基于数字医疗数据的中国高空间分辨率环境噪声评价及其与心血管疾病风险的关系

IF 10.3 1区环境科学与生态学 Q1 ENVIRONMENTAL SCIENCES

Environment International Pub Date : 2025-04-01 DOI:10.1016/j.envint.2025.109408

Jiawei Wang , Jianbo Jin , Yingning Chen , Peng Shen , Yexiang Sun , Zhiqin Jiang , Xinbiao Guo , Haijun Wang , Guoxing Li , Liming Shui , Jing Huang

{"title":"基于数字医疗数据的中国高空间分辨率环境噪声评价及其与心血管疾病风险的关系","authors":"Jiawei Wang , Jianbo Jin , Yingning Chen , Peng Shen , Yexiang Sun , Zhiqin Jiang , Xinbiao Guo , Haijun Wang , Guoxing Li , Liming Shui , Jing Huang","doi":"10.1016/j.envint.2025.109408","DOIUrl":null,"url":null,"abstract":"<div><div>Environmental noise pollution is increasing, while risks of cardiovascular diseases (CVD) associated with environmental noise in low- and middle-income countries (LMICs) still remain under-recognized. In this study, we utilized land-use regression (LUR) models at high spatial resolution to assess environmental noise and linked the exposure to digital healthcare data from the Yinzhou Regional Health Information Platform (YRHIP) in China to assess the associations of environmental noise with risks of CVD. Among 533,512 participants, mean (SD) age was 53.66 (15.52) years with females constituting 52.8 %. The mean environmental noise level was 59.34 dB[A]. A total of 177,111 (33.20 %), 18,030 (3.38 %), 15,912 (2.98 %), 9,601 (1.80 %), and 161,889 (30.34 %) participants were diagnosed with CVD, cerebrovascular diseases, ischemic heart diseases (IHD), stroke, and hypertension, respectively. Multivariable modified Poisson regression models incorporating community as a random-effect term were used to evaluate associations of environmental noise with the prevalent risk of CVD and its major subtypes. Individual covariates (age, sex, marital status, education, lifestyles), area-level covariates (urbanicity, population density, GDP), and PM<sub>2.5</sub> were adjusted. We observed positive associations between residential environmental noise exposure and CVD (prevalence ratio (PR) 1.06, 95 % CI: 1.02–1.09 per 5 dB[A]), IHD (PR 1.14, 95 % CI: 1.07–1.21 per 5 dB[A]), and hypertension (PR 1.06, 95 % CI: 1.03–1.09 per 5 dB[A]), while no association was found for cerebrovascular diseases (PR 1.01, 95 % CI: 0.96–1.07 per 5 dB[A]) and stroke (PR 0.97, 95 % CI: 0.92–1.03 per 5 dB[A]). The risks of CVD and hypertension associated with environmental noise were higher among males and in the 50–60 years age group (<em>P</em> for interaction < 0.001). The associations between environmental noise and IHD were stronger in the ≥ 70 age group and among the participants with lower education levels (<em>P</em> for interaction < 0.05). The study fills the gap of knowledge about the associations between environmental noise, estimated using high spatial resolution LUR models, and CVD prevalent risk in LMICs. The evidence would provide significant implications for policy-making in terms of alleviating the surging disease burden of CVD related to environmental noise in LMICs.</div></div>","PeriodicalId":308,"journal":{"name":"Environment International","volume":"198 ","pages":"Article 109408"},"PeriodicalIF":10.3000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"High spatial resolution environmental noise assessment and its associations with risks of cardiovascular diseases based on digital healthcare data in China\",\"authors\":\"Jiawei Wang , Jianbo Jin , Yingning Chen , Peng Shen , Yexiang Sun , Zhiqin Jiang , Xinbiao Guo , Haijun Wang , Guoxing Li , Liming Shui , Jing Huang\",\"doi\":\"10.1016/j.envint.2025.109408\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Environmental noise pollution is increasing, while risks of cardiovascular diseases (CVD) associated with environmental noise in low- and middle-income countries (LMICs) still remain under-recognized. In this study, we utilized land-use regression (LUR) models at high spatial resolution to assess environmental noise and linked the exposure to digital healthcare data from the Yinzhou Regional Health Information Platform (YRHIP) in China to assess the associations of environmental noise with risks of CVD. Among 533,512 participants, mean (SD) age was 53.66 (15.52) years with females constituting 52.8 %. The mean environmental noise level was 59.34 dB[A]. A total of 177,111 (33.20 %), 18,030 (3.38 %), 15,912 (2.98 %), 9,601 (1.80 %), and 161,889 (30.34 %) participants were diagnosed with CVD, cerebrovascular diseases, ischemic heart diseases (IHD), stroke, and hypertension, respectively. Multivariable modified Poisson regression models incorporating community as a random-effect term were used to evaluate associations of environmental noise with the prevalent risk of CVD and its major subtypes. Individual covariates (age, sex, marital status, education, lifestyles), area-level covariates (urbanicity, population density, GDP), and PM<sub>2.5</sub> were adjusted. We observed positive associations between residential environmental noise exposure and CVD (prevalence ratio (PR) 1.06, 95 % CI: 1.02–1.09 per 5 dB[A]), IHD (PR 1.14, 95 % CI: 1.07–1.21 per 5 dB[A]), and hypertension (PR 1.06, 95 % CI: 1.03–1.09 per 5 dB[A]), while no association was found for cerebrovascular diseases (PR 1.01, 95 % CI: 0.96–1.07 per 5 dB[A]) and stroke (PR 0.97, 95 % CI: 0.92–1.03 per 5 dB[A]). The risks of CVD and hypertension associated with environmental noise were higher among males and in the 50–60 years age group (<em>P</em> for interaction < 0.001). The associations between environmental noise and IHD were stronger in the ≥ 70 age group and among the participants with lower education levels (<em>P</em> for interaction < 0.05). The study fills the gap of knowledge about the associations between environmental noise, estimated using high spatial resolution LUR models, and CVD prevalent risk in LMICs. The evidence would provide significant implications for policy-making in terms of alleviating the surging disease burden of CVD related to environmental noise in LMICs.</div></div>\",\"PeriodicalId\":308,\"journal\":{\"name\":\"Environment International\",\"volume\":\"198 \",\"pages\":\"Article 109408\"},\"PeriodicalIF\":10.3000,\"publicationDate\":\"2025-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Environment International\",\"FirstCategoryId\":\"93\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S016041202500159X\",\"RegionNum\":1,\"RegionCategory\":\"环境科学与生态学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ENVIRONMENTAL SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Environment International","FirstCategoryId":"93","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S016041202500159X","RegionNum":1,"RegionCategory":"环境科学与生态学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ENVIRONMENTAL SCIENCES","Score":null,"Total":0}

