Exposure to noise constitutes a health risk. There is sufficient scientific evidence that noise exposure can induce hearing impairment, hypertension and ischemic heart disease, annoyance, sleep disturbance, and decreased school performance. For other effects such as changes in the immune system and birth defects, the evidence is limited. Most public health impacts of noise were already identified in the 1960s and noise abatement is less of a scientific but primarily a policy problem. A subject for further research is the elucidation of the mechanisms underlying noise-induced cardiovascular disorders and the relationship of noise with annoyance and nonacoustical factors modifying health outcomes. A high priority study subject is the effects of noise on children, including cognitive effects and their reversibility. Noise exposure is on the increase, especially in the general living environment, both in industrialized nations and in developing world regions. This implies that in the twenty-first century noise exposure will still be a major public health problem.

Noise exposure and public health.

The role of noise as an environmental pollutant and its impact on health are being increasingly recognized. Beyond its effects on the auditory system, noise causes annoyance and disturbs sleep, and it impairs cognitive performance. Furthermore, evidence from epidemiologic studies demonstrates that environmental noise is associated with an increased incidence of arterial hypertension, myocardial infarction, and stroke. Both observational and experimental studies indicate that in particular night-time noise can cause disruptions of sleep structure, vegetative arousals (e.g. increases of blood pressure and heart rate) and increases in stress hormone levels and oxidative stress, which in turn may result in endothelial dysfunction and arterial hypertension. This review focuses on the cardiovascular consequences of environmental noise exposure and stresses the importance of noise mitigation strategies for public health.

https://www.klein-winternheim.de/lokale-agenda/d43d5e550c96630fc05d6c66ec88f0f4_Elsner-eurheartj.ehu030.full.pdf

Cardiovascular effects of environmental noise exposure

Standardized general-purpose noise reaction questions for community noise surveys: research and a recommendation

There is increasing concern about the effects of pile driving and other anthropogenic (human-generated) sound on fishes. Although there is a growing body of reports examining this issue, little of the work is found in the peer-reviewed literature. This review critically examines both the peer-reviewed and 'grey' literature, with the goal of determining what is known and not known about effects on fish. A companion piece provides an analysis of the available data and applies it to estimate noise exposure criteria for pile driving and other impulsive sounds. The critical literature review concludes that very little is known about effects of pile driving and other anthropogenic sounds on fishes, and that it is not yet possible to extrapolate from one experiment to other signal parameters of the same sound, to other types of sounds, to other effects, or to other species.

The effects of anthropogenic sources of sound on fishes.

To evaluate the quality of available evidence on the effects of environmental noise exposure on sleep a systematic review was conducted. The databases PSYCINFO, PubMed, Science Direct, Scopus, Web of Science and the TNO Repository were searched for non-laboratory studies on the effects of environmental noise on sleep with measured or predicted noise levels and published in or after the year 2000. The quality of the evidence was assessed using GRADE criteria. Seventy four studies predominately conducted between 2000 and 2015 were included in the review. A meta-analysis of surveys linking road, rail, and aircraft noise exposure to self-reports of sleep disturbance was conducted. The odds ratio for the percent highly sleep disturbed for a 10 dB increase in Lnight was significant for aircraft (1.94; 95% CI 1.61–2.3), road (2.13; 95% CI 1.82–2.48), and rail (3.06; 95% CI 2.38–3.93) noise when the question referred to noise, but non-significant for aircraft (1.17; 95% CI 0.54–2.53), road (1.09; 95% CI 0.94–1.27), and rail (1.27; 95% CI 0.89–1.81) noise when the question did not refer to noise. A pooled analysis of polysomnographic studies on the acute effects of transportation noise on sleep was also conducted and the unadjusted odds ratio for the probability of awakening for a 10 dBA increase in the indoor Lmax was significant for aircraft (1.35; 95% CI 1.22–1.50), road (1.36; 95% CI 1.19–1.55), and rail (1.35; 95% CI 1.21–1.52) noise. Due to a limited number of studies and the use of different outcome measures, a narrative review only was conducted for motility, cardiac and blood pressure outcomes, and for children’s sleep. The effect of wind turbine and hospital noise on sleep was also assessed. Based on the available evidence, transportation noise affects objectively measured sleep physiology and subjectively assessed sleep disturbance in adults. For other outcome measures and noise sources the examined evidence was conflicting or only emerging. According to GRADE criteria, the quality of the evidence was moderate for cortical awakenings and self-reported sleep disturbance (for questions that referred to noise) induced by traffic noise, low for motility measures of traffic noise induced sleep disturbance, and very low for all other noise sources and investigated sleep outcomes.

