Evaluation of the relationship between psychological distress and sleep problems with annoyance caused by exposure to environmental noise in the adult population of Tehran Metropolitan City, Iran.

Abstract

The aim of this study was to investigate the association between the psychological distress and sleep problems with environmental noise annoyance in adult population. This is a cross-sectional study on 822 adult population of Tehran City in 2016. Integrated cluster stratified random sampling and Kish grid method were used. Noise annoyance, the day-night average sound level (Ldn), nighttime average sound level (Lnight), and daytime average sound level (Lday) were selected as noise exposure indicators. The prevalence of psychological distress and sleep problems were assessed using the Kessler Psychological Distress Scale (K10) and the PSQI questionnaire, respectively. Multiple logistic regression analysis was appliedfor data analysis. Among the participants 46.03%% were exposed to a sound level higher than the daytime standard level (55dB) and 84.6% were exposed to a level higher than the nighttime standard limit (45 dBA). According to the results, 49% of the subjects had poor sleep quality and 66% were highly sensitive to noise. In addition, 17.73% had a high risk of mental disorders and 16.48% were found to have a mild risk of mental disorders. There was found a statistically significant association between psychological distress and the noise annoyance at home (OR = 1.3 CI 95% (1.17-1.44)) and at work environment (OR = 1.18 CI 95% (1.08-1.28)). The findings indicated that the study population was highly sensitive to noise. In addition, the relatively high percentage of people who exposed to non-standard levels of sound indicates that this exposure has the potential to cause physical and mental consequences among them.