Impact of road traffic noise annoyance on health-related quality of life: results from a population-based study.
OBJECTIVE
To estimate the impact of traffic-related noise annoyance on health-related quality of life (HrQoL) in a population-based study and potential effect modification by gender.


METHODS
The study included 5,021 participants of the Swiss Cohort Study of Air Pollution and Lung Disease in Adults second survey. The association between traffic-related noise annoyance, measured on an 11-point scale, and HrQoL, based on SF-36 scores, was investigated by multivariate regression analysis. Effect sizes were calculated, and interactions by gender and chronic disease status examined.


RESULTS
Thirteen percentage of the study population reported high annoyance due to traffic. Women were more likely to report high noise annoyance (adjOR 1.23; 95%CI 1.01-1.48). Except for general health, all SF-36 scores showed a significant negative association with noise annoyance. The respective effect sizes ranged between 0.13 and 0.54. Significant effect modification by gender and chronic disease status was present in specific SF-36 domains.


CONCLUSIONS
This paper presents first evidence of an inverse relationship of noise annoyance and HrQoL in a general population. Although the estimated effects are small to moderate for individuals, they may add up to a relevant public health impact.
Dratva
Julia
J
Institute of Social and Preventive Medicine at Swiss Tropical Institute, Associated Institute of the University of Basel, Basel, Switzerland. julia.dratva@unibas.ch
Zemp
Elisabeth
E
Felber Dietrich
Denise
D
Bridevaux
Pierre-Olivier
PO
Rochat
Thierry
T
Schindler
Christian
C
Gerbase
Margaret W
MW
D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D015331:Cohort Studies; D016001:Confidence Intervals; D004781:Environmental Exposure / Q000009:adverse effects / Q000706:statistics & numerical data*; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D009624:Noise, Transportation / Q000009:adverse effects / Q000706:statistics & numerical data*; D016017:Odds Ratio; D011788:Quality of Life; D017678:Sex Distribution; D013315:Stress, Psychological / Q000453:epidemiology* / Q000209:etiology; D011795:Surveys and Questionnaires; D013557:Switzerland / Q000453:epidemiology; D014505:Urban Population / Q000706:statistics & numerical data*; D055815:Young Adult