Abstract
Objectives
To determine the level of aircraft noise exposure and how it relates to hearing loss, and to investigate the association between noise exposure and anxiety and depression in subjects residing adjacent to a military airbase.
Methods
The study was conducted upon 898 inhabitants between the ages of 30-79, living near the military airbase in Jeonra-do. The subjects were divided into three noise-exposure groups: high-exposure, low-exposure, and a control group. The cut-values were 80 and 60 on the Weighted Equivalent Continuous Perceived Noise Level scale. A self-administered questionnaire including the Beck Anxiety Inventory (BAI) and the Beck Depression Inventory (BDI) were completed. Pure tone audiometry tests were performed.
Results
Hearing loss prevalence was defined by a >40 dB loss in bilateral ears or in one ear; the difference of <15 dB compared to the better side was 30.8%. The mean BAI/BDI score was 18.9±14.3/18.7±11.6, the number of abnormal subjects with BAIs ≥22 was 317 (35.3%), with BDIs ≥21 was 347 (38.6%). The pure tone average, BAI, and BDI scores were higher in the noise-exposure groups compared to the control. The BAI/BDI abnormal subjects showed a higher hearing threshold shift level compared to the normal scored subjects. The odd ratios for anxiety was significantly high in both noise exposure groups and the hearing loss, for depression was significantly high in high-exposure group and hearing loss.
References
1. Stansfeld SA, Matheson MP. Noise pollution: non-auditory effects on health. British Medical Bulletin. 2003. 68:243–257.
2. Spreng M. Possible health effects of noise induced cortisol increase. Noise Health. 2000. 2(7):59–64.
3. Zaharna M, Guilleminault C. Sleep, noise & health: Review. Noise Health. 2010. 12(47):64–69.
4. Lundberg U. Coping with stress : Neuroendocrine reactions and implications for health. Noise Health. 1999. 1(4):67–74.
5. Abey-Wickrama I, A'Brook MF, Gattoni FE, Herridge CF. Mental hospital admissions and aircraft noise. Lancet. 1969. 633(2):1275–1277.
6. Tarnopolsky A, Watkins G, Hand DJ. Aircraft noise and mental health: I. Prevalence of individual symptoms. Psychol Med. 1980. 10(4):683–698.
7. Gattoni F, Tarnopolsky A. Aircraft noise and psychiatric morbidity. Psychol Med. 1973. 3(4):516–520.
8. Meecham WC, Smith HG. Effects of jet aircraft noise on mental hospital admissions. Br J Audiol. 1977. 11(3):81–85.
9. Jenkins LM, Tarnopolsky A, Hand DJ, Barker SM. Comparison of three studies of aircraft noise and psychiatric hospital admissions conducted in the same area. Psychol Med. 1979. 9(4):681–693.
10. Tarnopolsky A, Watkins G, Hand DJ. Aircraft noise and mental health: I. Prevalence of individual symptoms. Psychol Med. 1980. 10(4):683–698.
11. Hardoy MC, Carta MG, Marci AR. Exposure to aircraft noise and risk of psychiatric disorders: the Elmas survey. Soc Psychiatry Psychiatr Epidemiol. 2005. 40(1):24–26.
12. Lee KJ, Park JB, Jang JY, Cho SM, Lee SW, Kim JG, Lee SY, Kwak JJ, Chung HK. Health effects of aircraft noise on residents living near an airport. Korean J Occup Environ Med. 1999. 11(4):534–545. (Korean).
13. Kim HJ, Roh SC, Kwon HJ, Paik KC, Rhee MY, Jeong JY, Lim MH, Koo MJ, Kim CH, Kim HY, Lim JH, Kim DH. Study on the health status of the residents near military airbases in Pyeongtaek city. J Prev Med Public Health. 2008. 41(5):307–314. (Korean).
14. Kim SC, Park KS, Kim KW. The study on affecting subject accomplishment by noise. J Ergon Soc Korea. 2010. 29(1):121–128. (Korean).
15. Park KO, Lee MS. The relationship between noise exposure level in worksite and workers' stress symptoms. Korean J Prev Med. 1996. 29(2):239–254.
16. Yu KY, Park JB, Min KB, Lee C, Kil HG, Jung YR, Lee KJ. Effects of aircraft noise on children's mental health: data from the health survey of inhabitants in the vicinity of Gunsan airport. Korean J Occup Environ Med. 2010. 22(4):298–306. (Korean).
17. Lim MH, Park YH, Lee WC, Paik KC, Kim HW, Kim JH, Rho SC, Kim HY, Kwon HJ. Chronic aircraft noise exposure and sustained attention, continuous performance and cognition in children. J Korean Acad Child Adolesc Psychiatry. 2007. 18(2):145–153. (Korean).
18. Cooper AF, Kay DW, Curry AR, Carside AR, Roth M. Hearing loss in paranoid and affective psychosis of the elderly. Lancet. 1974. 304(7885):851–854.
19. Bang HE, Ko DH, Lee JH. A study of depression tendency in hearing impaired patients. Korean J Audiol. 1999. 3(2):172–176. (Korean).
