Franssen E A M, van Wiechen C M A G, Nagelkerke N J D, Lebret E
National Institute for Public Health and the Environment (RIVM), Centre for Environmental Health Research, Bilthoven, Netherlands.
Occup Environ Med. 2004 May;61(5):405-13. doi: 10.1136/oem.2002.005488.
To assess the prevalence of general health status, use of sleep medication, and use of medication for cardiovascular diseases, and to study their relation to aircraft noise exposure.
These health indicators were measured by a cross-sectional survey among 11 812 respondents living within a radius of 25 km around Schiphol airport (Amsterdam).
Adjusted odds ratios ranged from 1.02 to 2.34 per 10 dB(A) increase in L(den). The associations were statistically significant for all indicators, except for use of prescribed sleep medication or sedatives and frequent use of this medication. None of the health indicators were associated with aircraft noise exposure during the night, but use of non-prescribed sleep medication or sedatives was associated with aircraft noise exposure during the late evening (OR = 1.72). Vitality related health complaints such as tiredness and headache were associated with aircraft noise, whereas most other physical complaints were not. Odds ratios for the vitality related complaints ranged from 1.16 to 1.47 per 10 dB(A) increase in L(den). A small fraction of the prevalence of poor self rated health (0.13), medication for cardiovascular diseases or increased blood pressure (0.08), and sleep medication or sedatives (0.22) could be attributed to aircraft noise. Although the attributable fraction was highest in the governmentally noise regulated area, aircraft noise had more impact in the non-regulated area, due to the larger population.
Results suggest associations between community exposure to aircraft noise and the health indicators poor general health status, use of sleep medication, and use of medication for cardiovascular diseases.
评估总体健康状况、睡眠药物使用情况以及心血管疾病药物使用情况的患病率，并研究它们与飞机噪声暴露之间的关系。
通过对居住在史基浦机场（阿姆斯特丹）周边25公里半径范围内的11812名受访者进行横断面调查来测量这些健康指标。
L(den)每增加10分贝(A)，调整后的优势比范围为1.02至2.34。除了使用处方睡眠药物或镇静剂以及频繁使用此类药物外，所有指标的关联均具有统计学意义。没有一项健康指标与夜间飞机噪声暴露相关，但使用非处方睡眠药物或镇静剂与傍晚的飞机噪声暴露相关（优势比=1.72）。与活力相关的健康问题，如疲劳和头痛，与飞机噪声有关，而大多数其他身体问题则无关。与活力相关问题的优势比为L(den)每增加10分贝(A)，范围为1.16至1.47。自我评定健康状况差（0.13）、心血管疾病药物或血压升高（0.08）以及睡眠药物或镇静剂（0.22）的患病率中有一小部分可归因于飞机噪声。尽管在政府噪声管制区域中归因比例最高，但由于人口较多，飞机噪声在非管制区域的影响更大。
结果表明社区暴露于飞机噪声与健康指标总体健康状况差、睡眠药物使用以及心血管疾病药物使用之间存在关联。
