Babisch W
Division of Environment and Health of the Federal Environmental Agency, Berlin, Germany.
Noise Health. 2004 Jan-Mar;6(22):69-81.
The WHO definition of "health" is critically discussed in its broad context. Decision making in noise policy has to be made in the evaluation range between social and physical well-being. The term "adverse" is a crucial one in the process of risk characterization. In toxicological terms it refers to the single event itself; in psychosocial terms it refers to the relative number of people affected. The evidence of the association between community noise and cardiovascular outcomes is evaluated. The results of epidemiological studies in this field can be used for decision making when assessing maximum acceptable noise levels in the community. Since dose response relationships were mostly studied with respect to road traffic noise, inferences have to be made with respect to aircraft noise. Issues of statistical inferring are discussed.
世界卫生组织对“健康”的定义在其广泛背景下受到了批判性讨论。噪声政策的决策必须在社会福祉和身体健康的评估范围内做出。“不利的”这一术语在风险特征描述过程中至关重要。从毒理学角度来看，它指的是单一事件本身；从社会心理角度来看，它指的是受影响人群的相对数量。对社区噪声与心血管疾病结果之间关联的证据进行了评估。该领域的流行病学研究结果可用于在评估社区最大可接受噪声水平时进行决策。由于剂量反应关系大多是针对道路交通噪声进行研究的，因此必须对飞机噪声进行推断。讨论了统计推断问题。
