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Road Traffic Noise Exposure and Depression/Anxiety: An Updated Systematic Review and Meta-Analysis

Author

Listed:
  • Angel M. Dzhambov

    (Department of Hygiene and Ecomedicine, Faculty of Public Health, Medical University of Plovdiv, 4002 Plovdiv, Bulgaria)

  • Peter Lercher

    (Institute for Highway Engineering and Transport Planning, Graz University of Technology, 8010 Graz, Austria)

Abstract

Unlike other World Health Organization evidence reviews, the systematic review on mental disorders could not provide a quantitative estimate of the effect of environmental noise. With that in mind, we aimed to update it with additional studies published through to 18 August 2019 in order to allow for a formal meta-analysis of the association of residential road traffic noise with anxiety and depression. The quality effects and random effects estimators were used for meta-analysis and the robustness of findings was tested in several sensitivity analyses. Ten studies were included in the qualitative synthesis, from which we extracted 15 estimates for depression (n = 1,201,168) and five for anxiety (n = 372,079). Almost all studies were cross-sectional and the risk of bias in them was generally high. We found 4% (95% CI: −3%, 11%) higher odds of depression and 12% (95% CI: −4%, 30%) of anxiety associated with a 10 dB(A) increase in day–evening–night noise level (L den ). Both models suffered from moderate heterogeneity (55% and 54%), but there was evidence of publication bias only in the depression model. These findings were robust with no evidence of study-level moderators. A sensitivity analysis on an alternative set of categorically-reported estimates supported a linear relationship between L den and depression. Taking into account an overall quality assessment for the included studies, we conclude that there is evidence of “very low” quality that increasing exposure to road traffic noise may be associated with depression and anxiety.

Suggested Citation

  • Angel M. Dzhambov & Peter Lercher, 2019. "Road Traffic Noise Exposure and Depression/Anxiety: An Updated Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 16(21), pages 1-22, October.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:21:p:4134-:d:280711
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    References listed on IDEAS

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    4. Luca Fredianelli & Peter Lercher & Gaetano Licitra, 2022. "New Indicators for the Assessment and Prevention of Noise Nuisance," IJERPH, MDPI, vol. 19(19), pages 1-5, October.
    5. Janice Hegewald & Melanie Schubert & Alice Freiberg & Karla Romero Starke & Franziska Augustin & Steffi G. Riedel-Heller & Hajo Zeeb & Andreas Seidler, 2020. "Traffic Noise and Mental Health: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 17(17), pages 1-26, August.
    6. Charlotte Clark & Clare Crumpler & Hilary Notley, 2020. "Evidence for Environmental Noise Effects on Health for the United Kingdom Policy Context: A Systematic Review of the Effects of Environmental Noise on Mental Health, Wellbeing, Quality of Life, Cancer," IJERPH, MDPI, vol. 17(2), pages 1-34, January.
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