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1.1.3 Impact of noise on health and well-being
The relationship between noise exposure and health effects at the typical noise levels
experienced in the everyday environment is not straightforward. Hearing loss does not occur
from typical exposure to environmental noise and is more commonly associated with
occupational exposure to much higher noise levels (above 75 dB(A)) over long periods, or
exposure to very high noise levels (above 120 dB(A) for a few minutes. Hearing loss is also
associated with aging, certain diseases, head injuries, accidents and hereditary factors.
However, there is accumulating evidence of the impacts of everyday levels of environmental
noise on health, well-being and quality of life. In the everyday environment, the response of an
individual to both sound and noise is more likely to be behavioural or psychological (i.e. non-
auditory) than physiological. The Health Protection Agency published an overview report in
2010 (Environmental Noise and Health in the UK, July 2010). The report cites examples of non-
auditory health effects which have been linked to environmental noise including annoyance,
sleep disturbance and other night time effects, cardiovascular and physiological effects, mental
health effects, reduced performance, communication and learning effects.
Annoyance is the most frequently reported problem caused by exposure to transportation
noise and is often the primary outcome used to evaluate the effect of noise on communities.
There is some evidence that the attitudes and opinions of residents towards some sources of
transport noise has been changing over the past twenty or thirty years.
Studies have shown that noise can effect sleep in terms of immediate effects (e.g. arousal
responses, sleep state changes, awakenings, body movements, total wake time, autonomic
responses), after-effects (e.g. sleepiness, daytime performance, cognitive function) and long-
term effects (e.g. self-reported chronic sleep disturbance).
It has been shown that long term exposure to road traffic noise may increase the risk of heart
disease, which includes heart attacks. Both road traffic noise and aircraft noise have also been
shown to increase the risk of high blood pressure. It has been noted that there are few studies
that exist regarding the cardiovascular effects of exposure to rail traffic noise. Although
environmental noise is not believed to be the direct cause of mental illness, studies suggest
that it can accelerate and intensify the development of latent mental disorders. Studies on the
adverse effects of environmental noise on mental health cover a variety of symptoms which
include anxiety, emotional stress, nausea, headaches as well as general psychiatric disorders
e.g. neurosis, psychosis and hysteria.
Three European research studies have investigated possible cognitive impairment in