Association of residential noise exposure with maternal anxiety and depression in late pregnancy
Association of residential noise exposure with maternal anxiety and depression in late pregnancy
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DOI：
10.1016/j.envint.2022.107473
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发表时间：
2022-08-19
影响因子：
11.8
通讯作者：
Xu, Zhendong
中科院分区：
文献类型：
--
作者：
Jigeer, Guliyeerke;Tao, Weimin;Xu, Zhendong
背景：噪声是影响人类健康的最重要的环境风险因素之一。住宅噪声暴露与一般人群中焦虑和抑郁的风险增加有关。目的：探讨住宅噪声暴露与孕妇产前焦虑、抑郁的关系，方法：采用焦虑自评量表（SAS）和流行病学调查中心量表（CES-D）对上海市2,018名孕妇进行产前焦虑、抑郁的调查。住宅噪声暴露的土地利用回归模型。采用多因素Logistic回归模型分析噪声暴露与孕妇产前焦虑、抑郁的关系。结果：孕妇产前焦虑、抑郁的患病率分别为7.5%、8.1%。在整个怀孕期间，平均（+/-标准差）住宅噪声暴露为60.69（+/- 3.31）dB（A）。较高的住宅噪声暴露与产前焦虑和抑郁的几率增加有关。与低强度噪声暴露组（= 65 dB（A））比较。分层分析显示，社会经济地位越低的孕妇，其产前焦虑和抑郁的相关性越强。结论：孕期居住噪声暴露可能是产前焦虑和抑郁的危险因素。
Background: Noise is one of the most important environmental risk factors that adversely affects human health. Residential noise exposure has been associated with increased risk of anxiety and depression in the general population. However, limited study has been conducted in pregnant women.Objective: To examine the associations of residential noise exposure with prenatal anxiety and depression.Methods: Self-Rating Anxiety Scale (SAS) and Center for Epidemiological Survey Scale (CES-D) were used to assess the status of prenatal anxiety and depression for 2,018 pregnant women in Shanghai, China. Residential noise exposure was represented by a land use regression model. Multivariate logistic regression model was used to estimate the associations of noise exposure with prenatal anxiety and depression.Results: The prevalence rates of prenatal anxiety and depression were 7.5 % and 8.1 %, respectively. The mean (+/- standard deviation) residential noise exposure during the whole pregnancy was 60.69 (+/- 3.31) dB (A). Higher residential noise exposure was associated with increased odds of both prenatal anxiety and depression. Compared with low level of noise exposure group (= 65 dB(A)), respectively. Stratified analyses showed that the associations were stronger among pregnant women with lower socioeconomic status.Conclusion: Residential noise exposure during pregnancy might be a risk factor for prenatal anxiety and depression.