ArticleEnvironmental epidemiology (Philadelphia, Pa.)2019
Environmental noise and sleep and mental health outcomes in a nationally representative sample of urban US adolescents.
Article in Environmental epidemiology (Philadelphia, Pa.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Neighborhood environments and sleep among children and adolescents: A systematic review.Sleep medicine reviews · 2021Pooled it
- Road Traffic Noise Exposure and Depression/Anxiety: An Updated Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2019Pooled it
- Environmental Noise Exposure and the Risk of Sleep Disturbance: A Systematic Review and Meta-Analysis.Noise & healthPooled it
- Examining the heritability of actigraphy-assessed and parent-reported sleep duration in a community sample of twins across childhood and adolescence.Sleep medicine · 2026Article
- Depression in Chinese adolescents: prevalence, symptoms, risk factors, affected brain, diagnosis, and interventions.Frontiers in psychology · 2026Review
- Associations Between Daily Outdoor Temperature and Subjective Real-time Ratings of Emotional States and Sleep in Mood Disorder Subtypes.medRxiv : the preprint server for health sciences · 2025Article
- Longitudinal effects of green, blue, and gray spaces on early adolescent mental health in the United States.Child and adolescent mental health · 2025Article
- The Relationship between Noise Pollution and Depression and Implications for Healthy Aging: A Spatial Analysis Using Routinely Collected Primary Care Data.Journal of urban health : bulletin of the New York Academy of Medicine · 2025Article
- Disparities in objective sleep measures among individuals who have undergone polysomnographic studies.Frontiers in sleep · 2025Article
- Noise and mental health: evidence, mechanisms, and consequences.Journal of exposure science & environmental epidemiology · 2025Review
- Foreign Contaminants Target Brain Health.CNS & neurological disorders drug targets · 2025Review
- The Sleep Environment, Napping, and Sleep Outcomes among Urban Children With and Without Asthma.Behavioral sleep medicine · 2024Article
- Area disadvantage and mental health over the life course: a 69-year prospective birth cohort study.Social psychiatry and psychiatric epidemiology · 2023Article
- Associations between Aircraft Noise Exposure and Self-Reported Sleep Duration and Quality in the United States-Based Prospective Nurses' Health Study Cohort.Environmental health perspectives · 2023Article
- Evaluation of Acoustic Noise Level and Impulsiveness Inside Vehicles in Different Traffic Conditions.Sensors (Basel, Switzerland) · 2022Article
- Mental health, family functioning, and sleep in cultural context among American Indian/Alaska Native urban youth: A mixed methods analysis.Social science & medicine (1982) · 2022Article
- Article
- Associations of long-term exposure to environmental noise and outdoor light at night with age at natural menopause in a US women cohort.Environmental epidemiology (Philadelphia, Pa.) · 2021Article
- Environmental exposures and sleep outcomes: A review of evidence, potential mechanisms, and implications.Environmental research · 2021Review
- Socioeconomic disadvantage and sleep in early childhood: Real-world data from a mobile health application.Sleep health · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundEnvironmental noise has been linked to negative health outcomes, like poor sleep, poor mental health, and cardiovascular disease, and likely accounts for more than 1 million disability-adjusted life years annually in Western Europe. Adolescence may be a particularly sensitive period for noise exposure due to an increased need for sleep, failure to meet sleep guidelines, and increased risk for first onset of some mental health disorders. However, the potential health effects of living in high-noise environments have not been studied in US adolescents, rarely in European adolescents, and mental health outcomes studied have not corresponded to diagnoses from the Diagnostic and Statistical Manual of Mental Disorders (DSM).
methodsUsing a US-based nationally representative survey of urban adolescents (N = 4,508), we estimated associations of day-night average sound levels exceeding the US Environmental Protection Agency's 55 decibel limit with sleep outcomes and lifetime mental health DSM diagnoses. We implemented doubly robust targeted minimum loss-based estimation coupled with propensity score matching to account for numerous potential adolescent, household, and environmental confounders.
resultsLiving in a high- versus low-noise Census block group was associated with later bedtimes on weeknights (0.48 hours, 95% confidence interval [CI] = -0.15, 1.12) and weekend nights (0.65 hours, 95% CI = 0.37, 0.93), but not with total hours slept. Associations between living in a high- versus low-noise Census block group and mental disorders were mixed, with wide CIs, and not robust to sensitivity analyses.
conclusionsWe find evidence for an association between residence in a high-noise area and later bedtimes among urban adolescents but no consistent evidence of such an association with mental health disorders.
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