DOI QR코드

DOI QR Code

Correlation between Traffic Noise and Mental Health Indices in Cities: An Ecological Study

교통 소음과 정신건강 지표 간의 상관성: 생태학적 연구

  • Sukyung Noh (Department of Medicine, College of Medicine, Chungbuk National University) ;
  • Sang-Yong Eom (Department of Preventive Medicine, College of Medicine, Chungbuk National University)
  • 노수경 (충북대학교 의과대학 의학과) ;
  • 엄상용 (충북대학교 의과대학 예방의학교실)
  • Received : 2023.11.10
  • Accepted : 2023.12.04
  • Published : 2023.12.31

Abstract

Background: Noise has been linked to an increased risk of various health issues, including stress, anxiety, insomnia, and cardiovascular disorders. However, research on the relationship between residential traffic noise and mental health in South Korea is limited. Objectives: This study aims to examine the correlation between regional traffic noise levels and mental health using an ecological study design. Methods: In this ecological study, all data were collected from the Korean Statistical Information Service. Traffic noise data in residential areas and the prevalence of mental health indices in 44 cities with noise monitoring stations were obtained. Pearson correlation coefficients were calculated to assess the relationship between regional traffic noise levels and mental health indices. Results: Daytime traffic noise levels were found to have a positive correlation with stress perception (r=0.428, p=0.004) and showed a borderline positive correlation with depressive symptom prevalence (r=0.273, p=0.073). In cities with airports, significant correlations was observed between 24-hour average noise levels and depressive symptoms (r=0.604, p=0.010), whereas this relationship was not observed in cities without airports (r=0.048, p=0.813). Multiple regression analysis, which adjusted for factors such as age, gender ratio, smoking, obesity, unemployment, urban size, and the presence of an airport, confirmed the relationship between 24-hour average noise levels and stress perception (beta=0.287, p=0.024). Conclusions: This study identified correlations between regional traffic noise levels and depressive symptoms or stress perception in adults, with a more pronounced effect in areas with airports. These findings suggest a potential impact of residential traffic noise on mental health, highlighting the importance of preventive measures like noise management in urban planning to promote mental well-being.

Keywords

Acknowledgement

본 연구는 「국립대학육성사업 - 학부생 연구 기회 프로그램지원」으로 수행하였습니다.

