{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:29:28Z","timestamp":1790728168545,"version":"4.1.0"},"reference-count":41,"publisher":"American Chemical Society (ACS)","issue":"11","license":[{"start":{"date-parts":[[2017,12,29]],"date-time":"2017-12-29T00:00:00Z","timestamp":1514505600000},"content-version":"vor","delay-in-days":3084,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2009,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Several studies show an association between exposure to aircraft or road traffic noise and cardiovascular effects, which may be mediated by a noise-induced release of stress hormones.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Our objective was to assess saliva cortisol concentration in relation to exposure to aircraft noise.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A multicenter cross-sectional study, HYENA (Hypertension and Exposure to Noise near Airports), comprising 4,861 persons was carried out in six European countries. In a subgroup of 439 study participants, selected to enhance the contrast in exposure to aircraft noise, saliva cortisol was assessed three times (morning, lunch, and evening) during 1 day.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We observed an elevation of 6.07 nmol\/L [95% confidence interval (CI), 2.32\u20139.81 nmol\/L] in morning saliva cortisol level in women exposed to aircraft noise at an average 24-hr sound level (LAeq,24h) &amp;gt; 60 dB, compared with women exposed to LAeq,24h \u2264 50 dB, corresponding to an increase of 34%. Employment status appeared to modify the response. We found no association between noise exposure and saliva cortisol levels in men.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our results suggest that exposure to aircraft noise increases morning saliva cortisol levels in women, which could be of relevance for noise-related cardiovascular effects.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1289\/ehp.0900933","type":"journal-article","created":{"date-parts":[[2009,7,20]],"date-time":"2009-07-20T10:07:14Z","timestamp":1248084434000},"page":"1713-1717","source":"Crossref","is-referenced-by-count":144,"title":["Saliva Cortisol and Exposure to Aircraft Noise in Six European Countries"],"prefix":"10.1021","volume":"117","author":[{"given":"Jenny","family":"Selander","sequence":"first","affiliation":[{"name":"Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00f6sta","family":"Bluhm","sequence":"additional","affiliation":[{"name":"Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T\u00f6res","family":"Theorell","sequence":"additional","affiliation":[{"name":"Stress Research Institute, Faculty of Social Sciences, Stockholm University, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00f6ran","family":"Pershagen","sequence":"additional","affiliation":[{"name":"Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolfgang","family":"Babisch","sequence":"additional","affiliation":[{"name":"Department of Environment and Health at the Federal Environmental Agency, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingeburg","family":"Seiffert","sequence":"additional","affiliation":[{"name":"Department of Environment and Health at the Federal Environmental Agency, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danny","family":"Houthuijs","sequence":"additional","affiliation":[{"name":"National Institute of Public Health and Environmental Protection, Bilthoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oscar","family":"Breugelmans","sequence":"additional","affiliation":[{"name":"National Institute of Public Health and Environmental Protection, Bilthoven, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"Vigna-Taglianti","sequence":"additional","affiliation":[{"name":"Environmental Epidemiologic Unit, Regional Agency for Environmental Protection, Piedmont Region, Grugliasco, 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