Univ Lyon, Univ Gustave Eiffel, Ifsttar, Univ Lyon 1, Umrestte, UMR T_9405, Bron, France.
AP-HP, Hôpital Européen Georges Pompidou, Unité de Recherche Clinique, APHP Centre, Paris, France.
PLoS One. 2024 Aug 27;19(8):e0307760. doi: 10.1371/journal.pone.0307760. eCollection 2024.
Previous studies reported an association between transportation noise and self-reported health status (SRHS). They also suggested a mediating role of noise annoyance using conventional statistical methods. These methods are subject to bias in longitudinal studies with time-dependent exposure, mediator and confounding factors. This study aims to investigate the mediating role of aircraft noise annoyance in the effect of aircraft noise on SRHS using a causal inference approach to address time-dependent variables issues.
We used data from 881 participants in all three visits in the DEBATS longitudinal study conducted around three French airports. Participants over 18 years of age reported their self-perceived health status, aircraft noise annoyance, and noise sensitivity by completing a questionnaire at three visits in 2013, 2015 and 2017. Noise maps were used to estimate aircraft noise levels outside their homes. Marginal structural models with inverse probability weighting were used to estimate the total effect of aircraft noise levels on SRHS and its decomposition into direct and indirect effect through aircraft noise annoyance.
This study showed a deleterious effect of aircraft noise on SRHS. The odds ratio (OR) corresponding to the total effect and comparing the highest aircraft noise category (≥60 dBA) to the reference category (<50 dBA) was significant (ORpoor/fair_SHRS = 1.25 (95%CI: 1.06 to 2.08)). It also showed no direct effect of aircraft noise levels on SRHS, but an indirect effect through annoyance. This indirect effect increased as aircraft noise levels increased, with a statistically significant OR when comparing the highest noise category (≥60 dBA) to the lowest (<50 dBA) (ORpoor/fair_SHRS = 1.16 (95%CI: 1.03 to 1.52)). Nearly 66% of aircraft noise's effect on SRHS was mediated by aircraft noise annoyance.
This study supports the deleterious causal effect of aircraft noise on SRHS. The results highlight the important mediating role of aircraft noise annoyance in the causal pathway from exposure to aircraft noise to poor/fair SRHS.
先前的研究报告表明交通噪声与自我报告的健康状况（SRHS）之间存在关联。他们还使用常规统计方法表明噪声烦恼在其中起到了中介作用。然而，这些方法在具有时间依赖性暴露、中介和混杂因素的纵向研究中存在偏倚。本研究旨在使用因果推理方法调查飞机噪声烦恼在飞机噪声对 SRHS 的影响中的中介作用，以解决时间依赖性变量问题。
我们使用了在法国三个机场周围进行的 DEBATS 纵向研究中 881 名参与者在所有三次访问中的数据。参与者在 2013 年、2015 年和 2017 年的三次访问中通过完成问卷报告了他们的自我感知健康状况、飞机噪声烦恼和噪声敏感性。噪声图用于估计他们家外的飞机噪声水平。使用逆概率加权的边际结构模型来估计飞机噪声水平对 SRHS 的总效应及其通过飞机噪声烦恼分解为直接和间接效应。
本研究表明飞机噪声对 SRHS 有不良影响。总效应的比值比（OR）和将最高飞机噪声类别（≥60 dBA）与参考类别（<50 dBA）进行比较的结果具有统计学意义（ORpoor/fair_SHRS = 1.25（95%CI：1.06 至 2.08）））。它还表明飞机噪声水平对 SRHS 没有直接影响，但通过烦恼有间接影响。随着飞机噪声水平的增加，这种间接影响增加，将最高噪声类别（≥60 dBA）与最低噪声类别（<50 dBA）进行比较的结果具有统计学意义（ORpoor/fair_SHRS = 1.16（95%CI：1.03 至 1.52）））。飞机噪声对 SRHS 的影响约有 66%是通过飞机噪声烦恼介导的。
本研究支持飞机噪声对 SRHS 的有害因果效应。结果强调了飞机噪声烦恼在暴露于飞机噪声与不良/一般 SRHS 的因果途径中的重要中介作用。
