ArticleNoise & health
Comprehensive Effect of Environmental Noise Exposure on Trouble Sleeping: Mediating Roles of Tinnitus, Hearing Loss and Mental Illnesses.
Article in Noise & health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEnvironmental noise exposure, tinnitus and hearing loss (HL) are hypothesised to influence trouble sleeping, but their integrated effects and mediating pathways remain unclear. This study evaluates associations amongst noise exposure, auditory health and sleep outcomes and explores mediation by tinnitus and HL.
methodsA total of 8539 participants were enrolled using data from the National Health and Nutrition Examination Survey (NHANES, 2006-2020). Logistic regression and mediation analysis examined associations amongst noise exposure, auditory health and sleep outcomes.
resultsNoise exposure (workplace: adjusted odds ratio [OR] = 1.145, 95% confidence interval [CI]: 1.015-1.292, P = 0.027; off-work: adjusted OR = 1.165, 95% CI: 1.005-1.348, P = 0.042) and tinnitus (adjusted OR = 1.648, 95% CI: 1.442-1.882, P < 0.001) were positively associated with trouble sleeping, and speech-frequency HL (SFHL) showed a protective effect (adjusted OR = 0.767, 95% CI: 0.660-0.891, P = 0.001). The association between noise exposure and trouble sleeping was significantly mediated by tinnitus and depression (accounting for 12.76%-37.80% of total effects) but not by SFHL. Subgroup analyses showed that SFHL was only significantly associated with trouble sleeping in the subgroups of those unexposed to a noise environment, whereas tinnitus was significant in each subgroup. Restricted cubic spline analyses showed that hearing thresholds ≥20 dB were linked to reduced risk of trouble sleeping, with nonlinear (inverted U-shaped) trends in the subgroups of noise-exposed workplace and noise-unexposed off-work.
conclusions> Workplace and off-work noise exposures are closely associated with trouble sleeping, with tinnitus mediating this association and SFHL exerting a protective effect. The findings highlight the importance of controlling noise exposure and implementing preventive interventions for tinnitus to alleviate noise-related sleep issues.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.