Association Between Road Traffic Noise and Incidence of Diabetes Mellitus and Hypertension in Toronto, Canada: A Population‐Based Cohort Study

Bibliographic Details
Title: Association Between Road Traffic Noise and Incidence of Diabetes Mellitus and Hypertension in Toronto, Canada: A Population‐Based Cohort Study
Authors: Saeha Shin, Li Bai, Tor H. Oiamo, Richard T. Burnett, Scott Weichenthal, Michael Jerrett, Jeffrey C. Kwong, Mark S. Goldberg, Ray Copes, Alexander Kopp, Hong Chen
Source: Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 9, Iss 6 (2020)
Publisher Information: Wiley, 2020.
Publication Year: 2020
Collection: LCC:Diseases of the circulatory (Cardiovascular) system
Subject Terms: diabetes mellitus, hypertension, incidence, road traffic noise, Diseases of the circulatory (Cardiovascular) system, RC666-701
More Details: Background Exposure to road traffic noise has been linked to cardiometabolic complications, such as elevated blood pressure and glucose dysregulation. However, epidemiologic evidence linking road traffic noise to diabetes mellitus and hypertension remains scarce. We examined associations between road traffic noise and the incidence of diabetes mellitus and hypertension in Toronto, Canada. Methods and Results Using the Ontario Population Health and Environment Cohort, we conducted a retrospective, population‐based cohort study of long‐term residents of Toronto, aged 35 to 100 years, who were registered for provincial publicly funded health insurance, and were without a history of hypertension (n=701 174) or diabetes mellitus (n=914 607). Road traffic noise exposure levels were assessed by the equivalent continuous A‐weighted sound pressure level (dBA) for the 24‐hour day and the equivalent continuous A‐weighted sound pressure level for the night (11 pm–7am). Noise exposures were assigned to subjects according to their annual residential postal codes during the 15‐year follow‐up. We used random‐effect Cox proportional hazards models adjusting for personal and area‐level characteristics. From 2001 to 2015, each interquartile range increase in the equivalent continuous A‐weighted sound pressure level (dBA) for the 24‐hour day (10.0 dBA) was associated with an 8% increase in incident diabetes mellitus (95% CI, 1.07–1.09) and a 2% increase in hypertension (95% CI, 1.01–1.03). We obtained similar estimates with the equivalent continuous A‐weighted sound pressure level for the night (11 pm–7am). These results were robust to all sensitivity analyses conducted, including further adjusting for traffic‐related air pollutants (ultrafine particles and nitrogen dioxide). For both hypertension and diabetes mellitus, we observed stronger associations with the equivalent continuous A‐weighted sound pressure level (dBA) for the 24‐hour day among women and younger adults (aged
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2047-9980
Relation: https://doaj.org/toc/2047-9980
DOI: 10.1161/JAHA.119.013021
Access URL: https://doaj.org/article/4578df191b0c41a08cf37b129c57f850
Accession Number: edsdoj.4578df191b0c41a08cf37b129c57f850
Database: Directory of Open Access Journals
More Details
ISSN:20479980
DOI:10.1161/JAHA.119.013021
Published in:Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
Language:English