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伊朗德黑兰大都市区成年人群中,心理困扰和睡眠问题与接触环境噪声所引起烦恼之间的关系评估。

Evaluation of the relationship between psychological distress and sleep problems with annoyance caused by exposure to environmental noise in the adult population of Tehran Metropolitan City, Iran.

作者信息

Monazzam Mohammad Reza, Shamsipour Mansour, Zaredar Narges, Bayat Reza

机构信息

Department of Occupational Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Centre for Air Pollution Research (CAPR), Institute for Environmental Research (IER), Tehran University of Medical Sciences, Tehran, Iran.

出版信息

J Environ Health Sci Eng. 2022 Feb 26;20(1):1-10. doi: 10.1007/s40201-021-00703-z. eCollection 2022 Jun.

Abstract

PURPOSE

The aim of this study was to investigate the association between the psychological distress and sleep problems with environmental noise annoyance in adult population.

METHODS

This is a cross-sectional study on 822 adult population of Tehran City in 2016. Integrated cluster stratified random sampling and Kish grid method were used. Noise annoyance, the day-night average sound level (Ldn), nighttime average sound level (Lnight), and daytime average sound level (Lday) were selected as noise exposure indicators. The prevalence of psychological distress and sleep problems were assessed using the Kessler Psychological Distress Scale (K10) and the PSQI questionnaire, respectively. Multiple logistic regression analysis was applied for data analysis.

RESULTS

Among the participants 46.03%% were exposed to a sound level higher than the daytime standard level (55 dB) and 84.6% were exposed to a level higher than the nighttime standard limit (45 dBA). According to the results, 49% of the subjects had poor sleep quality and 66% were highly sensitive to noise. In addition, 17.73% had a high risk of mental disorders and 16.48% were found to have a mild risk of mental disorders. There was found a statistically significant association between psychological distress and the noise annoyance at home (OR = 1.3 CI 95% (1.17-1.44)) and at work environment (OR = 1.18 CI 95% (1.08-1.28)).

CONCLUSION

The findings indicated that the study population was highly sensitive to noise. In addition, the relatively high percentage of people who exposed to non-standard levels of sound indicates that this exposure has the potential to cause physical and mental consequences among them.

摘要

目的

本研究旨在调查成年人群中心理困扰、睡眠问题与环境噪声烦恼之间的关联。

方法

这是一项于2016年对德黑兰市822名成年人进行的横断面研究。采用整群分层随机抽样和基什网格法。选择噪声烦恼、昼夜平均声级(Ldn)、夜间平均声级(Lnight)和白天平均声级(Lday)作为噪声暴露指标。分别使用凯斯勒心理困扰量表(K10)和匹兹堡睡眠质量指数问卷(PSQI)评估心理困扰和睡眠问题的患病率。应用多元逻辑回归分析进行数据分析。

结果

在参与者中,46.03%暴露于高于白天标准水平(55分贝)的声级,84.6%暴露于高于夜间标准限值(45分贝A)的水平。根据结果,49%的受试者睡眠质量差,66%对噪声高度敏感。此外,17.73%有患精神障碍的高风险,16.48%有患精神障碍的轻度风险。在家中(比值比=1.3,95%置信区间(1.17 - 1.44))和工作环境中(比值比=1.18,95%置信区间(1.08 - 1.28)),心理困扰与噪声烦恼之间存在统计学上的显著关联。

结论

研究结果表明,研究人群对噪声高度敏感。此外,暴露于非标准声级的人群比例相对较高,表明这种暴露有可能对他们造成身心影响。

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