引用次数: 0

摘要

环境噪声污染正在加剧，而中低收入国家（LMICs）与环境噪声相关的心血管疾病（CVD）风险仍未得到充分认识。在这项研究中，我们利用高空间分辨率的土地利用回归（LUR）模型来评估环境噪声，并将中国鄞州区域卫生信息平台（YRHIP）的数字医疗数据与环境噪声的暴露联系起来，以评估环境噪声与心血管疾病风险的关系。在533,512名参与者中，平均（SD）年龄为53.66（15.52）岁，女性占52.8% %。平均环境噪声水平为59.34 dB(A)。共有177,111名（33.20 %）、18,030名（3.38 %）、15,912名（2.98 %）、9,601名（1.80 %）和161,889名（30.34 %）参与者被诊断为心血管疾病、脑血管疾病、缺血性心脏病（IHD）、中风和高血压。将社区作为随机效应项的多变量修正泊松回归模型用于评估环境噪声与心血管疾病流行风险及其主要亚型的关联。调整个体协变量（年龄、性别、婚姻状况、教育程度、生活方式）、区域协变量（城市化程度、人口密度、GDP）和PM2.5。我们观察到积极的住宅环境噪声暴露和心血管疾病之间的关联(比率(PR) 1.06, 95 % CI: 1.02 - -1.09每5 dB [A]),胆道(公关1.14,95 %置信区间:1.07—-1.21每5 dB [A]),和高血压(公关1.06,95 %置信区间:1.03—-1.09每5 dB [A]),而没有发现协会脑血管疾病(公关1.01,95 %置信区间:0.96—-1.07每5 dB [A])和中风(公关0.97,95 %置信区间:0.92—-1.03每5 dB [A])。与环境噪声相关的心血管疾病和高血压的风险在男性和50-60岁 年龄组中更高（p为相互作用 <； 0.001）。环境噪声与IHD之间的关联在 ≥ 70岁年龄组（p为交互作用 <； 0.05）和教育水平较低的参与者（p为交互作用 <； 0.05）中更强。该研究填补了使用高空间分辨率LUR模型估计的环境噪声与中低收入国家心血管疾病流行风险之间关系的知识空白。这些证据将为减轻中低收入国家与环境噪声相关的心血管疾病负担激增的政策制定提供重要意义。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

