Scand J Work Environ Health 2014;40(3):235-243 pdf full text
https://doi.org/10.5271/sjweh.3408 | Published online: 05 Dec 2013, Issue date: 01 May 2014
Associations of traffic noise with self-rated health and psychotropic medication use
Objectives Road traffic noise is a common environmental nuisance, which has been thought to increase the risk of many types of health problems. However, population-level evidence often remains scarce. This study examined whether road traffic noise is associated with self-rated health and use of psychotropic medication in a cohort of public sector employees.
Methods Data are from the Finnish Public Sector Study cohort. Geographical information system (GIS) was used to link modeled outdoor road traffic noise levels (Lden) to residential addresses of 15 611 men and women with cross-sectional survey responses on self-rated health and register-based information on the use of antidepressants, anxiolytics, and hypnotics. High trait anxiety scores were used to identify potentially vulnerable individuals. The analyses were run with logistic regression models adjusting for individual and area-level variables. All participants were blind to the aim of the study.
Results Mean level of road traffic noise at participants’ home addresses was 52 decibels (dB) (standard deviation 8.1). Noise level >60 dB versus ≤45 dB was associated with poor self-rated health in men [odds ratio (OR) 1.58, 95% confidence interval (95% CI) 1.14–2.21]. Further stratification revealed that the association was evident only among men with high trait anxiety scores (OR 2.23, 95% CI 1.28–3.89). No association was found with psychotropic medication use or among women.
Conclusion Exposure to road traffic noise was not associated with increased use of psychotropic medication, although it was associated with weakened self-rated health among men.
Key terms antidepressant; anxiety; cohort study; environmental noise; noise; psychotropic medication; road traffic; self-rated health; traffic noise; trait anxiety; vulnerable