WHO Environmental Noise Guidelines for the European Region: A Systematic Review on Environmental Noise and Effects on Sleep.

Equal-noisiness experiments using variable sound durations and pressure levels to determine perceived noise level of listeners

/pdf/some-effects-of-spectral-content-and-duration-on-perceived-440jjbv2a2.pdf

Some Effects of Spectral Content and Duration on Perceived Noise Level

The findings of 21 studies of the effects of noise on sleep were reanalyzed in an effort to develop a quantitative dosage‐response relationship. Large and systematic differences in sleep disturbance were observed between the findings of studies conducted in laboratory and in field settings. The influence of noise on sleep was also found to depend on additional factors such as the nature of noise and response metrics, noise source, background noise level, length of study, and sex of test participants. No reliable quantitative model for sleep disturbance could be developed from the studies reviewed.

Predicting noise‐induced sleep disturbance

Field measurements were conducted of potential sleep disturbance associated with changes in nighttime aircraft noise exposure near three airports. One study was conducted near Stapleton International Airport (DEN) and Denver International Airport (DIA) in anticipation of the closure of the former and opening of the latter. Sleep behavior was monitored in 57 homes located near runway ends at the two airports. A second study was conducted in the vicinity of DeKalb-Peachtree Airport (PDK), a large general aviation airport that expected increased nighttime flight operations due to the Olympic Games in July and August of 1996. Similar methods of measuring nighttime noise levels and sleep disturbance in the two studies were maintained over the course of 2717 and 686 subject-nights of observations, respectively. No major differences in noise-induced sleep disturbance were observed as a function of changes in nighttime aircraft noise exposure.

Effects on sleep disturbance of changes in aircraft noise near three airports.

Behaviorally confirmed awakenings were recorded during nighttime hours for periods of approximately one month in 45 homes of 82 test participants. Measurements of awakening and of both indoor and outdoor noise exposure were made for a total of 632 subject nights near a military airfield, 783 subject nights near a civil airport, and 472 subject nights in neighborhoods with community noise exposure of nonaircraft origin. Sound exposure levels of individual noise intrusions were much more closely associated with awakenings than long‐term noise exposure levels. The slope of the relationship between awakening and sound exposure level was rather shallow, however. Although the present findings do not resemble those of laboratory studies of noise‐induced sleep interference, they are in good agreement with the results of other field studies.

Field study of noise‐induced sleep disturbance

Aircraft noise-induced sleep disturbance (AN-ISD) is potentially among the more serious effects of aircraft noise on people. This literature review of recent field studies of AN-ISD finds that reliable generalization of findings to population-level effects is complicated by individual differences among subjects, methodological and analytic differences among studies, and predictive relationships that account for only a small fraction of the variance in the relationship between noise exposure and sleep disturbance. It is nonetheless apparent in the studied circumstances of residential exposure that sleep disturbance effects of nighttime aircraft noise intrusions are not dramatic on a per-event basis, and that linkages between outdoor aircraft noise exposure and sleep disturbance are tenuous. It is also apparent that AN-ISD occurs more often during later than earlier parts of the night; that indoor sound levels are more closely associated with sleep disturbance than outdoor measures; and that spontaneous awakenings, or awakenings attributable to nonaircraft indoor noises, occur more often than awakenings attributed to aircraft noise. Predictions of sleep disturbance due to aircraft noise should not be based on over-simplifications of the findings of the reviewed studies, and these reports should be treated with caution in developing regulatory policy for aircraft noise.

Karl S. Pearsons

Papers

Some Effects of Spectral Content and Duration on Perceived Noise Level

Predicting noise‐induced sleep disturbance

Effects on sleep disturbance of changes in aircraft noise near three airports.

Field study of noise‐induced sleep disturbance

Review of field studies of aircraft noise-induced sleep disturbance