1. Introduction
Dose is the main concept in determining the potential of an agent to cause adverse effects on the receiver. A dose is a quantity of “something” (e.g., a substance, a medicine, radiation, energy) that reaches a receiver during a specific time. From the environmental exposure point of view, the exposure dose is the amount of pollutant in the immediate vicinity of the receiver [
1]. When speaking of noise, the exposure dose would refer to the sound pressure levels (SPLs) where the receiver is located, taking into account time exposure. The sound pressure levels measured at the location and the exposure time of the receiver are intended to be representative of the actual dose. However, the variability in sound pressure levels makes it not always easy to acquire a good approximation of the sound pressure levels to which a receiver is exposed by measuring environmental levels. In such cases, noise dosimetry should be carried out. In Malaysia, ambient sound pressure levels and personal dosimetry at 13 workstations were measured in two palm oil mills; in 3 cases, the environmental levels were lower than the dosimeter exposure levels by 1 dB, 5 dB and 9 dB; in 1 workplace, they were the same; and in the remaining 9 workplaces, the differences were between 1 dB and 33 dB higher in the dosimetry than in the environmental measurement [
2].
In terms of occupational exposure, the noise dose is considered to be 100% when the receiver is exposed during the whole working day (usually 8 h a day, as stated in ILO Convention C0001 [
3]) to the SPL allowed by the regulations (in Uruguay, Decree 143/012 [
4] states that it is 80 dB, but it does not say which is the parameter to consider; actually, L
Aeq,8h = 80 dB is used even though the decree does not establish it). For doses to be calculated for other SPLs and other exposure times, it is necessary to define the Exchange Rate (
ER). The Uruguayan regulation does not define its value, but a value of
ER = 3 dB is currently used; i.e., the 100% dose corresponds to 3 dB increments each time the exposure time is halved [
5].
The adverse consequences of exposure to traffic noise are well described, and there is strong scientific evidence for adverse effects such as ischemic or cardiovascular disease, annoyance and sleep disturbance [
6]. Brink et al. [
7] stated that annoyance can be considered an early indicator of potentially more critical adverse health effects that could occur after longer exposure to high sound pressure levels. In other cases, the evidence is less compelling, such as for cognitive impairment, hearing impairment, well-being and mental health, among others [
6]. For the Australian Government Department of Health [
8], adverse health consequences may occur at sound pressure levels of L
Aeq,day of 60 dB or L
Aeq,night of 55 dB; for [
6], the lower-risk figures for outdoor SPLs related to traffic noise are L
den of 53 dB and L
Aeq,night of 45 dB.
Persson Waye and van Kempen [
9], in their update on the extra-auditory effects of noise exposure, suggested that the link between noise exposure and mental health would start to increase at an L
den level of 55 dB. They proposed that annoyance would be more connected to mental health, while sleep disturbances would be more related to cardiovascular diseases.
Heinonen-Guzejev et al. [
10] showed that noise sensitivity is genetically conditioned, indicating its physiological or organic root. When matching noise sensitivity with the chemical sensitivity factor, it was observed that they were not correlated; moreover, they were associated with different variables. Noise sensitivity was significantly correlated with hostility, self-control, neurosis, analgesic consumption, anger, depression and stress. The chemical sensitivity factor was significantly correlated with allergies and analgesic use. Differences were also found between men and women [
11].
For Stansfeld and Clark [
12], the relationship between mental health, annoyance and noise exposure is “active”: the receiver adopts attitudes depending on the noise exposure he or she suffers. Although there are not many conclusive studies yet, the relationships between mental health, neurotic predisposition and noise sensitivity, which were earlier anticipated by Stansfeld et al., 1992 (cited by [
12]), are closer to being understood: an association between high noise sensitivity, phobic disorders and neurotic depression has been found. It would not be noise that causes a predisposition to psychiatric illness; just the opposite, those who are more predisposed to psychiatric illness are also more sensitive to noise.
Annoyance can generate stress responses in some people and could lead to the occurrence of disease. Noise annoyance activates stress responses in the hypothalamic–pituitary–adrenal (HPA) axis, which is involved in the pathophysiology of depression; hence, noise sensitivity can be considered a proxy indicator of anxiety. According to the most generally accepted conception, as described in [
13], in order to counteract the stressful situation generated by high sound pressure levels, the body activates the secretion of adrenocorticotropic hormone (ACTH). Arriving in the adrenal glands via the bloodstream, ACTH promotes the release of stress hormones such as cortisol, adrenaline and noradrenaline from the adrenal glands. When exposure to high sound levels is rather acute (a very intense noise but of short duration), the release of cortisol is promoted; when it is not so high but more prolonged in time, the major release is of adrenaline and noradrenaline.
