Alkhalawi Eman, Orban Ester, Schramm Sara, Katsarava Zaza, Hoffmann Barbara, Moebus Susanne
Centre for Urban Epidemiology (CUE), Institute for Medical Informatics, Biometry and Epidemiology (IMIBE), University Hospital Essen, Essen|Department of Family and Community Medicine, King Abdulaziz University, Rabigh, Saudi Arabia, Germany.
Centre for Urban Epidemiology (CUE), Institute for Medical Informatics, Biometry and Epidemiology (IMIBE), University Hospital Essen, Essen, Germany.
Noise Health. 2021 Jan-Mar;23(108):1-10. doi: 10.4103/nah.NAH_1_20.
The link between headaches and exposure to loud noise in occupational settings has been established. However, the effect of less intense but chronic residential traffic noise exposure on headache occurrence is less clear.
We included 3,025 participants from the Heinz Nixdorf Recall study in Germany for this cross-sectional analysis.
Residential road traffic noise exposure at the 2006-2008 address was modelled in A-weighted decibels (dB(A)) according to the European Noise Directive (2002/49/EC) for 24-hour (L) and night-time noise (22-6 h, L). Indoor traffic noise exposure was obtained by modifying L and L based on residence orientation, window type, and personal window opening habits. Traffic noise exposure below 55, 45 dB(A), 35 and 25 dB(A) were set as the reference for L, L, L and L, respectively. Average number of days with headache per month over the past three months was ascertained during the follow-up (2011-2015) medical interview.
Prevalence Odds Ratios (POR) of having eight or more headaches per month per 5 dB(A) increase in traffic noise exposure were calculated using logistic regression, adjusting for age, sex, sport, number of chronic conditions, years of education and smoking status.
The mean age of participants was 58.3. Mean L was 54 dB(A). Median monthly headache days was one. No association was seen between traffic noise exposure and having ≥8 headaches/month for all the examined traffic noise indicators. However, traffic noise was positively associated with traffic noise-annoyance and insomnia; and night-time traffic noise-annoyance and insomnia were positively associated with headache.
In conclusion, our data did not provide any evidence for an association between chronic traffic noise exposure and prevalence of headaches at this population's exposure levels. This should be explored in different populations given that this is the first study of its type and that noise exposure was generally low in our population.
职业环境中头痛与接触高强度噪声之间的联系已得到证实。然而，强度较低但长期的住宅交通噪声暴露对头痛发生的影响尚不清楚。
我们纳入了德国海因茨·尼克斯多夫召回研究中的3025名参与者进行这项横断面分析。
根据欧洲噪声指令（2002/49/EC），以A加权分贝（dB(A)）对2006 - 2008年居住地址的住宅道路交通噪声暴露进行建模，计算24小时噪声（L）和夜间噪声（22 - 6时，L）。室内交通噪声暴露通过根据居住方向、窗户类型和个人开窗习惯对L和L进行修正来获得。分别将低于55、45 dB(A)、35和25 dB(A)的交通噪声暴露设置为L、L、L和L的参考值。在随访（2011 - 2015年）医学访谈中确定过去三个月每月头痛的平均天数。
采用逻辑回归计算交通噪声暴露每增加5 dB(A)每月头痛8次或更多的患病率比值比（POR），并对年龄、性别、运动、慢性病数量、受教育年限和吸烟状况进行调整。
参与者的平均年龄为58.3岁。平均L为54 dB(A)。每月头痛天数的中位数为1天。在所检查的所有交通噪声指标中，未发现交通噪声暴露与每月头痛≥8次之间存在关联。然而，交通噪声与交通噪声烦恼和失眠呈正相关；夜间交通噪声烦恼和失眠与头痛呈正相关。
总之，我们的数据未提供任何证据表明在该人群的暴露水平下慢性交通噪声暴露与头痛患病率之间存在关联。鉴于这是此类研究中的首例，且我们研究人群中的噪声暴露普遍较低，因此应在不同人群中对此进行探索。
