Table 2.
DNL category (in db(A)) | Cases | Person Years | Basic Modela HR (95% CI) | Parsimonious Modelb HR (95% CI) | Full Modelc HR (95% CI) | |
---|---|---|---|---|---|---|
NHS | ||||||
≥45 | 2,452 | 48,862 | 1.05 (1.01, 1.10) | 1.05 (1.01, 1.10) | 1.05 (1.00, 1.09) | |
<45 | 30,738 | 662,567 | Ref. | Ref. | Ref. | |
≥55 | 318 | 6,103 | 1.09 (0.97, 1.21) | 1.07 (0.96, 1.20) | 1.05 (0.94, 1.17) | |
<55 | 32,872 | 705,325 | Ref. | Ref. | Ref. | |
NHS II | ||||||
≥45 | 2,167 | 96,894 | 1.00 (0.95, 1.04) | 1.02 (0.97, 1.07) | 1.01 (0.96, 1.05) | |
<45 | 26,089 | 1,170,950 | Ref. | Ref. | Ref. | |
≥55 | 314 | 12,758 | 1.10 (0.99, 1.23) | 1.12 (1.00, 1.25) | 1.08 (0.97, 1.21) | |
<55 | 27,942 | 1,255,087 | Ref. | Ref. | Ref. | |
Meta-analysis | ||||||
≥45 | 4,619 | 145,756 | 1.03 (0.97, 1.08) | 1.04 (1.00, 1.07) | 1.03 (0.99, 1.07) | |
<45 | 56,827 | 1,833,517 | Ref. | Ref. | Ref. | |
≥55 | 632 | 18,861 | 1.09 (1.01, 1.18) | 1.10 (1.01, 1.19) | 1.07 (0.98, 1.15) | |
<55 | 60,814 | 1,960,412 | Ref. | Ref. | Ref. |
Abbreviations: BMI, Body Mass Index; DASH, Dietary Approaches to Stop Hypertension; dB(A), A-Weighted Decibels; DNL, Day-Night Average Sound Level; HR, Hazard Ratio; NSAID, Non-Steroidal Analgesic Intake Drug; NHS, Nurses’ Health Study; NHS II, Nurses’ Health Study II; MET, Metabolic Equivalent; nSES, Neighborhood Level Socio-Economic Status.
Adjusted for age and calendar year.
Adjusted for age, calendar year, race, physical activity, smoking status, alcohol use, DASH, spouse’s education attainment, nSES (Census tract home value and household income), and region of residence.
Adjusted for age, calendar year, race, physical activity, smoking status, alcohol use, DASH, spouse’s education attainment, nSES (Census tract home value and household income), region of residence, menopausal status, family history of hypertension, and BMI.