Exposure to Road Traffic Noise and Behavioral Problems in 7-Year-Old Children: A Cohort Study.
Exposure to Road Traffic Noise and Behavioral Problems in 7-Year-Old Children: A Cohort Study.
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DOI：
10.1289/ehp.1409430
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发表时间：
2016-02
影响因子：
10.4
通讯作者：
Sørensen M
中科院分区：
文献类型：
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作者：
Hjortebjerg D;Andersen AM;Christensen JS;Ketzel M;Raaschou-Nielsen O;Sunyer J;Julvez J;Forns J;Sørensen M
暴露于交通噪声与儿童神经心理学结果的不良影响有关，但关于行为问题的研究结果不一致。我们调查了住宅道路交通噪声暴露是否与7岁儿童的行为问题有关。我们从丹麦国家出生队列中确定了46，940名儿童，这些儿童在7岁时具有完整的行为问题信息，并从怀孕到7岁有完整的地址史。道路交通噪声（Lden）在所有现在和历史地址进行了建模。行为问题的父母报告的优势和困难问卷（SDQ）进行了评估。妊娠期和儿童期暴露于噪声和行为问题之间的关联通过多项式或逻辑回归进行分析，并对潜在的混杂因素进行调整。从出生到7岁，平均时间加权道路交通噪声暴露增加10 dB，（95% CI：1.00，1.14）异常与正常总难度评分; 5%（95% CI：1.00，1.10）和9%（95% CI：1.03，1.18）临界和异常多动/注意力不集中子量表评分分别增加; 5%异常行为问题和同伴关系问题子量表得分分别增加6%（95%CI：0.99，1.12）和6%（95%CI：0.98，1.14）。在怀孕期间暴露于道路交通噪声与7岁时的儿童行为问题无关。儿童早期的住宅道路交通噪音可能与行为问题有关，特别是多动症/注意力不集中症状。Hjortebjerg D，Andersen AM，Christensen JS，Ketzel M，Raaschou-Nielsen O，Sunyer J，Julvez J，Forns J，Sørensen M. 2016. 7岁儿童暴露于道路交通噪声和行为问题：一项队列研究。环境健康展望124：228-234; http：dx.doi.org/10.1289/ehp.1409430
Exposure to traffic noise has been associated with adverse effects on neuropsychological outcomes in children, but findings with regard to behavioral problems are inconsistent. We investigated whether residential road traffic noise exposure is associated with behavioral problems in 7-year-old children. We identified 46,940 children from the Danish National Birth Cohort with complete information on behavioral problems at 7 years of age and complete address history from conception to 7 years of age. Road traffic noise (Lden) was modeled at all present and historical addresses. Behavioral problems were assessed by the parent-reported Strengths and Difficulties Questionnaire (SDQ). Associations between pregnancy and childhood exposure to noise and behavioral problems were analyzed by multinomial or logistic regression and adjusted for potential confounders. A 10-dB increase in average time-weighted road traffic noise exposure from birth to 7 years of age was associated with a 7% increase (95% CI: 1.00, 1.14) in abnormal versus normal total difficulties scores; 5% (95% CI: 1.00, 1.10) and 9% (95% CI: 1.03, 1.18) increases in borderline and abnormal hyperactivity/inattention subscale scores, respectively; and 5% (95% CI: 0.98, 1.14) and 6% (95% CI: 0.99, 1.12) increases in abnormal conduct problem and peer relationship problem subscale scores, respectively. Exposure to road traffic noise during pregnancy was not associated with child behavioral problems at 7 years of age. Residential road traffic noise in early childhood may be associated with behavioral problems, particularly hyperactivity/inattention symptoms. Hjortebjerg D, Andersen AM, Christensen JS, Ketzel M, Raaschou-Nielsen O, Sunyer J, Julvez J, Forns J, Sørensen M. 2016. Exposure to road traffic noise and behavioral problems in 7-year-old children: a cohort study. Environ Health Perspect 124:228–234; http://dx.doi.org/10.1289/ehp.1409430