When noise disrupts active processes such as conversation or concentration, even if its L
Aeq level is below 60 dB, it can trigger adrenaline and noradrenaline secretion processes. During sleep, cortisol release can occur at traffic noise levels around 30 dB L
Aeq. If the augmented levels of these hormones become chronic, they will increase the risk of life-threatening diseases (such as cardiovascular diseases or weakened immune system diseases) [
13].
Hahad et al. [
14] presented a comprehensive review of noise exposure consequences for the brain. They studied both direct and indirect effects. The emotional and cognitive responses are linked to an activation of the endocrine system that alters the metabolic state; this is a well-known risk factor for cardiovascular and cerebrovascular disease, neurodegenerative disease, changes in glucose metabolism, lipid processing and hemodynamics.
Mental illness, depression and anxiety disorders are also related to noise exposure, as degenerative diseases and dementia are. Maybe one of the most concerning results was reported by Meng et al. [
15]: there is enough evidence of a non-linear linkage between chronic noise exposure and dementia. A meta-analysis of published literature was conducted and different types of cognitive diseases were studied. Alzheimer’s disease and dementia showed the highest risk increase with the least noise exposure level increase.
Picard et al. [
16] highlighted the association between high noise levels in the workplace and the occurrence of occupational accidents. In particular, the hazard increases when daily exposure levels are 89 dBA or higher, even if workers have some (mild) degree of noise-induced hearing loss.
Wang et al. [
17] conducted a cross-sectional study of 563 working adults with normal hearing, to whom they administered a set of cognitive tests simultaneously with exposure to different noise levels. Both bottom-up and top-down attention functions were impaired by the presence of noise, even in the absence of auditory threshold changes, as demonstrated by behavioral and brain responses.
Qiu et al. [
18] stated that the consequences of exposure to non-Gaussian occupational noise are more severe than when the signal follows a normal distribution. This had already been anticipated by Goley et al. [
19], who proposed adding a term related to the kurtosis of the noise sample to penalize the higher risk posed by a non-Gaussian noise sample. It should also be understood as a wake-up call for the present case study, since the statistical distribution of sound pressure levels associated with traffic has long been known, in the words of Don and Rees [
20], as “anything but Gaussian”.
The simultaneous exposure to traffic noise and nitrogen oxides (NO
x) can increase the risk of the so-called “metabolic syndrome”, which includes insulin resistance, visceral obesity, atherogenic dyslipidemia and arterial hypertension [
21]. In addition, the combined exposure to traffic noise and traffic-related air pollution could increase by three or four times the risk of preeclampsia [
22]. On the other hand, Andersson et al. [
23] presented a 5-year longitudinal study in Sweden. They found a significant increase in stroke risk for people exposed to an L
Aeq,24h of 60 dB compared to those who were exposed to an L
Aeq,24h of 50 dB; but NO
x concentrations only caused minor changes in the results.
Regarding the linkage between urban design and sound environment, sound design issues have been increasing in the literature, first from the perspective of urban sound design [
24,
25,
26,
27] and then from the restorative soundscape paradigm [
28,
29,
30]. Jabłońska [
24] studied the links between noise pollution and urban parameters in Wroclaw, Poland. She made recommendations for enhancing sound quality in residential zones, including the use of well-designed noise screens, buffer zones close to noise sources, such as recreational areas, avoiding narrow streets with tall buildings—i.e., avoiding high street aspect ratios—and promoting green infrastructure.
The Latin American experience of promoting active transport and city planning with this purpose is heterogeneous. First, handbooks for cyclists aimed to explain to bike riders how to go by bike in a city with plenty of cars [
31,
32]. There are also some guidelines for designing urban infrastructure for cyclists. This is the case with Mexico City, which aimed for a safer, healthier, more equitable and more profitable city, and with a more fluid circulation [
33]. A recent guide was published in 2021 in Uruguay [
34]. Barreto Aucapiña and González Reino [
35] proposed an optimal design for cycling ways for the city of Cuenca, Ecuador, especially taking into account the economic parameters and mobility patterns of people. Bunn and Zannin [
25] analyzed different measures to reduce SPLs related to a highway section in the city of Curitiba, Brazil. They studied four options via modeling with Predictor
® software. The only one that allowed for the meeting of a significant SPL reduction (6 dB to 7 dB) was a drastic reduction (20%) in heavy vehicle flow.
Deloitte Insights for 2020 showed that the percentage of bicycle trips in Copenhagen and Amsterdam were greater than 40% and 30%, respectively, while the Latin American cities with the highest use of bicycles were Bogotá and Santiago, with 4% of the trips [
36].
