Focused study on the quiet side effect in dwellings highly exposed to road traffic noise

Personal Strategies to Reduce the Cardiovascular Impacts of Environmental Exposures

Ubiquitous environmental exposures increase cardiovascular disease risk via diverse mechanisms. This review examines personal strategies to minimize this risk. With regard to fine particulate air pollution exposure, evidence exists to recommend the use of portable air cleaners and avoidance of outdoor activity during periods of poor air quality. Other evidence may support physical activity, dietary modification, omega-3 fatty acid supplementation, and indoor and in-vehicle air conditioning as viable strategies to minimize adverse health effects. There is currently insufficient data to recommend specific personal approaches to reduce the adverse cardiovascular effects of noise pollution. Public health advisories for periods of extreme heat or cold should be observed, with limited evidence supporting a warm ambient home temperature and physical activity as strategies to limit the cardiovascular harms of temperature extremes. Perfluoroalkyl and polyfluoroalkyl substance exposure can be reduced by avoiding contact with perfluoroalkyl and polyfluoroalkyl substance-containing materials; blood or plasma donation and cholestyramine may reduce total body stores of perfluoroalkyl and polyfluoroalkyl substances. However, the cardiovascular impact of these interventions has not been examined. Limited utilization of pesticides and safe handling during use should be encouraged. Finally, vasculotoxic metal exposure can be decreased by using portable air cleaners, home water filtration, and awareness of potential contaminants in ground spices. Chelation therapy reduces physiological stores of vasculotoxic metals and may be effective for the secondary prevention of cardiovascular disease.

Effects of noise on pedestrians in urban environments where road traffic is the main source of sound

Research combining the measurement of objective variables with surveys of people's perception of noise on city streets is useful in terms of understanding the impact of urban noise on the population and improving the environment. Although previous investigations have analysed the factors that may influence the noise annoyance of citizens, it is usually considered as a global aspect. This paper presents research based on in situ surveys and objective variables (urban, meteorological and noise indicators) to evaluate some specific effects of noise on pedestrians in urban environments where road traffic is the main source of sound. The results show significant relationships of the effects of noise and perceptions of how noisy urban environments are with variables such as building height, road category and temperature, with correlation coefficients ranging from 0.37 to 0.64. Significant correlations between these subjective variables and the acoustic variables were also found, with explanations of variability that reached values of up to 50 %. A multivariate analysis revealed that both urban variables (especially the category of street) and environmental variables can be an alternative or a complement to models predicting the effects and perception of environmental noise based only on acoustic variables.

The actual and ideal indoor soundscape for work, relaxation, physical and sexual activity at home: A case study during the COVID-19 lockdown in London

The period of home confinement during the COVID-19 pandemic made the importance of a high-quality surrounding environment even more evident than before. Several studies have been carried out to assess the (negative) impacts of noise on annoyance, particularly whilst working from home (WFH). The present study takes a step further by (1) investigating the positive and negative impacts of the "actual" acoustic environment on a range of activities, i.e., WFH, relaxation, physical, and sexual activities, and (2) identifying the characteristics of an "ideal" indoor soundscape. The study is based on the qualitative analysis of verbal descriptions collected from open-ended questions included in a survey administered in January 2021 to 464 respondents living in London, during the COVID-19 lockdown. The range of impacts in the actual scenario varied from no effect on task execution, to disruption, distraction, concern of disturbing others or being heard. Positive impacts included support of concentration, relaxation, motivation, freedom of sound expression, feeling of being connected to the surroundings and comforted by the presence of others, according to mechanisms described in the study. Negative appraisal could trigger coping strategies (e.g., controlling windows, playing music, wearing headphones) and behavioural changes (e.g., lowering the volume of the voice or music, muting oneself during call, changing workout type) that could in turn limit or enhance the freedom of behaviour, affect or foster wellbeing. Negative impacts were most frequently reported on WFH (by 55% of the participants), followed by relaxation activities (40.6%), sexual activities (30.1%), and home workout (20.1%). The ideal soundscape was described as a quiet, well-sound insulated environment, which guarantees access to positive sounds (i.e., natural sounds, music, urban background), thus resulting in privacy, intimacy, and a place where to express themselves without noise-related constraints. The study complements literature findings on housing design directions in light of the COVID-19 pandemic, by providing further evidence on the impacts of poor sound insulation at home, the potential benefits of nature-based solutions for positive indoor soundscapes, and opportunities for an activity-based design of domestic environments, inclusive of a broader set of home uses and household compositions.

