噪声污染与抑郁的关系及其对健康老龄化的影响:基于常规初级保健数据的空间分析。

IF 4.3 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL Journal of Urban Health-Bulletin of the New York Academy of Medicine Pub Date : 2025-02-01 Epub Date: 2025-01-15 DOI:10.1007/s11524-024-00945-w
Dialechti Tsimpida, Anastasia Tsakiridi
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引用次数: 0

摘要

环境噪声是一个重大的公共卫生问题,是影响公民健康和生活质量的最大环境风险之一。尽管对大气污染对心理健康的影响研究广泛,但对噪声污染影响的空间研究还很缺乏。这项研究通过探索英国噪音污染和抑郁症之间的联系来填补这一空白,重点关注基于区域剥夺的局部模式。使用2019年质量和结果框架指标数据集,对柴郡和默西塞德郡ICS内的小区域计算了抑郁症患病率,定义为记录在案的抑郁症诊断患者的百分比。铁路和道路噪音策略地图(Lden)用于测量24小时的年平均噪音水平,并根据傍晚和夜间进行调整。用英语多重剥夺指数(英语Index of Multiple Deprivation, IMD)来表示邻里剥夺。地理加权回归和广义结构方程空间模型(GSESM)评估了交通噪音、抑郁症患病率和低超级输出区水平的IMD之间的关系。研究发现,虽然交通噪音对抑郁水平的直接影响不大,但它显著地介导了与抑郁相关的其他因素。值得注意的是,GSESM表明,健康剥夺和残疾通过噪音的间接影响与抑郁密切相关(0.62),特别是在24小时交通噪音超过55分贝的情况下。了解这些变化对于制定噪声缓解策略至关重要。这项研究为噪音、剥夺和心理健康提供了新的见解,支持有针对性的干预措施,以提高生活质量和解决健康不平等问题。
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The Relationship between Noise Pollution and Depression and Implications for Healthy Aging: A Spatial Analysis Using Routinely Collected Primary Care Data.

Environmental noise is a significant public health concern, ranking among the top environmental risks to citizens' health and quality of life. Despite extensive research on atmospheric pollution's impact on mental health, spatial studies on noise pollution effects are lacking. This study fills this gap by exploring the association between noise pollution and depression in England, with a focus on localised patterns based on area deprivation. Depression prevalence, defined as the percentage of patients with a recorded depression diagnosis, was calculated for small areas within Cheshire and Merseyside ICS using the Quality and Outcomes Framework Indicators dataset for 2019. Strategic noise mapping for rail and road noise (Lden) was used to measure 24-h annual average noise levels, with adjustments for evening and night periods. The English Index of Multiple Deprivation (IMD) was employed to represent neighborhood deprivation. Geographically weighted regression and generalised structural equation spatial modeling (GSESM) assessed the relationships between transportation noise, depression prevalence, and IMD at the Lower Super Output Area level. The study found that while transportation noise had a low direct effect on depression levels, it significantly mediated other factors associated with depression. Notably, GSESM showed that health deprivation and disability were strongly linked (0.62) to depression through the indirect effect of noise, especially where transportation noise exceeds 55 dB on a 24-h basis. Understanding these variations is crucial for developing noise mitigation strategies. This research offers new insights into noise, deprivation, and mental health, supporting targeted interventions to improve quality of life and address health inequalities.

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来源期刊
Journal of Urban Health-Bulletin of the New York Academy of Medicine
Journal of Urban Health-Bulletin of the New York Academy of Medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
9.10
自引率
3.00%
发文量
105
审稿时长
6-12 weeks
期刊介绍: The Journal of Urban Health is the premier and authoritative source of rigorous analyses to advance the health and well-being of people in cities. The Journal provides a platform for interdisciplinary exploration of the evidence base for the broader determinants of health and health inequities needed to strengthen policies, programs, and governance for urban health. The Journal publishes original data, case studies, commentaries, book reviews, executive summaries of selected reports, and proceedings from important global meetings. It welcomes submissions presenting new analytic methods, including systems science approaches to urban problem solving. Finally, the Journal provides a forum linking scholars, practitioners, civil society, and policy makers from the multiple sectors that can influence the health of urban populations.
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