在普通人群中，不同来源的噪音干扰与耳鸣的存在和困扰有关

IF 4.1 3区医学 Q2 ENVIRONMENTAL SCIENCES Journal of Exposure Science and Environmental Epidemiology Pub Date : 2024-04-03 DOI:10.1038/s41370-024-00668-9

Omar Hahad, Julia Döge, Katharina Bahr-Hamm, Manfred E. Beutel, Konstantin Kontohow-Beckers, Alexander K. Schuster, Karsten Keller, Lukas Hobohm, Volker H. Schmitt, Emilio Gianicolo, Karl J. Lackner, Andreas Daiber, Philipp S. Wild, Berit Hackenberg, Thomas Münzel

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引用次数: 0

摘要

背景耳鸣的病理生理学尚未完全清楚。尽管有大量证据表明交通噪声暴露与非听觉健康后果有关，但没有证据表明噪声烦恼对耳鸣等听觉障碍的影响。因此，我们旨在调查普通人群中不同来源的噪声烦恼与耳鸣的存在和困扰之间的关系。研究人员询问了参与者是否存在耳鸣以及耳鸣对他们的困扰程度。此外，还通过有效问卷收集了白天和睡眠时受道路交通、飞机、铁路、工业和邻里噪音困扰的信息。结果耳鸣的患病率为 27.3%，这些受试者主要的噪音困扰来源是飞机、邻里和道路交通噪音。总体而言，逻辑回归结果表明，在对性别、年龄和社会经济地位进行调整后，不同噪声源造成的烦恼与耳鸣患病风险之间存在一致的正相关关系，几率增加了 4% 至 11%。同样，在耳鸣流行的受试者中，也观察到耳鸣困扰的几率持续增加。例如，睡眠期间邻里噪音干扰与耳鸣困扰增加 26% 相关（OR 1.26，95% CI 1.13; 1.39）。我们的研究结果表明，各种噪声烦恼源与耳鸣之间存在一致的正相关关系。由于噪声烦恼和耳鸣非常普遍，这些史无前例的发现具有重要意义。耳鸣的确切病因和发病部位仍不清楚，但过度暴露于噪声被认为是主要原因之一。这项研究表明，被认为仅会造成烦扰和非听觉健康影响的交通和邻里噪声水平可能足以导致或加剧耳鸣。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Noise annoyance due to different sources is associated with tinnitus presence and distress in the general population

Background

The pathophysiology of tinnitus is not yet fully understood. Although there is a large amount of evidence associating traffic noise exposure with non-auditory health outcomes, there is no evidence regarding the impact of noise annoyance on auditory disorders such as tinnitus.

Objective

Thus, we aimed to investigate the association between noise annoyance due to different sources and tinnitus presence and distress in the general population.

Methods

Data of 6813 participants from a large German population-based cohort were used (Gutenberg Health Study). Participants were asked about the presence of tinnitus and how much they were bothered by it. In addition, information on annoyance from road traffic, aircraft, railways, industrial, and neighborhood noise during the day and sleep was collected through validated questionnaires.

Results

The prevalence of tinnitus was 27.3%, and the predominant sources of noise annoyance in these subjects were aircraft, neighborhood, and road traffic noise. Overall, logistic regression results demonstrated consistent positive associations between annoyance due to different noise sources and prevalent risk of tinnitus with increases in odds ratios ranging from 4 to 11% after adjustment for sex, age, and socioeconomic status. Likewise, consistent increases in odds ratios were observed for tinnitus distress in subjects with prevalent tinnitus. For instance, neighborhood noise annoyance during the sleep was associated with a 26% increase in tinnitus distress (OR 1.26, 95% CI 1.13; 1.39).

Impact

This is the first study investigating the association between noise annoyance and tinnitus presence and distress in a large cohort of the general population. Our results indicate consistent and positive associations between various sources of noise annoyance and tinnitus. These unprecedented findings are highly relevant as noise annoyance and tinnitus are widespread. The precise etiology and locus of tinnitus remain unknown, but excessive noise exposure is thought to be among the major causes. This study suggests that transportation and neighborhood noise levels thought merely to contribute to annoyance and non-auditory health effects may be sufficient to cause or exacerbate tinnitus.

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来源期刊

Journal of Exposure Science and Environmental Epidemiology 医学-毒理学

CiteScore

8.90

自引率

6.70%

发文量

审稿时长

3 months

期刊介绍： Journal of Exposure Science and Environmental Epidemiology (JESEE) aims to be the premier and authoritative source of information on advances in exposure science for professionals in a wide range of environmental and public health disciplines. JESEE publishes original peer-reviewed research presenting significant advances in exposure science and exposure analysis, including development and application of the latest technologies for measuring exposures, and innovative computational approaches for translating novel data streams to characterize and predict exposures. The types of papers published in the research section of JESEE are original research articles, translation studies, and correspondence. Reported results should further understanding of the relationship between environmental exposure and human health, describe evaluated novel exposure science tools, or demonstrate potential of exposure science to enable decisions and actions that promote and protect human health.