Evidence map›Paper›PMID 34605674›Full record

ArticleEnvironmental health perspectives2021

Long-Term Exposure to Transportation Noise and Risk of Incident Stroke: A Pooled Study of Nine Scandinavian Cohorts.

Nina Roswall, Andrei Pyko, Mikael Ögren, Anna Oudin, Annika Rosengren, Anton Lager, Aslak H Poulsen, Charlotta Eriksson, David Segersson, Debora Rizzuto and 27 more

Open access · diamondAbstract read
In one paragraph

Article in Environmental health perspectives, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
12.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Impact of Residential Noise Exposure on Neurological Health: A Systematic Scoping Review.Journal of urban health : bulletin of the New York Academy of Medicine · 2025
    Article
  7. Review
  8. Review
  9. Article
  10. Global Burden of Disease from Environmental Factors.Annual review of public health · 2025
    Review
  11. Review
  12. Article
  13. Review
  14. Noise causes cardiovascular disease: it's time to act.Journal of exposure science & environmental epidemiology · 2025
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

37 authors at 15 institutions in 5 countries.

Nina RoswallDanish Cancer Society Research Centre, Copenhagen, Denmark.
Andrei PykoCenter for Occupational and Environmental Medicine, Stockholm, Sweden.
Mikael ÖgrenOccupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Anna OudinEnvironment Society and Health, Lund University, Sweden.
Annika RosengrenMolecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Anton LagerCentre for Epidemiology and Community Medicine, Stockholm, Sweden.
Aslak H PoulsenDanish Cancer Society Research Centre, Copenhagen, Denmark.
Charlotta ErikssonCenter for Occupational and Environmental Medicine, Stockholm, Sweden.
David SegerssonSwedish Meteorological and Hydrological Institute, Norrköping, Sweden.
Debora RizzutoAging Research Center, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet and Stockholm University, Stockholm, Sweden.
Eva M AnderssonOccupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Gunn Marit AasvangDepartment of Environmental Health, Norwegian Institute of Public Health, Oslo, Norway.
Gunnar EngströmDepartment of Clinical Science, Lund University, Malmö, Sweden.
Jeanette T JørgensenDepartment of Public Health, Copenhagen University, Copenhagen, Denmark.
Jenny SelanderInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Jesper H ChristensenDepartment of Environmental Science, Aarhus University, Roskilde, Denmark.
Jesse ThacherDanish Cancer Society Research Centre, Copenhagen, Denmark.
Karin LeanderInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Kim OvervadDepartment of Public Health, Aarhus University, Aarhus, Denmark.
Kristina EnerothEnvironment and Health Administration, Stockholm, Sweden.
Kristoffer MattissonDivision of Occupational and Environmental Medicine, Lund University, Lund, Sweden.
Lars BarregårdOccupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Leo StockfeltOccupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Maria AlbinCenter for Occupational and Environmental Medicine, Stockholm, Sweden.
Matthias KetzelDepartment of Environmental Science, Aarhus University, Roskilde, Denmark.
Mette K SimonsenParker Institute, Frederiksberg Hospital, Frederiksberg, Denmark.
Mårten SpanneEnvironment Department, City of Malmö, Malmö, Sweden.
Ole Raaschou-NielsenDanish Cancer Society Research Centre, Copenhagen, Denmark.
Patrik K E MagnussonDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm.
Pekka TiittanenDepartment of Health Security, Finnish Institute for Health and Welfare, Kuopio, Finland.
Peter MolnarOccupational and Environmental Medicine, School of Public Health and Community Medicine, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden.
Petter LjungmanInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Timo LankiDepartment of Health Security, Finnish Institute for Health and Welfare, Kuopio, Finland.
Youn-Hee LimDepartment of Public Health, Copenhagen University, Copenhagen, Denmark.
Zorana J AndersenDepartment of Public Health, Copenhagen University, Copenhagen, Denmark.
Göran PershagenCenter for Occupational and Environmental Medicine, Stockholm, Sweden.
Mette SørensenDanish Cancer Society Research Centre, Copenhagen, Denmark.ORCID 0000-0002-7302-4789
Karolinska Institutet · SESahlgrenska University Hospital · SEAarhus University · DKLund University · SEDanish Cancer Society · DKDanderyds sjukhus · SEFinnish Institute for Health and Welfare · FIFrederiksberg Hospital · DKMalmö Municipality · SENorwegian Institute of Public Health · NORoskilde University · DKStockholm University · SESwedish Meteorological and Hydrological Institute · SEUniversity of Eastern Finland · FIUniversity of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransportation noise is increasingly acknowledged as a cardiovascular risk factor, but the evidence base for an association with stroke is sparse.

objectiveWe aimed to investigate the association between transportation noise and stroke incidence in a large Scandinavian population.

methodsWe harmonized and pooled data from nine Scandinavian cohorts (seven Swedish, two Danish), totaling 135,951 participants. We identified residential address history and estimated road, railway, and aircraft noise for all addresses. Information on stroke incidence was acquired through linkage to national patient and mortality registries. We analyzed data using Cox proportional hazards models, including socioeconomic and lifestyle confounders, and air pollution.

resultsDuring follow-up ( DISCUSSION: In this pooled study, road traffic noise was associated with a higher risk of stroke. This finding supports road traffic noise as an important cardiovascular risk factor that should be included when estimating the burden of disease due to traffic noise. https://doi.org/10.1289/EHP8949.

Indexed as

Air PollutantsAir PollutionNoise, TransportationStrokeCohort StudiesEnvironmental ExposureHumansAir Pollutants

Identifiers

PMID34605674
PMCPMC8489401
OpenAlexW3201929482

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.