Stansfeld Stephen, Hygge Staffan, Clark Charlotte, Alfred Tamuno
Centre for Psychiatry, Wolfson Institute of Preventive Medicine, Barts and the London School of Medicine, Old Anatomy Building, Charterhouse Square, London EC1M 6BQ, United Kingdom.
Noise Health. 2010 Oct-Dec;12(49):255-62. doi: 10.4103/1463-1741.70504.
Chronic aircraft noise exposure in children is associated with impairment of reading and long-term memory. Most studies have not differentiated between day or nighttime noise exposure. It has been hypothesized that sleep disturbance might mediate the association of aircraft noise exposure and cognitive impairment in children. This study involves secondary analysis of data from the Munich Study and the UK Road Traffic and Aircraft Noise Exposure and Children's Cognition and Health (RANCH) Study sample to test this. In the Munich study, 330 children were assessed on cognitive measures in three measurement waves a year apart, before and after the switchover of airports. Self-reports of sleep quality were analyzed across airports, aircraft noise exposure and measurement wave to test whether changes in nighttime noise exposure had any effect on reported sleep quality, and whether this showed the same pattern as for changes in cognitive performance. For the UK sample of the RANCH study, night noise contour information was linked to the children's home and related to sleep disturbance and cognitive performance. In the Munich study, analysis of sleep quality questions showed no consistent interactions between airport, noise, and measurement wave, suggesting that poor sleep quality does not mediate the association between noise exposure and cognition. Daytime and nighttime aircraft noise exposure was highly correlated in the RANCH study. Although night noise exposure was significantly associated with impaired reading and recognition memory, once home night noise exposure was centered on daytime school noise exposure, night noise had no additional effect to daytime noise exposure. These analyses took advantage of secondary data available from two studies of aircraft noise and cognition. They were not initially designed to examine sleep disturbance and cognition, and thus, there are methodological limitations which make it less than ideal in giving definitive answers to these questions. In conclusion, results from both studies suggest that night aircraft noise exposure does not appear to add any cognitive performance decrement to the cognitive decrement induced by daytime aircraft noise alone. We suggest that the school should be the main focus of attention for protection of children against the effects of aircraft noise on school performance.
儿童长期暴露于飞机噪音中与阅读和长期记忆受损有关。大多数研究并未区分白天或夜间的噪音暴露情况。据推测,睡眠干扰可能是飞机噪音暴露与儿童认知障碍之间关联的中介因素。本研究对慕尼黑研究以及英国道路交通与飞机噪音暴露及儿童认知与健康(RANCH)研究样本中的数据进行二次分析以验证这一推测。在慕尼黑研究中,330名儿童在机场切换前后,每年分三个测量阶段接受认知测试。对不同机场、飞机噪音暴露水平和测量阶段的睡眠质量自我报告进行分析,以检验夜间噪音暴露的变化是否对报告的睡眠质量有任何影响,以及这是否与认知表现的变化呈现相同模式。对于RANCH研究的英国样本,将夜间噪音等值线信息与儿童家庭住址相关联,并与睡眠干扰和认知表现相关联。在慕尼黑研究中,对睡眠质量问题的分析表明,机场、噪音和测量阶段之间不存在一致的相互作用,这表明睡眠质量差并非噪音暴露与认知之间关联的中介因素。在RANCH研究中,白天和夜间的飞机噪音暴露高度相关。尽管夜间噪音暴露与阅读和识别记忆受损显著相关,但一旦将家庭夜间噪音暴露以白天学校噪音暴露为中心进行分析,夜间噪音对白天噪音暴露并无额外影响。这些分析利用了两项关于飞机噪音与认知的研究中的现有二手数据。这些研究最初并非旨在研究睡眠干扰与认知,因此存在方法学上的局限性,在明确回答这些问题方面并不理想。总之,两项研究的结果均表明,夜间飞机噪音暴露似乎并未给仅由白天飞机噪音引起的认知下降增加任何额外的认知表现下降。我们建议,学校应成为保护儿童免受飞机噪音对学业表现影响的主要关注焦点。