References

  1. Stansfeld SA, Matheson MP. Noise pollution: non-auditory effects on health. Br Med Bull. 2003; 68: 243-257. https://doi.org/10.1093/bmb/ldg033
  2. Cavatorta A, Falzoi M, Romanelli A, Cigala F, Ricco M, Bruschi G, et al. Adrenal response in the pathogenesis of arterial hypertension in workers exposed to high noise levels. J Hypertens Suppl. 1987; 5(5): S463-S466.
  3. Babisch W. Traffic noise and cardiovascular disease: epidemiological review and synthesis. Noise Health. 2000; 2(8): 9-32.
  4. Rosenlund M, Berglind N, Pershagen G, Jarup L, Bluhm G. Increased prevalence of hypertension in a population exposed to aircraft noise. Occup Environ Med. 2001; 58(12): 769-773. https://doi.org/10.1136/oem.58.12.769
  5. Kawada T. Effects of traffic noise on sleep: a review. Nihon Eiseigaku Zasshi. 1995; 50(5): 932-938. https://doi.org/10.1265/jjh.50.932
  6. Hiramatsu K, Yamamoto T, Taira K, Ito A, Nakasone T. A survey on health effects due to aircraft noise on residents living around Kadena air base in the Ryukyus. J Sound Vib. 1997; 205(4): 451-460. https://doi.org/10.1006/jsvi.1997.1011
  7. Fritschi L, Brown AL, Kim R, Schwela D, Kephalopoulos S. Burden of disease from environmental noise - quantification of healthy life years lost in Europe. Copenhagen: World Health Organization Regional Office for Europe; 2011.
  8. Salk RH, Hyde JS, Abramson LY. Gender differences in depression in representative national samples: meta-analyses of diagnoses and symptoms. Psychol Bull. 2017; 143(8): 783-822. https://doi.org/10.1037/bul0000102
  9. National Center for Mental Health. National Mental Health Survey 2021. Available: http://mhs.ncmh.go.kr/ [Accessed June 20, 2023].
  10. Gutierrez-Rojas L, Porras-Segovia A, Dunne H, Andrade-Gonzalez N, Cervilla JA. Prevalence and correlates of major depressive disorder: a systematic review. Braz J Psychiatry. 2020; 42(6): 657-672. https://doi.org/10.1590/1516-4446-2020-0650
  11. Porras-Segovia A, Rivera M, Molina E, Lopez-Chaves D, Gutierrez B, Cervilla J. Physical exercise and body mass index as correlates of major depressive disorder in community-dwelling adults: results from the PISMA-ep study. J Affect Disord. 2019; 251: 263-269. https://doi.org/10.1016/j.jad.2019.01.050
  12. Varghese FP, Brown ES. The hypothalamic-pituitary-adrenal axis in major depressive disorder: a brief primer for primary care physicians. Prim Care Companion J Clin Psychiatry. 2001; 3(4): 151-155.
  13. Menard C, Hodes GE, Russo SJ. Pathogenesis of depression: insights from human and rodent studies. Neuroscience. 2016; 321: 138-162. https://doi.org/10.1016/j.neuroscience.2015.05.053
  14. Fang H, Tu S, Sheng J, Shao A. Depression in sleep disturbance: a review on a bidirectional relationship, mechanisms and treatment. J Cell Mol Med. 2019; 23(4): 2324-2332. https://doi.org/10.1111/jcmm.14170
  15. Seidler A, Hegewald J, Seidler AL, Schubert M, Wagner M, Droge P, et al. Association between aircraft, road and railway traffic noise and depression in a large case-control study based on secondary data. Environ Res. 2017; 152: 263-271. https://doi.org/10.1016/j.envres.2016.10.017
  16. Hegewald J, Schubert M, Freiberg A, Romero Starke K, Augustin F, Riedel-Heller SG, et al. Traffic noise and mental health: a systematic review and meta-analysis. Int J Environ Res Public Health. 2020; 17(17): 6175.
  17. Dzhambov AM, Lercher P. Road traffic noise exposure and depression/anxiety: an updated systematic review and meta-analysis. Int J Environ Res Public Health. 2019; 16(21): 4134.
  18. Jeong YR, Park JB, Min KB, Lee C, Kil HG, Lee WW, et al. The effects of aircraft noise exposure upon hearing loss, anxiety, and depression on subjects residing adjacent to a military airbase. Korean J Occup Environ Med. 2012; 24(1): 40-51. https://doi.org/10.35371/kjoem.2012.24.1.40
  19. Park C, Sim CS, Sung JH, Lee J, Ahn JH, Choe YM, et al. Low income as a vulnerable factor to the effect of noise on insomnia. Psychiatry Investig. 2018; 15(6): 602-612. https://doi.org/10.30773/pi.2018.01.14
  20. Statistics Korea. Korean Statistical Information Service. Available: http://www.kosis.kr [Accessed May 10, 2023].
  21. Levis B, Benedetti A, Thombs BD. DEPRESsion Screening Data (DEPRESSD) Collaboration. Accuracy of Patient Health Questionnaire-9 (PHQ-9) for screening to detect major depression: individual participant data meta-analysis. BMJ. 2019; 365: I1476.
  22. Vink D, Aartsen MJ, Schoevers RA. Risk factors for anxiety and depression in the elderly: a review. J Affect Disord. 2008; 106(1-2): 29-44. https://doi.org/10.1016/j.jad.2007.06.005
  23. Holzel L, Harter M, Reese C, Kriston L. Risk factors for chronic depression--a systematic review. J Affect Disord. 2011; 129(1-3): 1-13. https://doi.org/10.1016/j.jad.2010.03.025
  24. Whooley MA, Kiefe CI, Chesney MA, Markovitz JH, Matthews K, Hulley SB; CARDIA Study. Depressive symptoms, unemployment, and loss of income: the CARDIA study. Arch Intern Med. 2002; 162(22): 2614-2620. https://doi.org/10.1001/archinte.162.22.2614
  25. Jeong JA, Kim SA, Yang JH, Shin MH. Urban-rural differences in the prevalence of depressive symptoms in Korean adults. Chonnam Med J. 2023; 59(2): 128-133. https://doi.org/10.4068/cmj.2023.59.2.128
  26. Said MA, El-Gohary OA. Effect of noise stress on cardiovascular system in adult male albino rat: implication of stress hormones, endothelial dysfunction and oxidative stress. Gen Physiol Biophys. 2016; 35(3): 371-377. https://doi.org/10.4149/gpb_2016003
  27. Schmidt FP, Basner M, Kroger G, Weck S, Schnorbus B, Muttray A, et al. Effect of nighttime aircraft noise exposure on endothelial function and stress hormone release in healthy adults. Eur Heart J. 2013; 34(45): 3508-3514. https://doi.org/10.1093/eurheartj/eht269
  28. Hahad O, Prochaska JH, Daiber A, Muenzel T. Environmental noise-induced effects on stress hormones, oxidative stress, and vascular dysfunction: key factors in the relationship between cerebro-cardiovascular and psychological disorders. Oxid Med Cell Longev. 2019; 2019: 4623109.
  29. Beutel ME, Junger C, Klein EM, Wild P, Lackner K, Blettner M, et al. Noise annoyance is associated with depression and anxiety in the general population- the contribution of aircraft noise. PLoS One. 2016; 11(5): e0155357.
  30. Orban E, McDonald K, Sutcliffe R, Hoffmann B, Fuks KB, Dragano N, et al. Residential road traffic noise and high depressive symptoms after five years of follow-up: results from the Heinz Nixdorf recall study. Environ Health Perspect. 2016; 124(5): 578-585. https://doi.org/10.1289/ehp.1409400
  31. Leijssen JB, Snijder MB, Timmermans EJ, Generaal E, Stronks K, Kunst AE. The association between road traffic noise and depressed mood among different ethnic and socioeconomic groups. The HELIUS study. Int J Hyg Environ Health. 2019; 222(2): 221-229. https://doi.org/10.1016/j.ijheh.2018.10.002