Exposure to transportation noise and risk for cardiovascular disease in a nationwide cohort study from Denmark

BACKGROUND

Transportation noise increases the risk of ischemic heart disease (IHD), but few studies have investigated subtypes of IHD, such as myocardial infarction (MI), angina pectoris, or heart failure. We aimed to study whether exposure to road, railway and aircraft noise increased risk for ischemic heart disease (IHD), IHD subtypes, and heart failure in the entire adult Danish population, investigating exposures at both maximum exposed and silent façades of each residence.

METHODS

We modelled road, railway, and aircraft noise at the most and least exposed façades for the period 1995-2017 for all addresses in Denmark and calculated 10-year time-weighted running means for 2.5 million individuals age ≥50 years, of whom 122,523 developed IHD and 79,358 developed heart failure during follow-up (2005-2017). Data were analyzed using Cox proportional hazards models, adjusted for individual and area-level sociodemographic covariates and air pollution.

RESULTS

We found road traffic noise at the most exposed façade (L_den) to be associated with higher risk of IHD, myocardial infarction (MI), angina pectoris, and heart failure, with hazard ratios (HRs) (95% confidence intervals (CI)) of 1.052 (1.044-1.059), 1.041 (1.032-1.051), 1.095 (1.071-1.119), and 1.039 (1.033-1.045) per 10 dB higher 10-year mean exposure, respectively. These associations followed a near-linear exposure-response relationship and were robust to adjustment for air pollution with PM_2.5. Railway noise at the least exposed façade was associated with heart failure (HR 1.28; 95% CI: 1.004-1.053), but not the other outcomes. Exposure to aircraft noise (>45 dB) seemed associated with increased risk for MI and heart failure.

CONCLUSIONS

We found road traffic noise and potentially railway and aircraft noise to increase risk of various major cardiovascular outcomes, highlighting the importance of preventive actions towards transportation noise.

Indoor soundscapes at home during the COVID-19 lockdown in London - Part II: A structural equation model for comfort, content, and well-being

The present work constitutes the sequel to the analysis of data from an online survey administered to 464 home workers in London in January 2021 during the COVID-19 lockdown. Perceived affective quality of indoor soundscapes has been assessed in the survey through a previously developed model, as the combination of two perceptual dimensions, one related to comfort (a comfortable - annoying continuum) and the other to content (a full of content - empty continuum). Part I of the study reported on differences in comfort, content, and soundscape appropriateness based on the activity performed at home during the lockdown, i.e. working from home (WFH) and relaxation. Moreover, associations between soundscape dimensions and psychological well-being have been highlighted. Part II of the study deals with the exploration of the influences of several acoustical, building, urban and person-related factors on soundscape dimensions and well-being. A mixed-method approach has been adopted by combining multivariate regression of questionnaire scores with the qualitative analysis of spontaneous descriptions given by respondents. Results showed that several sound sources, urban features, housing characteristics, working modes and demographic factors can influence (positively and negatively) soundscape dimensions differently depending on the task at hand. Notably, the perceived dominance of neighbours' noises during relaxation, moderated by noise sensitivity, and the number of people at home were common factors negatively affecting both comfort and well-being, that partially explained the association between comfortable indoor soundscapes and better mental health. The discussion points out the importance of considering the different impacts that acoustical factors (e.g. sound typology), building (e.g., house size), urban (e.g., availability of a quiet side), situational (e.g., number of people at home), and person-related factors (e.g., noise sensitivity) can provide on building occupants depending on the specific activity people are engaged with at home and the opportunities to foster people's well-being through building, urban and acoustic design.