High spatial resolution environmental noise assessment and its associations with risks of cardiovascular diseases based on digital healthcare data in China

查看原文本刊更多论文

High spatial resolution environmental noise assessment and its associations with risks of cardiovascular diseases based on digital healthcare data in China

Environmental noise pollution is increasing, while risks of cardiovascular diseases (CVD) associated with environmental noise in low- and middle-income countries (LMICs) still remain under-recognized. In this study, we utilized land-use regression (LUR) models at high spatial resolution to assess environmental noise and linked the exposure to digital healthcare data from the Yinzhou Regional Health Information Platform (YRHIP) in China to assess the associations of environmental noise with risks of CVD. Among 533,512 participants, mean (SD) age was 53.66 (15.52) years with females constituting 52.8 %. The mean environmental noise level was 59.34 dB[A]. A total of 177,111 (33.20 %), 18,030 (3.38 %), 15,912 (2.98 %), 9,601 (1.80 %), and 161,889 (30.34 %) participants were diagnosed with CVD, cerebrovascular diseases, ischemic heart diseases (IHD), stroke, and hypertension, respectively. Multivariable modified Poisson regression models incorporating community as a random-effect term were used to evaluate associations of environmental noise with the prevalent risk of CVD and its major subtypes. Individual covariates (age, sex, marital status, education, lifestyles), area-level covariates (urbanicity, population density, GDP), and PM_2.5 were adjusted. We observed positive associations between residential environmental noise exposure and CVD (prevalence ratio (PR) 1.06, 95 % CI: 1.02–1.09 per 5 dB[A]), IHD (PR 1.14, 95 % CI: 1.07–1.21 per 5 dB[A]), and hypertension (PR 1.06, 95 % CI: 1.03–1.09 per 5 dB[A]), while no association was found for cerebrovascular diseases (PR 1.01, 95 % CI: 0.96–1.07 per 5 dB[A]) and stroke (PR 0.97, 95 % CI: 0.92–1.03 per 5 dB[A]). The risks of CVD and hypertension associated with environmental noise were higher among males and in the 50–60 years age group (P for interaction < 0.001). The associations between environmental noise and IHD were stronger in the ≥ 70 age group and among the participants with lower education levels (P for interaction < 0.05). The study fills the gap of knowledge about the associations between environmental noise, estimated using high spatial resolution LUR models, and CVD prevalent risk in LMICs. The evidence would provide significant implications for policy-making in terms of alleviating the surging disease burden of CVD related to environmental noise in LMICs.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Environment International 环境科学-环境科学

CiteScore

21.90

自引率

3.40%

发文量

734

审稿时长

2.8 months

期刊介绍： Environmental Health publishes manuscripts focusing on critical aspects of environmental and occupational medicine, including studies in toxicology and epidemiology, to illuminate the human health implications of exposure to environmental hazards. The journal adopts an open-access model and practices open peer review. It caters to scientists and practitioners across all environmental science domains, directly or indirectly impacting human health and well-being. With a commitment to enhancing the prevention of environmentally-related health risks, Environmental Health serves as a public health journal for the community and scientists engaged in matters of public health significance concerning the environment.