Faculty of Health Sciences, Pokhara University, Lekhnath, Nepal.
Institute of Construction and Environmental Engineering, Seoul National University, Seoul, Republic of Korea.
Arch Environ Occup Health. 2022;77(2):149-160. doi: 10.1080/19338244.2020.1860880. Epub 2020 Dec 23.
This work is a cross-sectional comparative study conducted on 528 residents in the slum and non-slum areas of Pokhara, Nepal. Of the total number of respondents, 90.2% in the slums and 63.3% in the non-slums indicated the existence of a main source of noise, and 80.7% in the slums and 66.0% in the non-slums replied that they had been highly annoyed by noise. The indoor noise levels measured for 24 h were higher in slums than in non-slums, ranging from 59 to 78 dBA and from 51 to 69 dBA, respectively. The Mann-Whitney test showed a significantly poorer status of slum dwellers in four health domains. Logistic regression analysis identified that living in a slum was a significant predictor (OR, 2.35; 95% CI, 1.35-4.09) of a low level of health. Meanwhile, a high level of noise annoyance was a good determinant (OR, 6.71; 95% CI, 3.13-14.36) of low quality of life among slum dwellers revealing a distinguishing negative effect of the high level of noise annoyance in the slum areas.
本研究为尼泊尔博克拉地区的贫民窟和非贫民窟的 528 名居民进行的横断面对比研究。在被调查者中，90.2%的贫民窟居民和 63.3%的非贫民窟居民表示存在主要噪音源，80.7%的贫民窟居民和 66.0%的非贫民窟居民表示他们曾深受噪音困扰。对 24 小时室内噪声水平进行测量的结果显示，贫民窟的噪声水平高于非贫民窟，范围分别为 59 至 78 dBA 和 51 至 69 dBA。曼-惠特尼 U 检验显示，贫民窟居民在四个健康领域的状况明显较差。逻辑回归分析表明，居住在贫民窟是健康水平较低的一个显著预测因素（OR，2.35；95%CI，1.35-4.09）。而高水平的噪声烦恼是贫民窟居民生活质量较低的一个很好的决定因素（OR，6.71；95%CI，3.13-14.36），这表明贫民窟地区高水平的噪声烦恼会产生明显的负面影响。