Effect of COVID-19 lockdown on noise pollution levels in an Indian city: a case study of Kanpur

Noise pollution is an emerging environmental threat, prolonged exposure of which can cause annoyance, sleep disturbance, hypertension, psychiatric disorders, and also hormonal dysfunction. Among all the sources of noise pollution, the noise generated by road vehicle traffic significantly affects the quality of urban environments. Concerning the recent imposition of COVID-19 societal lockdown, this study attempts to investigate the impacts of COVID-19 lockdown on the changes in noise pollution levels before, during, and after lockdown phase in different residential, commercial, industrial, and silence zones of the city of Kanpur, India. Utilizing data collected from portable environmental sensors, the average noise levels before lockdown and during lockdown were found to be in the range of 44.85 dB to 79.57 dB and 38.55 dB to 57.79 dB, respectively, for different zones. Although a significant reduction in the noise levels was observed during lockdown, except for commercial zone, all other monitoring stations had reported sound levels quite higher than the recommended noise limits set by the Central Pollution Control Board (CPCB) of India. Results further indicated that the impact of road traffic noise on risk of high annoyance and sleep disturbance was found to be lower during lockdown as compared to that of pre-lockdown and unlock phase. While the annoyance level in residential (86.23%), industrial (87.44%), and silence (84.47%) was higher in pre-lockdown period, it reduced to 41.25, 50.28, and 43.07% in the lockdown phase. Even the risk of sleep disturbance in the residential zone was found to reduce from 37.96% during pre-lockdown to 14.72% during lockdown phase. Several noise mitigation strategies are also proposed, which may indeed pave the way for devising noise control measures in the local and regional level.

The impact of nocturnal road traffic noise, bedroom window orientation, and work-related stress on subjective sleep quality: results of a cross-sectional study among working women

Objective

To examine the effect of work-related stress and road noise exposure on self-rated sleep and potential additive interaction effects.

Methods

Sleep and predictor variables were surveyed within two subsamples with 2191 and 1764 working women in a cross-sectional study. Sleep was assessed using a single question on general sleep quality and four questions on specific sleep problems and subsequently dichotomized (poor sleep vs. no poor sleep). Work-related stress was operationalized by job strain and effort-reward imbalance. Nocturnal exposure to road traffic noise was assessed as (a) the orientation of the bedroom window to a quiet façade vs. a low-, medium- or high-trafficked street and (b) energy-equivalent sound pressure levels for night-time modelled at the most exposed façade (L_night). We distinguished between low (< 45 dB(A)), medium (45–50 dB(A)) and high exposure (> 50 dB(A)).

Results

Poor sleep was associated with job strain and effort-reward imbalance. The prevalence of poor sleep did not increase with increasing L_night, but bedroom window orientation showed a non-significant trend. A quiet façade had a protective effect on sleep in each L_night category. We found a non-significant trend for an additive interaction between bedroom window orientation and job strain.

Conclusion

Noise levels modelled for the most exposed façade likely overestimate the actual exposure and thus may not be a precise predictor of poor sleep. Bedroom window orientation seems more relevant. Potential additive interaction effects between bedroom window orientation and job strain should be considered when interpreting epidemiological study results on noise-induced sleep disturbances.

Supplementary Information

The online version contains supplementary material available at 10.1007/s00420-021-01696-w.

Nighttime road traffic noise exposure at the least and most exposed façades and sleep medication prescription redemption-a Danish cohort study

STUDY OBJECTIVES

Traffic noise has been associated with poor sleep quality and short sleep duration. This study investigates the association between nighttime road traffic noise at the least and most exposed façades of the residence and redemption of sleep medication.

METHODS

In a cohort of 44,438 Danes, aged 50-64 at baseline (1993-1997), we identified all addresses from 1987 to 2015 from a national registry and calculated nighttime road traffic noise at the most and least exposed façades. Using Cox Proportional Hazard Models we investigated the association between residential traffic noise over 1, 5, and 10 years before redemption of the first sleep medication prescription in the Danish National Prescription Registry. During a median follow-up time of 18.5 years, 13,114 persons redeemed a prescription.

RESULTS

We found that 10-year average nighttime exposure to road traffic noise at the most exposed façade was associated with a hazard ratio (HR) of 1.05, 95% confidence interval (CI) (1.00 to 1.10) for Ln greater than 55 as compared to not more than 45 dB, which when stratified by sex was confined to men (HR 1.16, 95% CI 1.08 to 1.25). For the least exposed façade the HR for Ln >45 vs ≤35 dB was 1.00, 95% CI (0.95 to 1.05). For the most exposed façade, the overall association was strongest in smokers and physically inactive.

CONCLUSIONS

Long-term residential nighttime noise exposure at the most exposed façade may be associated with a higher likelihood of redeeming prescriptions for sleep medication, especially among men, smokers, and physically inactive.

