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首页> 外文会议>Joint annual meeting of the International Society of Exposure Science and the International Society for Environmental Epidemiology >Association between Exposure to Noise and Sleep and Mental Health Outcomes in a Nationally-Representative Sample of U.S. Adolescents
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Association between Exposure to Noise and Sleep and Mental Health Outcomes in a Nationally-Representative Sample of U.S. Adolescents

机译：在美国青少年的全国代表性样本中接触噪声和睡眠和心理健康状况之间的关联

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Background: In 1974, the U.S. Environmental Protection Agency (U.S. EPA) identified an equivalent 24-hour continuous average noise exposure level (LAeq, 24h) of < 55 A-weighted decibels to protect public health with an adequate margin of safety. To date, however, limited U.S.-based research has evaluated the relationship between noise pollution and health. We help fill this gap using data from a nationally-representative sample of U.S. adolescents. Methods: We used a cross-sectional geospatial sound model to estimate noise exposure at the block group level. We dichotomized noise as high (LAeq, 24h > 55 dB) versus low (LAeq, 24h <55 dB). The National Comorbidity Survey Adolescent Supplement, conducted between 2001-2004 and including several self-reported sleep outcomes and DSM-IV disorder diagnoses, provided our study population. We evaluated the association between noise and sleep and mental health using doubly-robust targeted minimum loss-based estimation and propensity score matching to account for potential confounders, including air pollution. Results: The study included 4,508 urban-dwelling adolescents aged 13-18. Controlling for numerous adolescent, household, and environmental covariates, living in a high-versus low-noise census block-group was associated with later bedtimes on both weeknights and weekend nights (riskdifference [RD]: 0.41 hours, 95% CI: -0.01, 0.83, and RD: 0.61 hours, 95% CI: 0.38, 0.84, respectively). We found no association with total number of hours slept. Further, we found that living in a high- versus low-noise census block-group was associated with 69% increased odds of an anxiety or depressive disorder (odds ratio [OR]: 1.69, 95% CI: 1.13, 2.25) and 79% increased odds of substance use disorder (OR: 1.79, 95% CI: 0.91, 2.66); we found no similar associations with behavioral disorders. Conclusion: We found evidence that noise exceeding the U.S. EPA threshold may hold adverse sleep and mental health consequences for U.S. adolescents.
机译：背景：1974年，美国环境保护局（美国EPA）确定了<55 A加权分贝的等效24小时连续平均噪声暴露水平（LAEQ，24H），以保护公共卫生具有足够的安全范围。然而，迄今为止，基于U.S.的研究已经评估了噪声污染与健康之间的关系。我们使用来自美国青少年的国家代表性样本的数据帮助填补这一差距。方法：我们使用了横截面地理空间声音模型来估算块组级别的噪声曝光。我们二分噪声高（Laeq，24h> 55 dB）与低（Laeq，24h <55 dB）。 2001-2004之间进行的国家合并症调查青少年补充剂，包括若干自我报告的睡眠结果和DSM-IV障碍诊断，提供了我们的研究人口。我们评估了噪声和睡眠和心理健康之间的关联，使用双重强大的目标最小损失估计和倾向得分匹配，以考虑潜在的混淆，包括空气污染。结果：该研究包括13-18岁的城市住宅青少年4,508名城市住宅青少年。控制众多青少年，家庭和环境协变量，生活在高噪声中，家庭协变量 - 群体与周末和周末夜间的后来的睡眠有关（风险Differs [RD]：0.41小时，95％CI：-0.01 ，0.83和Rd：0.61小时，95％CI：0.38,0.84分别）。我们发现没有睡觉的总小时数。此外，我们发现生活在高与低噪声人口群中，焦虑或抑郁症的几率增加了69％（赔率比[或]：1.69,95％CI：1.13,2.25）和79物质使用障碍的几率增加（或：1.79,95％CI：0.91,2.66）;我们发现没有与行为障碍的类似关联。结论：我们发现证据表明，超越美国的噪音可能对美国青少年的噪声保持不利睡眠和心理健康后果。

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