ArticleEnvironmental health perspectives2016
Traffic-Related Air Pollution, Noise at School, and Behavioral Problems in Barcelona Schoolchildren: A Cross-Sectional Study.
Article in Environmental health perspectives, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 70 papers, 10 of them syntheses that pooled it.
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Who cites it
70 citing papers in PubMed, 10 syntheses or guidelines pooled it.
- Noise, air pollution exposure and attention-deficit/hyperactivity disorder: a meta-analysis.Frontiers in psychiatry · 2026Pooled it
- Determinants and relationships of climate change, climate change hazards, mental health, and well-being: a systematic review.Frontiers in psychiatry · 2025Pooled it
- Air pollution: a latent key driving force of dementia.BMC public health · 2024Pooled it
- Association of prenatal and postnatal exposure to air pollution with clinically diagnosed attention deficit hyperactivity disorder: a systematic review.Frontiers in public health · 2024Pooled it
- School-Based Interventions to Support Healthy Indoor and Outdoor Environments for Children: A Systematic Review.International journal of environmental research and public health · 2023Pooled it
- 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, Dementia, Birth, Reproductive Outcomes, and Cognition.International journal of environmental research and public health · 2020Pooled it
- Behavioral and Emotional Disorders and Transportation Noise among Children and Adolescents: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2019Pooled it
- Impact of Green Space Exposure on Children's and Adolescents' Mental Health: A Systematic Review.International journal of environmental research and public health · 2018Pooled it
- WHO Environmental Noise Guidelines for the European Region: A Systematic Review on Environmental Noise and Quality of Life, Wellbeing and Mental Health.International journal of environmental research and public health · 2018Pooled it
- Environmental Noise Exposure and Neurodevelopmental and Mental Health Problems in Children: a Systematic Review.Current environmental health reports · 2018Pooled it
- Assessing environmental exposures in children: toward a comprehensive exposome approach.Pediatric research · 2026Review
- Cognitive benefits of air purification among schoolchildren: A randomized, double-blind, crossover trial.Innovation (Cambridge (Mass.)) · 2026Article
- A Review of the Increasing Impact and Effects of Air Pollution Throughout Life and Before Birth.Medical science monitor : international medical journal of experimental and clinical research · 2026Review
- The Impact of Early Life Exposure to Air Pollution on the Brain: A Diffusion MRI Study in 10-13-Year-Old Children With and Without ADHD Diagnosis.Human brain mapping · 2025Article
- Neighborhood Characteristics and Mental Health From Childhood to Adolescence.JAMA network open · 2025Article
- Air Pollution Exposure, Prefrontal Connectivity, and Emotional Behavior in Early Adolescence.Research report (Health Effects Institute) · 2025Article
- Noise and mental health: evidence, mechanisms, and consequences.Journal of exposure science & environmental epidemiology · 2025Review
- The Role of the Neural Exposome as a Novel Strategy to Identify and Mitigate Health Inequities in Alzheimer's Disease and Related Dementias.Molecular neurobiology · 2025Review
- Review
- Air pollution and children's mental health in rural areas: compositional spatio-temporal model.Scientific reports · 2024Article
10 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
16 authors.
Funding
Abstract
backgroundThe available evidence of the effects of air pollution and noise on behavioral development is limited, and it overlooks exposure at schools, where children spend a considerable amount of time.
objectiveWe aimed to investigate the associations of exposure to traffic-related air pollutants (TRAPs) and noise at school on behavioral development of schoolchildren.
methodsWe evaluated children 7-11 years of age in Barcelona (Catalonia, Spain) during 2012-2013 within the BREATHE project. Indoor and outdoor concentrations of elemental carbon (EC), black carbon (BC), and nitrogen dioxide (NO2) were measured at schools in two separate 1-week campaigns. In one campaign we also measured noise levels inside classrooms. Parents filled out the strengths and difficulties questionnaire (SDQ) to assess child behavioral development, while teachers completed the attention deficit/hyperactivity disorder criteria of the DSM-IV (ADHD-DSM-IV) list to assess specific ADHD symptomatology. Negative binomial mixed-effects models were used to estimate associations between the exposures and behavioral development scores.
resultsInterquartile range (IQR) increases in indoor and outdoor EC, BC, and NO2 concentrations were positively associated with SDQ total difficulties scores (suggesting more frequent behavioral problems) in adjusted multivariate models, whereas noise was significantly associated with ADHD-DSM-IV scores.
conclusionIn our study population of 7- to 11-year-old children residing in Barcelona, exposure to TRAPs at school was associated with increased behavioral problems in schoolchildren. Noise exposure at school was associated with more ADHD symptoms. CITATION: Forns J, Dadvand P, Foraster M, Alvarez-Pedrerol M, Rivas I, López-Vicente M, Suades-Gonzalez E, Garcia-Esteban R, Esnaola M, Cirach M, Grellier J, Basagaña X, Querol X, Guxens M, Nieuwenhuijsen MJ, Sunyer J. 2016. Traffic-related air pollution, noise at school, and behavioral problems in Barcelona schoolchildren: a cross-sectional study. Environ Health Perspect 124:529-535; http://dx.doi.org/10.1289/ehp.1409449.
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