Associations and effect modification between transportation noise, self-reported response to noise and the wider determinants of health: A narrative synthesis of the literature

Noise and health guidance to date have focused on the direct links between noise and health outcomes such as annoyance, sleep disturbance, cardiovascular and metabolic disease, and cognitive impairment in schoolchildren. However, noise is a psychosocial stressor, and there are individual studies showing that exposure to noise or the self-reported responses to noise may affect health through interactions with the wider determinants of health and well-being including physical activity, use of green spaces and social interactions. Despite this emerging evidence concerning potential impacts of noise on the wider determinants of health, literature in the field remains dispersed and unsynthesised. This study seeks to synthetize evidence on different relationships between transportation noise, self-reported responses to noise and the wider determinants of health using a systematic review methodology. The search was conducted in Medline, PsycINFO, PubMed, and Scopus on articles published from 2000 to 2017. This led to the review of 76 papers which satisfied the inclusion criteria. Despite strong heterogeneity in the studies' methodologies and indicators used, there is some evidence that noise exposure and responses to noise such as annoyance and disturbance are associated with people's lifestyle, recreational activities as well as the local economy of the neighbourhood. On the other hand, there are some wider determinants of health, mainly those related to the built and natural environment, which modify the relationship between noise exposure and self-reported responses to noise. In particular, greenness, having access to quiet areas, and covering noise sources either visually or acoustically with natural features seems to decrease people's negative responses to noise. Results indicate that transportation noise has the potential to affect health through various pathways, and a holistic approach is needed to capture all the effects.

Long-term residential road traffic noise and mortality in a Danish cohort

Transportation noise is a growing public health concern worldwide and epidemiological evidence has linked road traffic noise with mortality. However, incongruent effect estimates have been reported between incidence and mortality studies. Therefore, the present study aimed to investigate whether long-term exposure to residential road traffic noise at the most and least exposed façades was associated with all-cause, cardiovascular disease (CVD), ischemic heart disease (IHD), stroke, respiratory, or cancer mortality in a Danish cohort study. In a cohort of 52,758 individuals from Copenhagen and Aarhus, we estimated road traffic noise at the most and least exposed façades, as well as ambient air pollution, at all present and historical residential addresses from 1987 to 2016. Using the Danish cause of death register we identified cause-specific mortality. Analyses were conducted using Cox proportional hazards models. Ten-year time-weighted mean road traffic noise exposure at the most exposed façade was associated with an 8% higher risk for all-cause mortality per interquartile range (IQR; 10.4 dB) higher exposure level (95% CI: 1.05-1.11). Higher risks were also observed for CVD (HR = 1.13, 95% CI: 1.06-1.19) and stroke (HR = 1.11, 95% CI: 0.99-1.25) mortality. Road traffic noise at the least exposed façade (per IQR; 8.4 dB) was associated with CVD (HR = 1.09, 95% CI: 1.03-1.15), IHD (HR = 1.10, 95% CI: 1.01-1.21) and stroke (HR = 1.06, 95% CI: 0.95-1.19) mortality. Results were robust to adjustment for PM_2.5 and NO₂. In conclusion, this study adds to the body of evidence linking exposure to road traffic noise with higher risk of mortality.

Adverse Cardiovascular Effects of Traffic Noise with a Focus on Nighttime Noise and the New WHO Noise Guidelines

Exposure to traffic noise is associated with stress and sleep disturbances. The World Health Organization (WHO) recently concluded that road traffic noise increases the risk for ischemic heart disease and potentially other cardiometabolic diseases, including stroke, obesity, and diabetes. The WHO report focused on whole-day noise exposure, but new epidemiological and translational field noise studies indicate that nighttime noise, in particular,is an important risk factor for cardiovascular disease (CVD) through increased levels of stress hormones and vascular oxidative stress, leading to endothelial dysfunction and subsequent development of various CVDs. Novel experimental studies found noise to be associated with oxidative stress-induced vascular and brain damage, mediated by activation of the NADPH oxidase, uncoupling of endothelial and neuronal nitric oxide synthase, and vascular/brain infiltration with inflammatory cells. Noise-induced pathophysiology was more pronounced in response to nighttime as compared with daytime noise. This review focuses on the consequences of nighttime noise.

