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Cost-Effectiveness of Strategies Addressing Environmental Noise: A Systematic Literature Review

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  • Nick Verhaeghe

    (Department of Public Health, Interuniversity Centre for Health Economics Research (i-CHER), Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Jette, Belgium
    Department of Public Health and Primary Care, Interuniversity Centre for Health Economics Research (i-CHER), Ghent University, Corneel Heymanslaan 10, 9000 Ghent, Belgium)

  • Bo Vandenbulcke

    (Department of Public Health, Interuniversity Centre for Health Economics Research (i-CHER), Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Jette, Belgium)

  • Max Lelie

    (Department of Public Health, Interuniversity Centre for Health Economics Research (i-CHER), Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Jette, Belgium)

  • Lieven Annemans

    (Department of Public Health and Primary Care, Interuniversity Centre for Health Economics Research (i-CHER), Ghent University, Corneel Heymanslaan 10, 9000 Ghent, Belgium)

  • Steven Simoens

    (Department of Pharmaceutical and Pharmacological Sciences, KU Leuven, ON2 Herestraat 49-Box 424, 3000 Leuven, Belgium
    These authors contributed equally to this work.)

  • Koen Putman

    (Department of Public Health, Interuniversity Centre for Health Economics Research (i-CHER), Vrije Universiteit Brussel, Laarbeeklaan 103, 1090 Jette, Belgium
    These authors contributed equally to this work.)

Abstract

Environmental noise, a significant public health concern, is associated with adverse health effects, including cardiovascular diseases, cognitive impairments, and psychological distress. Noise reduction strategies are essential for mitigating these effects. Despite evidence of their health benefits, limited information exists on the cost-effectiveness of such strategies to guide resource allocation. This study systematically reviewed economic evaluation studies of interventions aimed at reducing environmental noise to assess their cost-effectiveness and inform policymaking. A systematic review following PRISMA 2020 guidelines was conducted across MEDLINE, EMBASE, and Web of Science. Eligible studies were full economic evaluations addressing environmental noise reduction strategies, assessing both costs and health effects. Screening and data extraction were performed independently by two reviewers. Quality appraisal employed the CHEERS 2022 checklist. Narrative synthesis was used to analyze findings due to heterogeneity in study designs, methodologies, and outcomes. Costs were standardized to 2024 euros. From 2906 identified records, five studies met the inclusion criteria, primarily focused on traffic-related noise. Three studies conducted cost-utility analyses, and two employed cost–benefit analyses. Reported interventions included sound insulation, take-off trajectory adjustments, and noise barriers. Economic evaluations varied significantly in methodologies, cost categories, and health outcomes. The health economic studies yielded mixed results, ranging from findings that demonstrated cost-effectiveness to those where the costs exceeded the benefits. There are currently too few health economic evaluations to draw robust conclusions about the cost-effectiveness of environmental noise mitigation strategies. Future research should adopt standardized approaches and robust sensitivity analyses to enhance evidence quality, enabling informed policy and resource allocation decisions.

Suggested Citation

  • Nick Verhaeghe & Bo Vandenbulcke & Max Lelie & Lieven Annemans & Steven Simoens & Koen Putman, 2025. "Cost-Effectiveness of Strategies Addressing Environmental Noise: A Systematic Literature Review," IJERPH, MDPI, vol. 22(5), pages 1-15, May.
    • Handle: RePEc:gam:jijerp:v:22:y:2025:i:5:p:803-:d:1660544
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    References listed on IDEAS

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    1. Drummond, Michael F. & Sculpher, Mark J. & Claxton, Karl & Stoddart, Greg L. & Torrance, George W., 2015. "Methods for the Economic Evaluation of Health Care Programmes," OUP Catalogue, Oxford University Press, edition 4, number 9780199665884, Decembrie.
    2. Alan Lex Brown & Irene Van Kamp, 2017. "WHO Environmental Noise Guidelines for the European Region: A Systematic Review of Transport Noise Interventions and Their Impacts on Health," IJERPH, MDPI, vol. 14(8), pages 1-44, August.
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