Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSPRAESS, MichelleBRENTANI, AlexandraCAMPOS, Bartolomeu Ledebur de Antas deFLUCKIGER, BenjaminHOOGH, Kees deFINK, GuntherROOSLI, Martin2021-08-132021-08-132021ENVIRONMENTAL RESEARCH, v.199, article ID 111231, 9p, 20210013-9351https://observatorio.fm.usp.br/handle/OPI/41517Noise pollution has negative health consequences, which becomes increasingly relevant with rapid urbanization. In low- and middle-income countries research on health effects of noise is hampered by scarce exposure data and noise maps. In this study, we developed land use regression (LUR) models to assess spatial variability of community noise in the Western Region of Sao Paulo, Brazil.We measured outdoor noise levels continuously at 42 homes once or twice for one week in the summer and the winter season. These measurements were integrated with various geographic information system variables to develop LUR models for predicting average A-weighted (dB(A)) day-evening-night equivalent sound levels (L-den) and night sound levels (L-night). A supervised mixed linear regression analysis was conducted to test potential noise predictors for various buffer sizes and distances between home and noise source. Noise exposure levels in the study area were high with a site average L-den of 69.3 dB(A) ranging from 60.3 to 82.3 dB(A), and a site average Lnight of 59.9 dB(A) ranging from 50.7 to 76.6 dB(A). LUR models had a good fit with a R-2 of 0.56 for L-den and 0.63 for L-night in a leave-one-site-out cross validation. Main predictors of noise were the inverse distance to medium roads, count of educational facilities within a 400 m buffer, mean Normalized Difference Vegetation Index (NDVI) within a 100 m buffer, residential areas within a 50 m (L-den) or 25 m (L-night) buffer and slum areas within a 400 m buffer. Our study suggests that LUR modelling with geographic predictor data is a promising and efficient approach for noise exposure assessment in low- and middle-income countries, where noise maps are not available.engrestrictedAccessNoise measurementCommunity noiseLand use regressionSao pauloNoise exposureroad traffic noiseair-pollutiontransportation noiseenvironmental noiseheart-diseaseexposureaircraftarticleCopyright ACADEMIC PRESS INC ELSEVIER SCIENCE10.1016/j.envres.2021.111231Environmental SciencesPublic, Environmental & Occupational Health1096-0953