de Kluizenaar Yvonne, Janssen Sabine A, van Lenthe Frank J, Miedema Henk M E, Mackenbach Johan P
Department of Environment and Health, Delft, The Netherlands.
J Acoust Soc Am. 2009 Aug;126(2):626-33. doi: 10.1121/1.3158834.
This study investigates the association between night time road traffic noise exposure (L(night)) and self-reported sleep problems. Logistic regression was performed in a large population based cohort study (GLOBE), including over 18 000 subjects, to study the association between exposure at the dwelling facade and sleep problems. Measures of sleep problems were collected by questionnaire with two questions: "Do you in general get up tired and not well rested in the morning?" and "Do you often use sleep medication or tranquilizers?" After adjustment for potential confounders, a significant association was found between noise exposure and the risk of getting up tired and not rested in the morning. Although prevalence of medication use was higher at higher noise levels compared to the reference category (L(night)<35 dB), after adjustment for covariates this association was not significant. Long-term road traffic noise exposure is associated with increased risk of getting up tired and not rested in the morning in the general population. This result extends the earlier established relationship between long-term noise exposure and self-reported sleep disturbance assessed with questions that explicitly referred to noise and indicates that road traffic noise exposure during the night may have day-after effects.
本研究调查夜间道路交通噪声暴露（L（夜间））与自我报告的睡眠问题之间的关联。在一项基于大规模人群的队列研究（GLOBE）中进行了逻辑回归分析，该研究包括超过18000名受试者，以研究住宅正面的噪声暴露与睡眠问题之间的关联。通过问卷收集睡眠问题的测量数据，问卷包含两个问题：“你通常早上起床时感到疲倦且休息不好吗？”以及“你经常使用助眠药物或镇静剂吗？”在对潜在混杂因素进行调整后，发现噪声暴露与早上起床疲倦且未得到充分休息的风险之间存在显著关联。尽管与参考类别（L（夜间）<35分贝）相比，在较高噪声水平下使用药物的患病率更高，但在对协变量进行调整后，这种关联并不显著。长期道路交通噪声暴露与普通人群中早上起床疲倦且未得到充分休息的风险增加有关。这一结果扩展了早期建立的长期噪声暴露与通过明确提及噪声的问题评估的自我报告睡眠障碍之间的关系，并表明夜间道路交通噪声暴露可能会产生次日影响。
