上海群体中的环境噪音暴露和心血管疾病
Yang Shen1, Xueyi Xu1, Yihui Ge1
1School of Public Health, Key Lab of Public Health Safety of the Ministry of Education and NHC Key Lab of Health Technology Assessment, Fudan University, Shanghai 200032, China.
Environment international
|August 28, 2025
概括
环境噪音显著增加心血管疾病 (CVD) 的风险,包括高血压,冠状动脉疾病和中风. 噪音暴露也会对心血管风险因素产生负面影响,这凸显了对噪音污染减轻策略的需要.
科学领域:
- 环境健康
- 心血管流行病学
- 公共卫生
背景情况:
- 关于环境噪音对低收入和中等收入国家的心血管疾病 (CVD) 影响的数据有限.
- 这些地区的人口密度高,噪音来源多样.
研究的目的:
- 调查环境噪音暴露与心血管疾病之间的关联.
- 探索噪音暴露与主要心血管风险因素之间的关系.
主要方法:
- 一项研究包括27,444名年龄在18-74岁之间的参与者.
- 使用土地利用回归模型估计噪音暴露.
- 多变量逻辑和线性回归分析评估了与心血管疾病和风险因素的关联,并对风险因素的作用进行了调解分析.
主要成果:
- 增加噪音暴露与高血压 (24%),冠状动脉疾病 (18%) 和中风 (12%) 的风险相关.
- 噪音暴露与血压,葡萄糖代谢和脂质特征 (高甘油三,较低的HDL- C) 的不良变化有关.
- 噪音与心血管疾病之间的关联部分是由代谢因素,如空腹血糖,HbA1c,甘油三,HDL- C和体重指数.
结论:
- 长期暴露于环境噪音会对心血管健康造成重大风险.
- 调查结果强调需要采取公共卫生措施减少中国的噪音污染.
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