After the pandemic related to SARS-CoV-2 and in the current climate and energy crisis, the promotion of active transport is highly valued, as demonstrated by Liu in the case of China [
37]; the same tendencies could be verified also in Uruguay, where the current average number of traffic tickets sold in a year is 80% of the pre-pandemic average value [
38]. This case study is related to the environmental noise exposure of bicycle riders in the city of Montevideo. Montevideo is the capital city of Uruguay, a small South American country placed between Argentina and Brazil. In 1986, only 1% of the people living in the metropolitan area of Montevideo moved by bike; this figure was duplicated in 1996 and rose to 4% in 2007. The Municipality of Montevideo created in 2007 the Executive Unit for Urban Mobility Planning; it aimed to develop a rational and safe system, to reduce the environmental externalities and to promote transportation and traffic safety. In 2009, there were about 8.4 km of dedicated lanes for bikes in Montevideo (about 0.3% of the total roadway network length). The share of public transportation was one of the highest in Latin America (55%), which was considered a good figure, but new policies to make this figure grow were being studied [
39].
The sound pressure levels of the main streets of Montevideo are close to 74–77 dB, expressed as L
Aeq during working days [
40]. Although it is not a flat city, there are many people who opt for active transport, and not only for health reasons. Since 2008, the Municipality of Montevideo has promoted cycling in the city through different strategies. First, a dedicated cycling lane was demarcated in Ciudad Vieja (the “Old City”) and a public bike system began to operate in 2013; then, more bike-only lanes and exclusive cycling infrastructure were built. The most ambitious project was announced in 2017: to convert the main avenue of the city into an avenue for only buses and active transport. Strong opposition from the commerce sector caused the project to abort.
Cycling infrastructure has been growing steadily in the city, but the design and location criteria are not clear. We intend with this study to contribute, with evidence, to the development of urban design in the city of Montevideo that allows for sensory sustainability and the limitation of the noxious impact of noise for active transport users.
This study is part of a wider interdisciplinary research project that has considered environmental exposure to some air pollutants (such as CO, nitrogen dioxide (NO
2) and particulate matter (PM
10 and PM
2.5)) during active travel in the city. The research project aims to find statistically significant links between environmental pollutant exposure during active travel commuting and urban environmental parameters. If confirmed, these links will constitute a tool for public space design in Montevideo, aiming at reducing environmental exposure during active travel [
41].
2. Methodology
2.1. Research Objectives
The main objective of this research was to find the most important parameters related to cyclists’ noise exposure in the city. Another objective was to find a set of parameters that could easily help to anticipate if a high noise dose is to be expected or not, according to their values.
To achieve these objectives, a set of noise dosimetries was registered along two pre-selected routes in Montevideo city, taking into account their urban characteristics, including traffic flow density and composition. We considered not only the SPL results but also the block-by-block urban parameters, such as building height or street width, to investigate the relation between these parameters and cyclists’ noise exposure. The experimental design was presented in a previously published paper [
42].
2.2. Field Work
The experiment design considered the participation of volunteer cyclists in the measurements. The research team considered that citizen involvement in the study was desirable in order to enhance exchange with urban cyclists and research topic dissemination among the population. At first, a broad call for volunteers was carried out in social networks; more than one hundred responses were received. Based on such a large number of volunteers, it was decided that each cyclist should perform only one cyclist route, to allow for the involvement of more cyclists in the fieldwork. To meet the number of cyclist routes required to obtain representative results, the methodology of Van den Bossche et al. [
43] was followed. The parameters for reaching the number of measurements were related to air pollution, since the main purpose of the research was focused on them. Through an iterative procedure, the minimum number of cyclist routes to be performed was found to be 30.
Two monitoring routes were selected for the exposure measurements. They were plotted together with some organized groups of bicycle riders linked to the research. The routes needed to be frequently used by cyclists, with differences in street width, construction density, building height and traffic flow, among other characteristics.
Figure 1 shows the selected measurement routes: Route N°1 is a closed circuit 5.9 km in length close to downtown, while Route N°2 is a straight north–south section of a wide boulevard with high traffic flow and is 5.7 km in length. Both the “physiognomy” and “physiology” of the routes can be appreciated in
Table 1, as shown by their characteristics. Route N°1 has a higher average building height and street aspect ratio; it is also composed of narrower streets than Route N°2. The average traffic flow met by the cyclists during their trips on Route N°1 is 21.6% of the same value for Route N°2; the maximum total traffic flow met on Route N°1 was 1122 vehicles, 37.8% of the maximum value registered for Route N°2 (2972).