Exploring the Relationship between Urban Quiet Areas and Perceived Restorative Benefits

To help mitigate the adverse health impacts of environmental noise, European cities are recommended to identify urban quiet areas for preservation. Procedures for identifying urban quiet areas vary across cities and between countries, and little is known of the strength of the salutogenic (health-promoting) benefits they may provide. Taking a multi-site approach, this study examines the potential of three sites as urban quiet areas and their associated health benefits, particularly in relation to perceived restorative benefits. Across three cities in the United Kingdom, an urban garden, urban park, and an urban square had sound pressure levels measured. Responses from 151 visitors to these sites evaluated the place as quiet, calm, and tranquil, and assessed their experience of the place in terms of perceived sounds, its benefits, how it made them feel, and perceived restoration. Depending on the criteria used, the sites varied in their suitability as urban quiet areas, although all provided perceived health benefits. Relationships between sound levels (subjective and objective) and perceived restoration were not linear, with the type of sounds heard and other aspects of the place experience believed to affect the relationship. Building on this work, a future experimental approach based on the study sites is planned to manipulate the multiple variables involved. This will provide a clearer understanding of the relationship between urban quiet areas and perceived restorative benefits.

Home as a Place of Noise Control for the Elderly? A Cross-Sectional Study on Potential Mediating Effects and Associations between Road Traffic Noise Exposure, Access to a Quiet Side, Dwelling-Related Green and Noise Annoyance

Urban residents&rsquo; need to be in control of their home environment can be constrained by perceived uncontrollability of exposure to road traffic noise. Noise annoyance may indicate a psychological stress reaction due to this uncontrollability perception, thereby undermining the restoration process. Environmental resources, such as having access to a quiet side at home and dwelling-related green, may reduce noise annoyance both directly by shielding acoustically and indirectly by enhancing residents&rsquo; perceived noise control. We assessed the potential mediating role of perceived noise control in independent and joint associations of road traffic noise exposure (>65 dB L_den) and of an absent dwelling-related environmental resource (three indicators concerning quiet sides and one indicator concerning dwelling-related green) with noise annoyance. In our cross-sectional, questionnaire-based study on elderly urban citizens (N = 1812), we observed a statistically significant indirect effect of noise exposure on noise annoyance through perceived noise control (39%, 95%CI 26⁻55%). Statistical mediation between indicators of absent environmental resources and noise annoyance was weaker. The potential indirect effect was confirmed for combinations of noise exposure with each of the four indicators of an absent environmental resource. Our findings may call for mitigating noise levels while fostering quietness and green at residents&rsquo; homes.

On the Impact of Anomalous Noise Events on Road Traffic Noise Mapping in Urban and Suburban Environments

Noise pollution is a critical factor affecting public health, the relationship between road traffic noise (RTN) and several diseases in urban areas being especially disturbing. The Environmental Noise Directive 2002/49/EC and the CNOSSOS-EU framework are the main instruments of the European Union to identify and combat noise pollution, requiring Member States to compose and publish noise maps and noise management action plans every five years. Nowadays, the noise maps are starting to be tailored by means of Wireless Acoustic Sensor Networks (WASN). In order to exclusively monitor the impact of RTN on the well-being of citizens through WASN-based approaches, those noise sources unrelated to RTN denoted as Anomalous Noise Events (ANEs) should be removed from the noise map generation. This paper introduces an analysis methodology considering both Signal-to-Noise Ratio (SNR) and duration of ANEs to evaluate their impact on the A-weighted equivalent RTN level calculation for different integration times. The experiments conducted on 9 h of real-life data from the WASN-based DYNAMAP project show that both individual high-impact events and aggregated medium-impact events bias significantly the equivalent noise levels of the RTN map, making any derived study about public health impact inaccurate.

WHO Environmental Noise Guidelines for the European Region: A Systematic Review of Transport Noise Interventions and Their Impacts on Health

This paper describes a systematic review (1980-2014) of evidence on effects of transport noise interventions on human health. The sources are road traffic, railways, and air traffic. Health outcomes include sleep disturbance, annoyance, cognitive impairment of children and cardiovascular diseases. A conceptual framework to classify noise interventions and health effects was developed. Evidence was thinly spread across source types, outcomes, and intervention types. Further, diverse intervention study designs, methods of analyses, exposure levels, and changes in exposure do not allow a meta-analysis of the association between changes in noise level and health outcomes, and risk of bias in most studies was high. However, 43 individual transport noise intervention studies were examined (33 road traffic; 7 air traffic; 3 rail) as to whether the intervention was associated with a change in health outcome. Results showed that many of the interventions were associated with changes in health outcomes irrespective of the source type, the outcome or intervention type (source, path or infrastructure). For road traffic sources and the annoyance outcome, the expected effect-size can be estimated from an appropriate exposure-response function, though the change in annoyance in most studies was larger than could be expected based on noise level change.

