Evidence map›Paper›PMID 37030015›Full record

SynthesisEuropean journal of public health2023

Environmental noise exposure and health outcomes: an umbrella review of systematic reviews and meta-analysis.

Xia Chen, Mingliang Liu, Lei Zuo, Xiaoyi Wu, Mengshi Chen, Xingli Li, Ting An, Li Chen, Wenbin Xu, Shuang Peng and 3 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in European journal of public health, 2023. 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
30.0field-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, 66 citations in OpenAlex.

  1. Cost-Effectiveness of Strategies Addressing Environmental Noise: A Systematic Literature Review.International journal of environmental research and public health · 2025
    Pooled it
  2. Pooled it
  3. Screaming-Induced Acute Noise Exposure During Pediatric Ear Procedures.Laryngoscope investigative otolaryngology · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. City-wide space-time patterns of environmental noise pollution in Kigali, Rwanda.Environmental research letters : ERL [Web site] · 2025
    Article
  9. 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
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Different considerations in economic impacts of aircraft noise.Journal of exposure science & environmental epidemiology · 2025
    Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 2 countries.

Xia ChenDepartment of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China.
Mingliang LiuDepartment of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China.
Lei ZuoDepartment of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China.
Xiaoyi WuDepartment of Clinical Medicine, School of Medicine, Jinan University, Guangzhou, China.
Mengshi ChenHunan Provincial Key Laboratory of Clinical Epidemiology, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
Xingli LiHunan Provincial Key Laboratory of Clinical Epidemiology, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
Ting AnDepartment of Clinical Medicine, School of Medicine, Jinan University, Guangzhou, China.
Li ChenGeorgia Prevention Institute, Department of Population Health Sciences, Medical College of Georgia, Augusta University, Augusta, GA, USA.ORCID 0000-0003-2454-4849
Wenbin XuSchool of Environmental Science and Engineering, Guangdong University of Technology, Guangzhou, Guangdong, China.
Shuang PengDepartment of Pathophysiology, School of Medicine, Jinan University, Guangzhou, China.ORCID 0000-0002-0163-9047
Haiyan ChenGuangzhou Center for Disease Control and Prevention, Guangzhou, China.
Xiaohua LiangClinical Epidemiology and Biostatistics Department, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, Chongqing, China.
Guang HaoDepartment of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, China.ORCID 0000-0003-3780-0223
Jinan University · CNCentral South University · CNAugusta University · USChildren's Hospital of Chongqing Medical University · CNGuangdong University of Technology · CNGuangzhou Center for Disease Control and Prevention · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnvironmental noise is becoming increasingly recognized as an urgent public health problem, but the quality of current studies needs to be assessed. To evaluate the significance, validity and potential biases of the associations between environmental noise exposure and health outcomes.

methodsWe conducted an umbrella review of the evidence across meta-analyses of environmental noise exposure and any health outcomes. A systematic search was done until November 2021. PubMed, Cochrane, Scopus, Web of Science, Embase and references of eligible studies were searched. Quality was assessed by AMSTAR and Grading of Recommendations, Assessment, Development and Evaluation (GRADE).

resultsOf the 31 unique health outcomes identified in 23 systematic reviews and meta-analyses, environmental noise exposure was more likely to result in a series of adverse outcomes. Five percent were moderate in methodology quality, the rest were low to very low and the majority of GRADE evidence was graded as low or even lower. The group with occupational noise exposure had the largest risk increment of speech frequency [relative risk (RR): 6.68; 95% confidence interval (CI): 3.41-13.07] and high-frequency (RR: 4.46; 95% CI: 2.80-7.11) noise-induced hearing loss. High noise exposure from different sources was associated with an increased risk of cardiovascular disease (34%) and its mortality (12%), elevated blood pressure (58-72%), diabetes (23%) and adverse reproductive outcomes (22-43%). In addition, the dose-response relationship revealed that the risk of diabetes, ischemic heart disease (IHD), cardiovascular (CV) mortality, stroke, anxiety and depression increases with increasing noise exposure.

conclusionsAdverse associations were found for CV disease and mortality, diabetes, hearing impairment, neurological disorders and adverse reproductive outcomes with environmental noise exposure in humans, especially occupational noise. The studies mostly showed low quality and more high-quality longitudinal study designs are needed for further validation in the future.

Indexed as

Cardiovascular DiseasesOccupational ExposureEnvironmental ExposureHumansLongitudinal StudiesMeta-Analysis as TopicNoiseSystematic Reviews as Topic

Identifiers

PMID37030015
PMCPMC11314258
OpenAlexW4362723278

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.