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环境噪声暴露与特应性皮炎、哮喘和过敏性鼻炎风险之间的关系。

The relationship between exposure to environmental noise and risk of atopic dermatitis, asthma, and allergic rhinitis.

机构信息

Department of Occupational and Environmental Medicine, Gil Medical Center, Incheon, Republic of Korea.

Department of Preventive Medicine, College of Medicine, Chung-Ang University, Seoul, Republic of Korea.

出版信息

Ecotoxicol Environ Saf. 2023 Dec;268:115677. doi: 10.1016/j.ecoenv.2023.115677. Epub 2023 Nov 17.

Abstract

BACKGROUND

Noise is defined as unwanted sound. It may induce negative emotions and mental health problems and may even lead to increased suicide risk. However, the impact of noise exposure on environmental diseases and disease severity is not well understood. This study aimed to elucidate the association between night-time noise exposure and the prevalence of environmental diseases in South Korea.

METHODS

We conducted an analysis of the Environmental Disease Database provide by the National Health Insurance Service (NHIS) from 2013 to 2017. After spatially interpolating the noise data provided by the National Noise Information System (NNIS), night-time noise values in the district level were obtained by calculating the mean noise values at the administrative district level. The linear regression analyses were performed to test the association between the age-standardized prevalence ratio (SPR) and the night-time noise exposure in the district level.

RESULTS

In areas with high night-time noise exposure (≥55 dB), the SPR for atopic dermatitis and allergic rhinitis were 1.0515 (95 % confidence interval [CI]:1.0508-1.0521) and 1.0202 (95 % CI:1.0201-1.0204), respectively, which were higher than those in the general population. The SPR for environmental diseases, including atopic dermatitis, asthma, and allergic rhinitis, was 1.0104 (95 % CI:1.0103-1.0105). Additionally, a significant linear association was observed between the level of nocturnal noise exposure and the total hospitalization period for atopic dermatitis (β = 399.3, p < 0.01).

CONCLUSION

We provide evidence of a significant association between night-time environmental noise and environmental diseases, particularly atopic dermatitis and allergic rhinitis. Furthermore, we observed a significant linear association between night-time noise exposure and the severity of atopic dermatitis.

摘要

背景

噪声是指不需要的声音。它可能会引起负面情绪和心理健康问题,甚至可能导致自杀风险增加。然而,噪声暴露对环境疾病和疾病严重程度的影响尚不清楚。本研究旨在阐明夜间噪声暴露与韩国环境疾病患病率之间的关系。

方法

我们对 2013 年至 2017 年期间国家健康保险服务(NHIS)提供的环境疾病数据库进行了分析。在对国家噪声信息系统(NNIS)提供的噪声数据进行空间插值后,通过计算行政区域级别的平均噪声值,获得了区级夜间噪声值。采用线性回归分析检验区县级夜间噪声暴露与年龄标准化患病率比值(SPR)之间的关系。

结果

在夜间噪声暴露较高(≥55dB)的地区,特应性皮炎和过敏性鼻炎的 SPR 分别为 1.0515(95%置信区间[CI]:1.0508-1.0521)和 1.0202(95%CI:1.0201-1.0204),高于一般人群。包括特应性皮炎、哮喘和过敏性鼻炎在内的环境疾病的 SPR 为 1.0104(95%CI:1.0103-1.0105)。此外,夜间噪声暴露水平与特应性皮炎总住院时间之间存在显著的线性关系(β=399.3,p<0.01)。

结论

本研究提供了夜间环境噪声与环境疾病(特别是特应性皮炎和过敏性鼻炎)之间存在显著关联的证据。此外,我们还观察到夜间噪声暴露与特应性皮炎严重程度之间存在显著的线性关系。

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