Community Response to Multiple Sound Sources: Integrating Acoustic and Contextual Approaches in the Analysis

Sufficient data refer to the relevant prevalence of sound exposure by mixed traffic sources in many nations. Furthermore, consideration of the potential effects of combined sound exposure is required in legal procedures such as environmental health impact assessments. Nevertheless, current practice still uses single exposure response functions. It is silently assumed that those standard exposure-response curves accommodate also for mixed exposures—although some evidence from experimental and field studies casts doubt on this practice. The ALPNAP-study population (N = 1641) shows sufficient subgroups with combinations of rail-highway, highway-main road and rail-highway-main road sound exposure. In this paper we apply a few suggested approaches of the literature to investigate exposure-response curves and its major determinants in the case of exposure to multiple traffic sources. Highly/moderate annoyance and full scale mean annoyance served as outcome. The results show several limitations of the current approaches. Even facing the inherent methodological limitations (energy equivalent summation of sound, rating of overall annoyance) the consideration of main contextual factors jointly occurring with the sources (such as vibration, air pollution) or coping activities and judgments of the wider area soundscape increases the variance explanation from up to 8% (bivariate), up to 15% (base adjustments) up to 55% (full contextual model). The added predictors vary significantly, depending on the source combination. (e.g., significant vibration effects with main road/railway, not highway). Although no significant interactions were found, the observed additive effects are of public health importance. Especially in the case of a three source exposure situation the overall annoyance is already high at lower levels and the contribution of the acoustic indicators is small compared with the non-acoustic and contextual predictors. Noise mapping needs to go down to levels of 40 dBA,Lden to ensure the protection of quiet areas and prohibit the silent “filling up” of these areas with new sound sources. Eventually, to better predict the annoyance in the exposure range between 40 and 60 dBA and support the protection of quiet areas in city and rural areas in planning sound indicators need to be oriented at the noticeability of sound and consider other traffic related by-products (air quality, vibration, coping strain) in future studies and environmental impact assessments.

Noise Annoyance in Urban Children: A Cross-Sectional Population-Based Study

Acoustical and non-acoustical factors influencing noise annoyance in adults have been well-documented in recent years; however, similar knowledge is lacking in children. The aim of this study was to quantify the annoyance caused by chronic ambient noise at home in children and to assess the relationship between these children's noise annoyance level and individual and contextual factors in the surrounding urban area. A cross sectional population-based study was conducted including 517 children attending primary school in a European city. Noise annoyance was measured using a self-report questionnaire adapted for children. Six noise exposure level indicators were built at different locations at increasing distances from the child's bedroom window using a validated strategic noise map. Multilevel logistic models were constructed to investigate factors associated with noise annoyance in children. Noise indicators in front of the child's bedroom (p ≤ 0.01), family residential satisfaction (p ≤ 0.03) and socioeconomic characteristics of the individuals and their neighbourhood (p ≤ 0.05) remained associated with child annoyance. These findings illustrate the complex relationships between our environment, how we may perceive it, social factors and health. Better understanding of these relationships will undoubtedly allow us to more effectively quantify the actual effect of noise on human health.

Source-based subjective responses to sleep disturbance from transportation noise

There is increasing evidence to suggest that the use of subjective responses to questions concerning night-time environmental noise exposure is a robust method of assessing sleep disturbance from road traffic noise. However, there have only been a few studies exploring this issue in a real world context beyond controlled laboratory settings. This paper presents results from such a study. It utilises 208 household questionnaire surveys to assess subjective responses to levels of night-time sleep disturbance and annoyance from four different residential sites. Each residential site is characterised by a dominant noise source - road, light rail, and aircraft - and these sites are compared to a control site that is relatively free from transportation noise. The results demonstrate the inadequacy of continuous equivalent noise level measures as indicators of night-time disturbance. Furthermore, they suggest that the use of these measures alone is likely to result in inaccurate appraisals of night-time sleep disturbance from transportation noise. Ultimately, the research implies that measurement data should be used in conjunction with subjective response data to accurately gauge the level of night-time disturbance from transportation noise.