“Cycling infrastructure at the street level” refers to the percentage of each route having this kind of infrastructure, and the standard deviation refers to the values block by block along each of the routes.
Traffic flows were obtained simultaneously with environmental exposure measurements from a set of cameras from the Municipality of Montevideo located in the study area (no cameras were available to install on the cyclists’ helmets during riding). In addition, a previous set of manual counts at 15 sites (7 on Route N°1 and 8 on Route N°2) was carried out, counting 1 h × 3 times in each place. During each count period, 5 min count and rest periods were alternated. Traffic flow was divided into five categories: cars and vans, trucks, buses, motorcycles and active transportation (bicycles and skateboards). The traffic counts were made on working days without rain, during the morning rush hour (7:30 to 9:00 approx.), as most of the measurements on cyclists were carried out. The measurements were carried out from February 2021 to December 2021. The figures in
Table 1 are averages of all the traffic flow values obtained for each route.
Since the purpose of the measurements was to determine the cyclists’ exposure to some pollutants, they carried some sensors when travelling: GPS (Garmin Edge 1030 Bundle Plus), sensors for PM and NO2 (Aeroqual Series 500), a heart rate sensor (an accessory of the Garmin Edge 1030 Bundle Plus sensor, placed under the sternum) and a dosimeter sensor (on the shoulder of the bike rider, approximately 10 cm from his/her ear; it recorded the values of LAeq and LPeak each second). The dosimeter is a Personal Sound Exposure Meter “NoisePen Dosemeter”, Class 2, from Pulsar Instruments, UK, that complies with IEC 61252:1993 and ANSI S1.25:1991 standards. The instrument measures A-weighted sound pressure levels between 65 dB and 140 dB. It has its own wind screen to avoid wind effects on the edge of the microphone. It was programmed under Uruguayan regulations. It was still under the manufacturing calibration and was checked before and after the monitoring campaigns.
Examples of the information registered along the trips are shown in
Figure 2.
Wind data were measured along the trip with a specific device (Aeroqual AQM10), located on the roof of an educational building, which registered data from PM10, PM2.5, NO2 and O3 concentrations, wind speed and direction, ambient temperature and relative humidity every two minutes. Considering the series of average wind speeds registered simultaneously with noise exposure measurements for each cyclist route, the median values were 1.5 m/s and 2 m/s for Route N°1 and Route N°2, respectively. We did not process these data since the maximum value for the average wind speed registered during cyclist routes did not exceed the recommended value of 5 m/s. No rainy days were considered apt for measuring.
The two routes had asphalt pavement. The slopes were recorded along the routes; the extreme values were −5% and 5% on both routes. The speed of the vehicles was according to the speed allowed for the selected routes, with a maximum value of 45 km/h (with the exception of the initial section of Route N°2, where the maximum allowed speed was 60 km/h). There was no “green wave” synchronization of traffic lights along the routes.
Before the beginning of the trip and after preparation of all sensors on the bike, an informed consent form to participate in the research was signed by one researcher and the volunteer cyclist. At the end of the trip, all the cyclists were asked about the occurrence of any special situation. Every trip with no special situations reported was intended to be a valid register and not an outlier; we avoided losing significant information this way. There were no special incidents reported during the measurements. The avoidance of bumping was especially recommended for the cyclists, even though it was not possible to know if rubbing of the cyclist’s clothes had ever occurred while riding.
More details on the fieldwork can be found in [
42].
2.3. Field Data
A total of 66 noise dosimetries were carried out: 34 on Route N°1 and 32 on Route N°2. On Route N°1, there were 21 male and 13 female bike riders; on Route N°2, there were 19 male and 13 female bike riders. Although the minimum detection limit of the dosimeter was 65 dB, we only found 3 registers where the LA,min was ≤65 dB. In all 3 cases, the values equal to or less than 65 dB were absolute minimum values that lasted only 1 s in each recording. The total recorded time for all cyclist routes performed was 27 h, 19 min and 50 s. Thus, considering all the measuring time, the dosimeter registered values equal to or below its detection limit for only 3 s (0.003% of the total measuring time).
Since the noise dosimeter had to be started before the beginning of the route and it was stopped a few minutes after arrival at the end of the route, the effective time riding the bike had to be identified. The clocks of all the instruments were synchronized at the beginning of the journey and the exact moment of the beginning and end of the trip was registered; thus, it was easy to cut the non-cycling minutes at the beginning and the end from each register. After this first step, the duration of the trips and their main parameters were obtained. Most of them lasted between 16 and 34 min approximately, except for one trip that lasted 59 min. The registered values of L
Aeq, L
AF,10 and L
AF,90 for each one of the measurements are presented in
Table 2 and
Table 3. The values of noise climate (L
AF,10–L
AF,90)—to show variability of SPL—and kurtosis of each series—to show if they are normal or not—are also included in these tables.
