head JofIMAB
Journal of IMAB
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2024, vol. 30, issue4
Subject Area: Public Health
-
DOI: 10.5272/jimab.2024304.5799
Published online: 10 October 2024

Review article
J of IMAB. 2024 Oct-Dec;30(4):5799-5805
ENVIRONMENTAL NOISE AND CARDIOVASCULAR DISEASES IN BULGARIA
Dima Tsanova1ORCID logoCorresponding Autoremail, Tvetelina Vitkova2ORCID logo, Atanas Anov3ORCID logo, Emilia Bankova2ORCID logo,
1)Department of Social Medicine and Health Management, Faculty of Public Health, Medical University - Pleven, Bulgaria.
2) Department of Hygiene, medical ecology, occupational diseases and disaster medicine, Faculty of Public Health, Medical University - Pleven, Bulgaria.
3) Department of Health care management, Medical ethics and Information Technologies, Faculty of Public Health, Medical University - Pleven, Bulgaria.

ABSTRACT:
Purpose: Noise has emerged as a leading environmental nuisance. Cardiovascular diseases rank first among the causes of death on a global scale and one of the possible effects of noise impact on the human organism.  
The study aims to analyze the level of noise pollution in Bulgaria and to measure its association with cardiovascular diseases.
Methods: Data provided by the National Statistical Institute, Eurostat and other databases were used to analyze the noise pollution in Bulgaria. The 28 regions in Bulgaria were compared according to the proportion of surveyed points above permissible limits and the death rates due to cardiovascular diseases, /2022/. Data were statistically processed with SPSS v.26.
Results: A positive fact is the absence of high values of noise levels in the range of 78-82 dB(A) and over 82 dB(A) and the decrease in the share of surveyed points with noise levels in this range during the analyzed period-  from 27.3% in 2006 to 18.56% in 2022.
The study found that almost all districts with the highest share of surveyed points above permissible limits have higher levels of death rate due to CVD. There is a positive moderate correlation between the share of surveyed points above permissible limits and the Death rate due to CVD -  coefficient of Pearson is 0.423 (p=0.025).
Conclusion: Cardiovascular diseases have a multifactorial genesis, but the reduction of noise in urban areas would help prevent these diseases.

Keywords: Noise, pollution, cardiovascular, inequalities, public health,

pdf - Download FULL TEXT /PDF 1042 KB/
Please cite this article as: Tsanova D, Vitkova T, Anov A, Bankova E. Environmental noise and cardiovascular diseases in Bulgaria. J of IMAB. 2024 Oct-Dec;30(4):5799-5805. [Crossref - 10.5272/jimab.2024304.5799]

Corresponding AutorCorrespondence to: Dima Tsanova, Department of Social Medicine and Health Management, Faculty of Public Health, Medical University – Pleven; 1, Sv. Kliment Ohridski Str., 5800 Pleven, Bulgaria; E-mail: dima.tsanova@mu-pleven.bg

