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首页> 外文期刊>Environmental health perspectives. >Association of Long-Term Exposure to Transportation Noise and Traffic-Related Air Pollution with the Incidence of Diabetes: A Prospective Cohort Study
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Association of Long-Term Exposure to Transportation Noise and Traffic-Related Air Pollution with the Incidence of Diabetes: A Prospective Cohort Study

机译：长期暴露于运输噪声和与交通有关的空气污染与糖尿病发生率的关联：一项前瞻性队列研究

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Background: Evidence for an association between transportation noise and cardiovascular disease has increased; however, few studies have examined metabolic outcomes such as diabetes or accounted for environmental coexposures such as air pollution, greenness, or walkability. Objectives: Because diabetes prevalence is increasing and may be on the causal pathway between noise and cardiovascular disease, we examined the influence of long-term residential transportation noise exposure and traffic-related air pollution on the incidence of diabetes using a population-based cohort in British Columbia, Canada. Methods: We examined the influence of transportation noise exposure over a 5-y period (1994–1998) on incident diabetes cases in a population-based prospective cohort study ( n = 380,738 ) of metropolitan Vancouver (BC) residents who were 45–85 y old, with 4-y of follow-up (1999–2002). Annual average transportation noise (Lden), air pollution [black carbon, particulate matter with aerodynamic diameter 2.5), nitrogen oxides], greenness [Normalized Difference Vegetation Index (NDVI)], and neighborhood walkability at each participant’s residence were modeled. Incident diabetes cases were identified using administrative health records. Results: Transportation noise was associated with the incidence of diabetes [interquartile range (IQR) increase, 6.8 A-weighted decibels (dBA); OR =?1.08 (95% CI: 1.05, 1.10)]. This association remained after adjustment for environmental coexposures including traffic-related air pollutants, greenness, and neighborhood walkability. After adjustment for coexposure to noise, traffic-related air pollutants were not associated with the incidence of diabetes, whereas greenness was protective. Conclusion: We found a positive association between residential transportation noise and diabetes, adding to the growing body of evidence that noise pollution exposure may be independently linked to metabolic health and should be considered when developing public health interventions. https://doi.org/10.1289/EHP1279.
机译：背景：有关交通噪音与心血管疾病之间联系的证据有所增加;但是，很少有研究检查诸如糖尿病的代谢结果，或解释环境共暴露（例如空气污染，绿色或步行性）的原因。目的：由于糖尿病的患病率正在增加，并且可能是噪声与心血管疾病之间的因果关系，因此我们采用了基于人群的队列研究方法，研究了长期居住交通噪声暴露和交通相关空气污染对糖尿病发病率的影响。加拿大不列颠哥伦比亚省。方法：我们在一项基于人群的前瞻性队列研究（n = 380,738）中对45-85岁的大温哥华地区居民进行了为期5年（1994-1998年）的交通噪声暴露对糖尿病事件的影响。 y岁，随访4 y（1999–2002）。对每个参与者住所的年平均交通噪声（Lden），空气污染[黑碳，空气动力学直径为2.5 的颗粒物]，氮氧化物，绿色度[归一化植被指数（NDVI）]和邻里步行进行了建模。 。使用行政健康记录确定了糖尿病突发病例。结果：运输噪声与糖尿病的发生有关[四分位数间距（IQR）增加，6.8 A加权分贝（dBA）; OR = 1.08（95％CI：1.05，1.10）。调整与交通相关的空气污染物，绿色度和邻里可步行性等环境共同暴露后，这种联系仍然存在。在针对噪声共同暴露进行调整后，与交通有关的空气污染物与糖尿病的发生率无关，而绿色则具有保护作用。结论：我们发现居民交通噪声与糖尿病之间存在正相关关系，越来越多的证据表明，噪声污染暴露可能与代谢健康独立相关，在制定公共卫生干预措施时应予以考虑。 https://doi.org/10.1289/EHP1279。

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