Ali Momen, Angel M Dzhambov, Bénédicte Jacquemin, Mengmeng Li, Jun Yang, Amir Houshang Mehrparvar, Payam Dadvand, Mohammad Javad Zare Sakhvidi
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引用次数: 0
Abstract
Purpose of review: Environmental noise has been identified as a risk factor for cardiovascular and metabolic outcomes. Its association with cancer risk remains poorly understood. This systematic review (on evidence up to February 2025) is to synthesize and meta-analyze the epidemiological evidence.
Recent findings: The studies involved over ten million participants, predominantly from Europe. The most reported outcomes were breast and colorectal cancers, with road traffic noise exposure being the most frequently assessed exposure. The pooled random-effects estimates indicated null association between road traffic noise and breast cancer incidence (RR 1.01; 95% CI 0.99-1.03) or mortality (RR 0.98; 95% CI 0.86-1.10), nor with colon cancer subtypes. Studies risk of bias was high to probably high, particularly in exposure assessment and confounding control. Overall, the available evidence does not support an association between traffic noise and cancer incidence or mortality. However, the certainty of evidence is very low due to methodological heterogeneity, high risk of bias, and the limited number of studies for most cancer sites.
综述目的:环境噪声已被确定为心血管和代谢结果的危险因素。它与癌症风险的关系仍然知之甚少。本系统评价(对截至2025年2月的证据)是对流行病学证据进行综合和荟萃分析。最新发现:这些研究涉及超过1000万参与者,主要来自欧洲。报告最多的结果是乳腺癌和结直肠癌,道路交通噪音暴露是最常被评估的暴露。综合随机效应估计表明,道路交通噪音与乳腺癌发病率(RR 1.01; 95% CI 0.99-1.03)或死亡率(RR 0.98; 95% CI 0.86-1.10)之间无关联,与结肠癌亚型也无关联。研究偏倚风险高或可能高,特别是在暴露评估和混杂控制方面。总的来说,现有的证据并不支持交通噪音与癌症发病率或死亡率之间的联系。然而,由于方法学的异质性、高偏倚风险以及大多数癌症部位的研究数量有限,证据的确定性非常低。
期刊介绍:
Current Environmental Health Reports provides up-to-date expert reviews in environmental health. The goal is to evaluate and synthesize original research in all disciplines relevant for environmental health sciences, including basic research, clinical research, epidemiology, and environmental policy.