A Link Between Traffic Noise and Tinnitus

Summary: People exposed to noise pollution as a result of heavy traffic close to their homes are at greater risk of developing tinnitus, a new study reports.

Source: University of Southern Denmark

If you live near a busy road, it may increase your stress levels and affect your sleep. When we are under stress and sleep poorly, we may be at a higher risk of developing tinnitus.

 In a new study with data from 3.5 million Danes, researchers from the Department of Clinical Research and the Mærsk Mc-Kinney Møller Institute at the University of Southern Denmark (SDU) have found that the more traffic noise Danish residents are exposed to in their homes, the more they are at risk of developing tinnitus.

Tinnitus is most clearly manifested by annoying whistling tones in the ears, which are disturbing for many.

Risk increases with noise levels

It is the first time that researchers have found a link between residential traffic noise exposure and hearing-related outcomes.

-In our data, we have found more than 40,000 cases of tinnitus and can see that for every ten decibels more noise in people’s home, the risk of developing tinnitus increases by six percent, says Manuella Lech Cantuaria, PhD., Assistant Professor at the Mærsk Mc-Kinney-Møller Institute and affiliated to the the Department of Clinical Research at SDU.

She and her colleague Jesper Hvass Schmidt, Associate Professor at the Department of Clinical Research   and Chief Physician at Odense University Hospital (OUH) are concerned about the many health problems that traffic noise seems to cause. In 2021, they found a correlation between traffic noise and dementia.

-There is a need for more focus on the importance of traffic noise for health. It is alarming that noise seems to increase the risk of tinnitus, cardiovascular diseases and dementia, among other diseases, says Jesper Hvass Schmidt.

Tip of the iceberg

It is at hearing clinics, such as the one at OUH, where Jesper Hvass Schmidt works, that patients can get the diagnosis of tinnitus. But only the worst cases are referred from their own doctor or an otorhinolaryngologist . The high number of reported cases of tinnitus are probably only the tip of the iceberg, he believes.

-In general, about ten percent of the population experience tinnitus from time to time. It is associated with stress and poor sleep, which can be worsened by traffic noise, and here we have a potential cycle.

More studies are needed so that researchers can be sure that traffic noise causes tinnitus, and how this happens.

-But we know that traffic noise can make us stressed and affect our sleep. And that tinnitus can get worse when we live under stressful situations and we do not sleep well, Jesper Hvass Schmidt says.

Noise at night is worse

The researchers believe that noise at nighttime can be even worse for health

 – It affects our sleep, which is so important for restoring both our physical and mental health. Therefore, it is worth considering whether you can do something to improve your sleep if you live next to a busy road, Manuella Lech Cantuaria says.

What to do

In the study, higher associations were found when noise was measured at the quiet side of their houses, that is, the side facing away from the road. This is where most people would place their bedroom whenever possible, therefore researchers believe this is a better indicator of noise during sleep.

-There are different things one can do to reduce noise in their homes, for example by sleeping in a room that does not face the road or by installing soundproof windows.

But not everyone has those options.

-It is therefore necessary that traffic noise is considered a health risk that must be taken into account in urban planning and political decisions, says Manuella Lech Cantuaria.

Facts about traffic noise:

 The Danish guidance level for harmful traffic noise is 58 decibels. It is estimated that 1.4 million Danes are exposed to noise over 58 decibels in their homes. You can see the noise level for your place of residence here: dingeo.dk

It is a myth that replacing fuel cars by electric cars can significantly reduce traffic noise exposure at people’s houses. The noise comes mainly from the contact between the tires and the road.

This shows a busy street full of traffic
It is the first time that researchers have found a link between residential traffic noise exposure and hearing-related outcomes. Image is in the public domain

In Germany, speed limits have been lowered in some places at night, in order to minimize the disturbance of sleep for residents near roads.

Another way to reduce traffic noise is by placing noise barriers along the road or changing the road surface to one that dampens the tire noise.

Facts on tinnitus:
Tinnitus is a subjective experience of sound that does not come from an external source. It can be described as a ringing, buzzing, humming or other form of sound in the ears or in the head. Tinnitus can be a symptom of an underlying disease or injury, but can also be idiopathic, which means the cause is not known. Very often tinnitus occurs in connection with hearing loss. Tinnitus can have a negative impact on quality of life as it can cause sleep problems, difficulty concentrating, and depression. There are several possibilities to reduce tinnitus symptoms, including psychological treatment and hearing aids.

About this noise pollution and tinnitus research news

Author: Marianne Lie Becker
Source: University of Southern Denmark
Contact: Marianne Lie Becker – University of Southern Denmark
Image: The image is in the public domain

Original Research: Open access.
Transportation Noise and Risk of Tinnitus: A Nationwide Cohort Study from Denmark” by Manuella Lech Cantuaria et al. Environmental Health Perspectives


Transportation Noise and Risk of Tinnitus: A Nationwide Cohort Study from Denmark


There is a growing body of evidence linking residential exposure to transportation noise with several nonauditory health outcomes. However, auditory outcomes, such as tinnitus, are virtually unexplored.


We aimed to investigate the association between residential transportation noise and risk of incident tinnitus.


We conducted a nationwide cohort study including all residents in Denmark age ≥30y≥30y, of whom 40,692 were diagnosed with tinnitus. We modeled road traffic and railway noise at the most (LdenmaxLdenmax) and least (LdenminLdenmin) exposed façades of all Danish addresses from 1990 until 2017. For all participants, we calculated 1-, 5-, and 10-y time-weighted mean noise exposure and retrieved detailed information on individual- and area-level socioeconomic covariates. We conducted analyses using Cox proportional hazards models.


We found positive associations between exposure to road traffic noise and risk of tinnitus, with hazard ratios of 1.06 [95% confidence interval (CI): 1.04, 1.08] and 1.02 (95% CI: 1.01, 1.03) per 10-dB increase in 10-y LdenminLdenmin and LdenmaxLdenmax, respectively. Highest risk estimates were found for women, people without a hearing loss, people with high education and income, and people who had never been in a blue-collar job. The association with road LdenminLdenmin followed a positive, monotonic exposure–response relationship. We found no association between railway noise and tinnitus.


To our knowledge, this is the first study to show that residential exposure to road traffic noise may increase risk of tinnitus, suggesting noise may negatively affect the auditory system. If confirmed, this finding adds to the growing evidence of road traffic noise as a harmful pollutant with a substantial health burden.

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