REFERENCES:
1. Patočka J, Zölzer F. [Environmental health: acute problems.] [in Chech] Kontakt. 2013; 15(2):190-202. [Crossref ]
2.Chen Y, Hansell AL, Clark SN, Cai YS. Environmental noise and health in low-middle-income-countries: A systematic review of epidemiological evidence. Environ Pollut. 2023 Jan 1;316(Pt 2):120605. [PubMed ]
3.Babisch W. Transportation noise and cardiovascular risk: updated review and synthesis of epidemiological studies indicate that the evidence has increased. Noise Health. 2006 Jan-Mar;8(30):1-29. [PubMed]
4.Babisch W. Transportation Noise and Cardiovascular Risk. Review and Synthesis of Epidemiological Studies. Dose-effect Curve and Risk Estimation. Umweltbundesamt. January 2006. [Internet]
5.Stankov S, Stepančev B. [Noise and its influence on human health.] [in Serbian]  Med čas. 2022; 56(2):77-83. [Crossref]
6.Hoffmann B. Noise and Hypertension—a Narrative Review. Curr Epidemiol Rep. 2018 Mar 21;5:70-78. [Crossref]
7.Spreng M. Possible health effects of noise induced cortisol increase. Noise Health. 2000; 2(7):59-64. [PubMed]
8.Pretzsch A, Seidler A, Hegewald J. Health Effects of Occupational Noise. Curr Pollution Rep. 2021 Jul 24;7:344–358. [Crossref]
9.Zaman M, Muslim M, Jehangir A. Environmental noise-induced cardiovascular, metabolic and mental health disorders: a brief review. Environ Sci Pollut Res Int. 2022 Nov;29(51):76485-76500. [PubMed]
10.Chang TY, Su TC, Lin SY, Jain RM, Chan CC. Effects of occupational noise exposure on 24-hour ambulatory vascular properties in male workers. Environ Health Perspect. 2007 Nov;115(11):1660-4. [PubMed]
11.Juneau M. Noise, a little-known risk factor for cardiovascular disease. Observatoire de la Prevention. 15 September 2023. [Internet]
12.McNamee R, Burgess G, Dippnall WM, Cherry N. Occupational noise exposure and ischaemic heart disease mortality. Occup Environ Med. 2006 Dec;63(12):813-9. [PubMed]
13.Lercher P. Environmental noise and health: an integrated research perspective. Environ Int. 1996; 22(1):117–128. [Crossref]
14.Stocks SJ, McNamee R, van der Molen HF, Paris C, Urban P, Campo G, et al. Trends in incidence of occupational asthma, contact dermatitis, noise-induced hearing loss, carpal tunnel syndrome and upper limb musculoskeletal disorders in European countries from 2000 to 2012. Occup Environ Med. 2015 Apr;72(4):294-303. [PubMed]
15.GBD 2016 Occupational Risk Factors Collaborators. Global and regional burden of disease and injury in 2016 arising from occupational exposures: a systematic analysis for the Global Burden of Disease Study 2016. Occup Environ Med. 2020 Mar;77(3):133-141. [PubMed]
16.Burden of disease from environmental noise: Quantification of healthy life years lost in Europe. WHO. 2011. [Internet]
17.Environmental Noise Guidelines for the European Region. WHO. 30 January 2019. [Internet]
18.[Regulation No. 54 of December 13, 2010, on the Activity of the National environmental noise monitoring system and on the requirements for carrying out own monitoring and providing information from industrial sources of mice in the environment.] [in Bulgarian] Effective from 12.02.2011. Promulgated in the State Gazette. No. 3 of January 11, 2011. [Internet]
19.Rabiei H, Ramezanifar S, Hassanipour S, Gharari N. Investigating the effects of occupational and environmental noise on cardiovascular diseases: a systematic review and meta-analysis. Environ Sci Pollut Res Int. 2021 Nov;28(44):62012-62029. [PubMed]
20.Balashkevich N, Zhetpisbaev BA, Pivina LM, Dusenova LB, Prevention of cardiovascular disease: medico-social aspects. Medical University, Semey, Kazakhstan, 2015, 38–39.
21.Townsend N, Kazakiewicz D, Lucy Wright F, Timmis A, Huculeci R, Torbica A, et al. Epidemiology of cardiovascular disease in Europe. Nat Rev Cardiol. 2022 Feb;19(2):133-143. [PubMed]
22Timmis A, Vardas P, Townsend N, Torbica A, Katus H, De Smedt D, et al. European Society of Cardiology: cardiovascular disease statistics 2021. Eur Heart J. 2022 Feb 22;43(8):716-799. [PubMed]
23.Health research by location. Country profile Bulgaria. IHME. 2019. [Internet]
24.World Heart Observatory. Connecting data and knowledge with experience and action. Cardiovascular disease in men and women. Country Profile Bulgaria. 2019. WHF/WHO. [Internet]
25.Vakrilova-Becheva MS, Kirkova-Bogdanova AG, Ivanova SА, Atanasov PJ, Chaneva MS, Petkova VB. Prevention of cardiovascular diseases. Pharmacia. 2023 Oct;70(4):1243–1247. [Crossref]
26.Population living in households considering that they suffer from noise, by poverty status. Eurostat. 12/06/2024.  [Crossref]

Received: 15 May 2024
Published online: 10 October 2024

back to Online Journal