20. Song SW, Koo JW, Lee WC. Effect of hearing impairment on the anxiety and depression. Korean J Occup Environ Med. 1996. 8(3):466–476. (Korean).
21. Song HJ, Song SW, Choi WS, Cho WS, Cho WS, Shin HC, Park ES. The relationship between hearing impairment and depression in the elderly. J Korean Acad Fam Med. 1995. 16(11):751–759. (Korean).
22. Beck AT. Relationship between the beck anxiety inventory and the Hamilton anxiety rating scale with anxious outpatients. J Anxiety Disord. 1991. 5(3):213–223.
23. Yook SP, Kim ZS. A clinical study on the Korean version of beck anxiety inventory: comparative study of patient and non-patient. Korean J Clin Psychol. 1997. 16(1):185–197. (Korean).
24. Kabacoff RI, Segal DL, Hersen M, Van Hasselt VB. Psychometric properties and diagnostic utility of the Beck Anxiety Inventory and the State-Trait Anxiety Inventory with older adult psychiatric outpatients. J Anxiety Disord. 1997. 11(1):33–47.
25. Hahn HM, Yum TH, Shin YW, Kim KH, Yoon DJ, Chung KJ. A standardization study of beck depression inventory in Korea. J Korean Neuropsychiatr Assoc. 1986. 25(3):487–502. (Korean).
26. Korean Society of Otorhinolaryngology-Head and Neck Surgery. Otorhinolaryngology-Head and Neck Surgery. 2009. Seoul: Ilchokak;491. (Korean).
27. Prevention of noiseinduced hearing loss. World Health Organization. 1997. Available: http://www.who.int/pbd/deafness/activities/strategies/en/index.htm.
28. Shin HC, Kim CH, Park YW, Cho BL, Song SW, Yun YH, Ou SW. Validity of Beck Depression Inventory (BDI): Detection of depression in primary care. J Korean Acad Fam Med. 2000. 21(11):1451–1465. (Korean).
29. Parker G, Brotchie H. Gender differences in depression. Int Rev Psychiatry. 2010. 22(5):429–436.
30. Solomon MB, Herman JP. Sex differences in psychopathology: Of gonads, adrenals and mental illness. Physiol Behav. 2009. 97(2):250–258.
31. Zender R, Olshansky E. Women's mental health: depression and anxiety. Nurs Clin North Am. 2009. 44(3):355–364.
32. Wu X, DeMaris A. Gender and marital status differences in depression: The effects of chronic strains. Sex Roles. 1996. 34(3):299–319.
33. Kessler RC, Essex M. Marital status and depression: The importance of coping resource. Soc Forces. 1982. 61(2):484–507.
34. Bjelland I, Krokstad S, Mykletun A, Dahl AA, Tell GS, Tambs K. Does a higher educational level protect against anxiety and depression? The HUNT study. Soc Sci Med. 2008. 66(2):1334–1345.
35. Stansfeld SA, Haines MM, Burr M, Berry B, Lercher P. A Review of environmental noise and mental health. Noise Health. 2000. 2(8):1–8.
36. Hiramatsu K, Yamamoto T, Taira K, Ito A, Nakasone T. A survey on health effects due to aircraft noise on residents living around Kadena airport in the Ryukyus. J Sound Vib. 1997. 205(4):451–460.
37. Ormel J, Kempen GI, Penninx BW, Brilman EI, Beekman AT, van Sonderen E. Chronic medical conditions and mental health in older people: Disability and psychosocial resources mediate specific mental health effects. Psychol Med. 1997. 27(5):1065–1077.
38. Teixeira AR, Goncalves AK, Freitas CL, Soldera CL, Bos AJ, Santos MP, Dornelles S. Association between hearing loss and depressive symptoms in elderly. Intl Arch Otorhinolaryngol. 2010. 14(4):444–449.
39. Ickes WK, Espili J. Pattern a personality and noise-induced vasoconstriction. J Speech Hear Res. 1979. 22(2):334–342.
40. Horner KC. The emotional ear in stress. Neurosci Biobehav Rev. 2003. 27(5):437–446.
41. Belojevic G, Jakovljevic B, Slepcevic V. Noise and mental performance: Personality attributes and noise sensitivity. Noise Health. 2003. 6(21):77–89.
42. Ickes WK, Nader C. Noise-induced hearing loss and stress-prone behavior. Ear Hear. 1982. 3(4):191–195.
43. Korean Society of Otorhinolaryngology-Head and Neck Surgery. Otorhinolaryngology. 2005. Seoul: Ilchokak;140–148. (Korean).
44. The Fourth(2007-2009) Korea national health and nutrition examination survey. Ministry For Health, Wellfare And Family Affairs. 2008. cited 18 March 2010. Available: http://stat.mw.go.kr/stat/data/cm_data_view.jsp?menu_code=MN01010102&cont_seq=14245. (Korean).
45. Barker SM, Tarnopolsky A. Assessing bias in surveys of symptoms attributed to noise. J Sound Vib. 1978. 59(3):349–354.