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Low Income as a Vulnerable Factor to the Effect of Noise on Insomnia

OBJECTIVE: The present study aimed to examine the potential mediating effect of income level on the association between noise exposure and insomnia. METHODS: 706 individuals were evaluated in conjunction with 2014 noise map data from Seoul, South Korea. Cross-sectional analysis was performed to exam...

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Detalles Bibliográficos
Autores principales: Park, Choongman, Sim, Chang Sun, Sung, Joo Hyun, Lee, Jiho, Ahn, Joon Ho, Choe, Young Min, Park, Jangho
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Neuropsychiatric Association 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6018138/
https://www.ncbi.nlm.nih.gov/pubmed/29865781
http://dx.doi.org/10.30773/pi.2018.01.14
Descripción
Sumario:OBJECTIVE: The present study aimed to examine the potential mediating effect of income level on the association between noise exposure and insomnia. METHODS: 706 individuals were evaluated in conjunction with 2014 noise map data from Seoul, South Korea. Cross-sectional analysis was performed to examine differences in noise level according to household income, while three separate logistic regression models were used to examine factors influencing insomnia. Odds ratios (ORs) were calculated after adjusting for depression, anxiety, auditory acuity and noise sensitivity in the first model. Analyses were adjusted for sociodemographic variables in the second model, lifestyle factors and medical illnesses in the third model. RESULTS: Noise level was significantly associated with an increased risk of insomnia in the low-income group, although no such association was observed in the high-income group. Groups exposed to >60 dB of noise (Lden; day-evening-night equivalent) exhibited a 1.79-fold increase in the incidence of insomnia relative to those exposed to <50 dB. The result was significant after adjusting sociodemographic variables, although not significant when adjusted for lifestyle factors and medical illnesses. CONCLUSION: Individuals with low income may be more vulnerable to the deleterious effects of noise exposure on health. Various aspects including income should be considered to ascertain the influence of noise on insomnia.