ICBEN review of research on the biological effects of noise 2011-2014

The mandate of the International Commission on Biological Effects of Noise (ICBEN) is to promote a high level of scientific research concerning all aspects of noise-induced effects on human beings and animals. In this review, ICBEN team chairs and co-chairs summarize relevant findings, publications, developments, and policies related to the biological effects of noise, with a focus on the period 2011-2014 and for the following topics: Noise-induced hearing loss; nonauditory effects of noise; effects of noise on performance and behavior; effects of noise on sleep; community response to noise; and interactions with other agents and contextual factors. Occupational settings and transport have been identified as the most prominent sources of noise that affect health. These reviews demonstrate that noise is a prevalent and often underestimated threat for both auditory and nonauditory health and that strategies for the prevention of noise and its associated negative health consequences are needed to promote public health.

Sleep as a mediator in the pathway linking environmental factors to hypertension: a review of the literature

Environmental factors, such as noise exposure and air pollution, are associated with hypertension. These environmental factors also affect sleep quality. Given the growing evidence linking sleep quality with hypertension, the purpose of this review is to investigate the role of sleep as a key mediator in the association between hypertension and environmental factors. Through this narrative review of the extant literature, we highlight that poor sleep quality mediates the relationship between environmental factors and hypertension. The conceptual model proposed in this review offers opportunities to address healthcare disparities in hypertension among African Americans by highlighting the disparate impact that the predictors (environmental factors) and mediator (sleep) have on the African-American community. Understanding the impact of these factors is crucial since the main outcome variable (hypertension) severely burdens the African-American community.

Annoyance, sleep and concentration problems due to combined traffic noise and the benefit of quiet side

Background: Access to a quiet side in one’s dwelling is thought to compensate for higher noise levels at the most exposed façade. It has also been indicated that noise from combined traffic sources causes more noise annoyance than equal average levels from either road traffic or railway noise separately. Methods: 2612 persons in Malmö, Sweden, answered to a residential environment survey including questions on outdoor environment, noise sensitivity, noise annoyance, sleep quality and concentration problems. Road traffic and railway noise was modeled using Geographic Information System. Results: Access to a quiet side, i.e., at least one window facing yard, water or green space, was associated with reduced risk of annoyance OR (95%CI) 0.47 (0.38–0.59), and concentration problems 0.76 (0.61–0.95). Bedroom window facing the same environment was associated to reduced risk of reporting of poor sleep quality 0.78 (0.64–1.00). Railway noise was associated with reduced risk of annoyance below 55 dB(A) but not at higher levels of exposure. Conclusions: Having a window facing a yard, water or green space was associated to a substantially reduced risk of noise annoyance and concentration problems. If this window was the bedroom window, sleeping problems were less likely.

Field study on the impact of nocturnal road traffic noise on sleep: the importance of in- and outdoor noise assessment, the bedroom location and nighttime noise disturbances

The aim of this field study is to gain more insight into the way nocturnal road traffic noise impacts the sleep of inhabitants living in noisy regions, by taking into account several modifying variables. Participants were tested during five consecutive nights in their homes and comparisons between effective indoor and outdoor noise levels (LAeq, LAmax, number of noise events), sleep (actigraphy and sleep logs) and aspects of well-being (questionnaires) were made. Also, we investigated into what extent nocturnal noise exposure - objectively measured as well as perceived - directly relates to sleep outcomes and how the bedroom location influenced our measurements. We found that subjects living and sleeping in noisy regions correctly perceive their environment in terms of noise exposure and reported an overall discomfort due to traffic noise. In the evaluation of the objective noise levels, the inside noise levels did not follow the outside noise levels, though the different noise patterns could be described as characteristic for a noise and quiet environment. The impact on sleep, however, was only modest and we did not find any influence of noise intrusion on mood or pre-sleep arousal levels. Concerning the subjectively reported noise disturbances during the night, a clear relationship between noise and sleep outcomes could be established; with sleep onset latencies and judged sleep quality being particularly affected. The importance of inside and outside noise assessment as well as the use of multiple noise indicators in a home environment is further described. Additional emphasis is put on the determination of quiet control regions and the bedroom location, as this can alter noise levels and sleep outcomes. Also, including subjective noise evaluations during the night might not only provide crucial information on how participants experience the noise, but also allows for a more qualitative interpretation of the actual noise situation.