The main acoustic parameters are shown by route in
Figure 3. The values of L
AF,90 covered a range of 3 dB in Route N°1 and 6 dB in Route N°2. However, the values of L
AF,10 had great variability: they ranged from 76 dB to 89 dB (a range of 13 dB) in Route N°1 but from 78 dB to 97 dB (a range of 19 dB) in Route N°2. (L
AF,10–L
AF,90) varied from 10 to 20 dB in Route N°1 (a range of 10 dB) and from 11 to 28 dB in Route N°2 (a range of 17 dB).
Kurtosis was obtained by direct application of its definition [
44].
It must be said that there were 5 cases for which the cameras’ traffic data were not available; thus, it was not possible to get either the total number of vehicles along the cycling route or the classification by categories. Those days were 4 May 2021 and 5 May 2021 for Route N°1; and 28 October 2021, 29 October 2021 and 26 November 2021 for Route N°2. These days were excluded from the multivariate analysis described in
Section 3.2.
2.4. Dose Calculation
Even though a noise dosimeter has been used, the doses had to be obtained manually because of the need to cut some minutes at the beginning and at the end of the register.
Thus, using only the section of the register corresponding to the effective bike trip, the exceedance time was determined; i.e., the number of seconds where the L
Aeq,1s was greater than a pre-established threshold level. Once that value (and its time exposure) was selected, the noise dose was obtained by direct application of the definition of dose (see Equation (1)).
where D is the noise dose, T
exp,i is the total exposure time to sound pressure level
i and T
adm,i is the maximum exposure time to sound pressure level
i allowed during a working journey. As stated in
Section 1, the maximum permissible dose is 100%.
Two doses have been obtained: an occupational noise dose and an environmental noise dose. To obtain the occupational dose, as if the cyclist were working, e.g., on a delivery, an occupational sound pressure level L
Aeq,8h of 80 dB was used (see
Section 1).
To obtain the environmental dose, the recommended value of L
Aeq,24h = 70 dB proposed by the WHO in 1999 [
6] was considered; it is the same value proposed in 1982 by the US EPA [
45]. It is a recommended threshold level to prevent hearing loss due to indoor and outdoor noise exposure (considering traffic noise, industrial noise, leisure noise, etc.). This value has not changed in the new WHO guidelines [
6]. The new recommendations for traffic noise to avoid harm to human health (in general, not only auditory effects as hearing loss) were not considered because it can be easily understood that it is not possible to apply them to Uruguay in 2022. Thus, a value of L
Aeq,24h = 70 dB was adopted for the calculation of the noise dose.
In both cases (occupational and environmental doses), the registered sound pressure levels L
Aeq,1s were classified according to categories differing in steps of 1 dB (from 70 to 71 dB; from 71 to 72 dB, etc.), until reaching the maximum registered level L
AF,Max. The number of data for each category T
exp,i was found by direct counting, and the maximum exposure time for each category was calculated as seen in Equation (2) (occupational dose) and Equation (3) (environmental dose). Note that the exposure time is 8 h for the occupational dose and 24 h for the environmental dose.
where D
occ is the occupational noise dose; L
i is the sound pressure level in category
i, in dB; L
Aeq,8h is the allowed SPL during an 8 h working day, in dB; and
ER is the exchange rate, in dB.
where D
env is the environmental noise dose; L
i is the sound pressure level in category
i, in dB; L
Aeq,24h is the recommended SPL for avoiding hearing loss, in dB [
6]; and
ER is the exchange rate, in dB.
2.5. Multivariate Statistical Tests
Some multivariate statistical tests were carried out to find the main variables to describe cyclists’ noise exposure throughout their trips. If a smaller set of representative variables could be found, the processing of field data would be easier.
The selected tests were principal component analysis (PCA) and clustering. Iterative application of them helped reduce the initial set of variables to a more manageable one.
The use of PCA was selected because it was not predictable that the main variables were traffic ones. Other tests, such as multiple linear regression or simple linear regression, are useful when a well-known relation between variables is expected. Thus, math relations are well known for the link between noise and traffic flow when SPLs are taken from a fixed point but not when SPLs are measured from a mobile device like a dosimeter carried by a cyclist, who moves into traffic flow at a velocity that is different from the main average velocity of the traffic flow. In addition, there are no noise monitoring stations informing about SPLs in real time in Montevideo.
All multivariate statistical tests were performed with the free software Past 4.08 [
46].