Hanibuchi Tomoya, Nakaya Tomoki, Kitajima Tsuyoshi, Yatsuya Hiroshi
Graduate School of Environmental Studies, Tohoku University, Sendai, Japan.
Department of Psychiatry, Fujita Health University School of Medicine, Aichi, Japan.
Prev Med Rep. 2021 May 29;23:101416. doi: 10.1016/j.pmedr.2021.101416. eCollection 2021 Sep.
Despite the increasing knowledge on the association between neighborhood and health, few studies have investigated sleep disorders in Japan, particularly the impact of neighborhood noise on sleep. Thus, this study aimed to investigate the associations between insomnia symptoms and annoyance because of traffic and neighborhood noise in Japan, which has different neighborhood conditions compared with those of the western societies. Neighborhood built and socioeconomic environments roles were also examined. We used nationwide cross-sectional data collected through a 2015 online survey of Japanese adults aged 20-64 years (n = 4,243). Adjusted prevalence ratios for insomnia according to the exposures were estimated using the multilevel Poisson regression models. The results showed that having insomnia was significantly associated with experiencing neighborhood and traffic-noise annoyance. Neighborhood noise had a stronger and independent association with insomnia. However, the neighborhood environmental variables, including population density, deprivation index, and access to commercial areas, were not associated with insomnia. In conclusion, noise annoyance, particularly that sourced from neighbors, is an important factor in relation to sleep health. Health and urban-planning policymakers should consider neighborhood noise, in addition to traffic noise, as health-related issues in residential neighborhoods.
尽管人们对社区与健康之间的关联了解日益增多，但在日本，很少有研究调查睡眠障碍，尤其是社区噪音对睡眠的影响。因此，本研究旨在调查日本失眠症状与交通和社区噪音引起的烦恼之间的关联，日本的社区状况与西方社会不同。同时也考察了社区建筑和社会经济环境的作用。我们使用了通过2015年对20-64岁日本成年人进行的在线调查收集的全国性横断面数据（n = 4243）。使用多级泊松回归模型估计根据暴露情况调整后的失眠患病率比。结果表明，患有失眠与经历社区和交通噪音烦恼显著相关。社区噪音与失眠有更强的独立关联。然而，包括人口密度、贫困指数和商业区可达性在内的社区环境变量与失眠无关。总之，噪音烦恼，尤其是来自邻居的噪音烦恼，是与睡眠健康相关的一个重要因素。健康和城市规划政策制定者除了应考虑交通噪音外，还应将社区噪音视为居民区与健康相关的问题。