Estimation of populations exposed to road traffic noise in districts of Seoul metropolitan area of Korea

This study aims to model road traffic noise levels and estimate the human exposure at the 25 districts in the metropolitan Seoul, Republic of Korea. The SoundPLAN^® Version 7.1 software package was used to model noise levels and simulated road traffic noise maps were created. The people exposed to daytime/nighttime road traffic noise were also estimated. The proportions of the population exposed to road traffic noise in major cities in the EU were also estimated and compared. Eight (8) districts show the exceeded rate (percentage of the exposed population exceeding the daytime standard) of 20% or more, and eleven (11) districts show 10%-20% and six (6) districts show less than 10%, which indicates considerable variation among districts. Two districts (Nowon-gu and Yangcheon-gu) show the highest exposure rate during the daytime (35.2%). For nighttime noise levels, fourteen (14) districts show the exceeded rate (percentage of exposed population exceeding the nighttime standard) over 30%. The average percentages of the exposed population exceeding the daytime/nighttime standards in Seoul and the EU were 16.6%/34.8% and 13.0%/16.1%, respectively. The results show that road traffic noise reduction measures should urgently be taken for the nighttime traffic noise in Seoul. When the grid noise map and the 3-D façade noise map were compared, the 3-D façade noise map was more accurate in estimating exposed population in citywide noise mapping.

Annoyance, detection and recognition of wind turbine noise

Annoyance, recognition and detection of noise from a single wind turbine were studied by means of a two-stage listening experiment with 50 participants with normal hearing abilities. In-situ recordings made at close distance from a 1.8-MW wind turbine operating at 22 rpm were mixed with road traffic noise, and processed to simulate indoor sound pressure levels at LAeq 40 dBA. In a first part, where people were unaware of the true purpose of the experiment, samples were played during a quiet leisure activity. Under these conditions, pure wind turbine noise gave very similar annoyance ratings as unmixed highway noise at the same equivalent level, while annoyance by local road traffic noise was significantly higher. In a second experiment, listeners were asked to identify the sample containing wind turbine noise in a paired comparison test. The detection limit of wind turbine noise in presence of highway noise was estimated to be as low as a signal-to-noise ratio of -23 dBA. When mixed with local road traffic, such a detection limit could not be determined. These findings support that noticing the sound could be an important aspect of wind turbine noise annoyance at the low equivalent levels typically observed indoors in practice. Participants that easily recognized wind-turbine(-like) sounds could detect wind turbine noise better when submersed in road traffic noise. Recognition of wind turbine sounds is also linked to higher annoyance. Awareness of the source is therefore a relevant aspect of wind turbine noise perception which is consistent with previous research.

Road traffic noise and annoyance: a quantification of the effect of quiet side exposure at dwellings

Previous studies indicate that residents may benefit from a “quiet side” to their dwellings. The influence of the level of road traffic noise exposure at the least exposed side on road traffic noise annoyance was studied in Amsterdam, The Netherlands. Road traffic noise exposure was assessed at the most and least exposed façade (L_den,most and L_den,least respectively) of dwellings for subjects in a population based survey (N = 1,967). It was investigated if and to what extent relative quietness at the least exposed façade affected the level of road traffic noise annoyance by comparing two groups: (1) The subgroup with a relatively quiet façade; (2) the subgroup without a relatively quiet façade (large versus small difference in exposure between most and least exposed façade; DIF ≥ 10 dB and DIF < 10 dB respectively). In addition, it was investigated if and to what extent L_den,least affected the level of road traffic noise annoyance. Results indicate a significantly lower road traffic noise annoyance score at a given L_den,most, in the subgroup with DIF ≥ 10 dB versus DIF < 10 dB. Furthermore, results suggest an effect of L_den,least independent of L_den,most. The estimated size of the effect expressed in an equivalent change in L_den,most approximated 5 dB for both the difference between the two subgroups (DIF ≥ 10 dB and DIF < 10 dB), and for a 10 dB change in L_den,least.