by Baudin and colleagues on the risk of hypertension was used [38].…”

Section: Introductionmentioning

confidence: 99%

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The role of aircraft noise annoyance and noise sensitivity in the association between aircraft noise levels and medication use: results of a pooled-analysis from seven European countries

et al. 2021

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Background Few studies have considered aircraft noise annoyance and noise sensitivity in analyses of the health effects of aircraft noise, especially in relation to medication use. This study aims to investigate the moderating and mediating role of these two factors in the relationship between aircraft noise levels and medication use among 5860 residents of ten European airports included in the HYENA and DEBATS studies. Methods Information on aircraft noise annoyance, noise sensitivity, medication use, and demographic, socio-economic and lifestyle factors was collected during a face-to-face interview at home. Medication was coded according to the Anatomical Therapeutic Chemical (ATC) classification. Outdoor aircraft noise exposure was estimated by linking the participant’s home address to noise contours using Geographical Information Systems (GIS) methods. Logistic regressions with adjustment for potential confounding factors were used. In addition, Baron and Kenny’s recommendations were followed to investigate the moderating and mediating effects of aircraft noise annoyance and noise sensitivity. Results A significant association was found between aircraft noise levels at night and antihypertensive medication only in the UK (OR = 1.43, 95%CI 1.19–1.73 for a 10 dB(A)-increase in Lnight). No association was found with other medications. Aircraft noise annoyance was significantly associated with the use of antihypertensive medication (OR = 1.33, 95%CI 1.14–1.56), anxiolytics (OR = 1.48, 95%CI 1.08–2.05), hypnotics and sedatives (OR = 1.60, 95%CI 1.07–2.39), and antasthmatics (OR = 1.44, 95%CI 1.07–1.96), with no difference between countries. Noise sensitivity was significantly associated with almost all medications, with the exception of the use of antasthmatics, showing an increase in ORs with the level of noise sensitivity, with differences in ORs among countries only for the use of antihypertensive medication. The results also suggested a mediating role of aircraft noise annoyance and a modifying role of both aircraft noise annoyance and noise sensitivity in the association between aircraft noise levels and medication use. Conclusions The present study is consistent with the results of the small number of studies available to date suggesting that both aircraft noise annoyance and noise sensitivity should be taken into account in analyses of the health effects of exposure to aircraft noise.

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Section: Discussionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The role of aircraft noise annoyance and noise sensitivity in the association between aircraft noise levels and medication use: results of a pooled-analysis from seven European countries

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“…Fyhri and Klaeboe referred to the necessity of including noise sensitivity as a "crucial variable in research on noise-health relationships" [39]. Some studies have shown that these two factors may have a moderating or mediating role in the relationship between aircraft noise exposure and the use of medication, psychological distress, or hypertension [40][41][42][43][44][45]. However, no studies have examined the role of noise annoyance and noise sensitivity in the relationship between aircraft noise exposure and SRHS.…”

Section: Introductionmentioning

confidence: 99%

Self-rated health status in relation to aircraft noise exposure, noise annoyance or noise sensitivity: the results of a cross-sectional study in France

et al. 2021

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Background Noise is a major public health issue because of its negative impacts on health, including annoyance, sleep disturbance, cardiovascular diseases and altered cognitive performance among children. Self-rated health status (SRHS) can be considered as a reliable indicator of quality of life, morbidity and mortality but few studies have considered SRHS in relation to aircraft noise exposure. The present study aims to investigate the association between this exposure and SRHS of people living near airports in France, and to consider the mediating or moderating role of aircraft noise annoyance and noise sensitivity in this association. Methods This cross-sectional study included 1242 participants older than 18 and living near three major French airports. Information on their SRHS, aircraft noise annoyance, noise sensitivity and demographic, socioeconomic and lifestyle factors was collected during a face-to-face interview performed at home. Outdoor aircraft noise levels were estimated for each participant’s home address using noise maps. Logistic regressions with adjustment for potential confounders were used. The moderating and mediating effects of aircraft noise annoyance and noise sensitivity were investigated following Baron and Kenny’s recommendations. Results A significant association was shown between aircraft noise levels and a fair/poor SRHS, only in men (OR=1.55, 95%CI 1.01–2.39, for a 10 dB(A)-increase in Lden). This relationship was higher in men highly sensitive to noise (OR=3.26, 95%CI 1.19–8.88, for a 10 dB(A)-increase in Lden). Noise sensitivity was associated with a fair/poor SRHS significantly in women (OR=1.74, 95%CI 1.12–2.68) and at the borderline of significance in men (OR=1.68, 95% CI 0.94–3.00), whereas aircraft noise annoyance was associated with a fair/poor SRHS only in men (OR=1.81, 95%CI 1.00–3.27). Conclusion The present study confirms findings in the small number of available studies to date suggesting a positive association between aircraft noise levels and a fair/poor SRHS. These results also support the hypothesis that noise sensitivity would moderate this association. However, a mediating effect of annoyance cannot be excluded.

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Impact of Aircraft Noise on Health

Benz

Kuhlmann

Jeram

et al. 2022

Aviation Noise Impact Management

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Aircraft noise exposure is an environmental stressor and has been linked to various adverse health outcomes, such as annoyance, sleep disturbance, and cardiovascular diseases. Aircraft noise can trigger both psychological (annoyance and disturbance) and physiological stress responses (e.g. activation of the cardiovascular system and release of stress hormones). People are usually able to deal with this kind of stressor. However, a constant exposure to aircraft noise can cause a continuous state of stress. This in turn can constrain a person’s ability to regenerate and restore its resources to cope with the noise situation. As a consequence, the risk for certain negative health outcomes can be increased. Within the ANIMA project, literature reviews on the effects of aircraft noise on health outcomes have been performed. This chapter gives an overview of the relevant health outcomes affected by aircraft noise and summarises the results of different reviews and studies on these outcomes. Additionally, the underlying mechanisms of how noise impacts health are explained for daytime as well as night-time aircraft noise exposure (i.e. while sleeping). Further, the relevance of considering not only the general population, but vulnerable groups as well (such as children and elderly people) is described. Lastly, open questions for further studies are presented and discussed.

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The role of aircraft noise annoyance and noise sensitivity in the association between aircraft noise levels and hypertension risk: Results of a pooled analysis from seven European countries

Cited by 44 publications

References 41 publications

The role of aircraft noise annoyance and noise sensitivity in the association between aircraft noise levels and medication use: results of a pooled-analysis from seven European countries

The role of aircraft noise annoyance and noise sensitivity in the association between aircraft noise levels and medication use: results of a pooled-analysis from seven European countries

Self-rated health status in relation to aircraft noise exposure, noise annoyance or noise sensitivity: the results of a cross-sectional study in France

Impact of Aircraft Noise on Health

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