Yoon Jin-Ha, Won Jong-Uk, Lee Wanhyung, Jung Pil Kyun, Roh Jaehoon
The Institute for Occupational Health, Yonsei University College of Medicine, Seoul, Korea; Department of Preventive Medicine and Public Health, Yonsei University College of Medicine, Seoul, Korea; Graduate School of Public Health, Yonsei University College of Medicine, Seoul, Korea.
PLoS One. 2014 Aug 21;9(8):e105321. doi: 10.1371/journal.pone.0105321. eCollection 2014.
Noise, or undesirable sound, is one of the most common environmental stressors, and it can cause various health effects. Beyond the auditory consequences of occupational noise exposure, extra-auditory effects such as psychological problems have also been found. The aim of the current study is to elucidate the association between occupational noise annoyance and psychological symptoms, including symptoms of depression and suicidal ideation.
A total of 10,020 participants (5,410 men and 4,610 women) were included in the current analysis, using data from the fourth Korean National Health and Nutrition Examination Survey (KNHANES). Self-report questionnaires were used to assess noise annoyance levels, depressive symptoms, and suicidal ideation. Odds ratios (ORs) and 95% confidence intervals (95% CIs) for psychosocial symptoms were calculated using multiple logistic regression models.
Compared to the no noise annoyance group, ORs (95% CI) of the severe annoyance groups were 1.58 (1.12-2.23) and 1.76 (1.29-2.40) in men and 1.49 (1.05-2.11) and 1.41 (1.01-1.97) in women for depressive symptoms and suicidal ideation, respectively. The ORs (95% CI) for severe noise annoyance in those with less than five hours of sleep were 2.95 (1.46-5.96) and 2.05 (1.01-4.16) in men and women, respectively, compared with those with no noise annoyance and a sleep time of more than five hours.
Our study shows that occupational noise annoyance is significantly related to mental health, including depressive symptoms and suicidal ideation after controlling for individual and socio-demographic characteristics even with gender stratification. However, prospective studies with quantified noise exposure assessment were needed to elucidate the causality on the association between noise annoyance and psychological symptoms.
噪音，即不良声音，是最常见的环境应激源之一，可导致多种健康影响。除了职业性噪音暴露的听觉后果外，还发现了诸如心理问题等耳外影响。本研究的目的是阐明职业性噪音烦恼与心理症状之间的关联，包括抑郁症状和自杀意念。
使用韩国第四次全国健康与营养检查调查（KNHANES）的数据，本分析共纳入了10,020名参与者（5,410名男性和4,610名女性）。采用自我报告问卷评估噪音烦恼程度、抑郁症状和自杀意念。使用多元逻辑回归模型计算心理社会症状的比值比（OR）和95%置信区间（95%CI）。
与无噪音烦恼组相比，严重烦恼组男性抑郁症状和自杀意念的OR（95%CI）分别为1.58（1.12 - 2.23）和1.76（1.29 - 2.40），女性分别为1.49（1.05 - 2.11）和1.41（1.01 - 1.97）。与睡眠时长超过5小时且无噪音烦恼的人相比，睡眠不足5小时的人出现严重噪音烦恼时，男性和女性的OR（95%CI）分别为2.95（1.46 - 5.96）和2.05（1.01 - 4.16）。
我们的研究表明，即使在按性别分层并控制了个体和社会人口学特征后，职业性噪音烦恼仍与心理健康显著相关，包括抑郁症状和自杀意念。然而，需要进行具有量化噪音暴露评估的前瞻性研究，以阐明噪音烦恼与心理症状之间关联的因果关系。
