ORCID: https://orcid.org/0000-0002-7045-226X; Bolte, Gabriele ORCID: https://orcid.org/0000-0002-0269-5059; Zhuang, Sida ORCID: https://orcid.org/0000-0001-7320-0247; Lakes, Tobia; Rehfuess, Eva ORCID: https://orcid.org/0000-0002-4318-8846; Staab, Jeroen ORCID: https://orcid.org/0000-0002-7342-4440; Bamberg, Fabian; Baurecht, Hansjörg ORCID: https://orcid.org/0000-0002-9265-5594; Becher, Heiko; Brenner, Hermann; Glaser, Nadine ORCID: https://orcid.org/0009-0000-6500-9004; Greiser, Karin Halina; Günther, Kathrin; Harth, Volker; Heise, Jana-Kristin; Keil, Thomas ORCID: https://orcid.org/0000-0002-9108-3360; Klett-Tammen, Carolina J. ORCID: https://orcid.org/0000-0001-9685-5369; Leitzmann, Michael; Lieb, Wolfgang; Meinke-Franze, Claudia; Mikolajczyk, Rafael; Moreno Velásquez, Ilais; Mueller, Ulrich ORCID: https://orcid.org/0009-0006-2766-460X; Nagrani, Rajini; Obi, Nadia ORCID: https://orcid.org/0000-0002-0903-9142; Övermöhle, Cara ORCID: https://orcid.org/0009-0009-2856-2260; Pischon, Tobias; Schikowski, Tamara; Schipf, Sabine; Schlett, Christopher L.; Schmidt, Börge; Schulze, Matthias B. ORCID: https://orcid.org/0000-0002-0830-5277; Tönnies, Thaddäus; Willich, Stefan N.; Peters, Annette ORCID: https://orcid.org/0000-0001-6645-0985; Schneider, Alexandra ORCID: https://orcid.org/0000-0002-1084-2442 und Wolf, Kathrin ORCID: https://orcid.org/0000-0002-4343-201X
(2026):
Transportation noise and self-rated health: Evidence from the German national cohort (NAKO).
In: Environmental Research, Vol. 294, 123885
[PDF, 2MB]
Abstract
Background: A large proportion of Europeans are exposed to high levels of transportation noise, which can cause physiological and psychological stress, leading to negative health impacts. Few studies have examined the association between transportation noise and self-rated health (SRH), a summary indicator of morbidity.
Objectives: We aimed to assess the associations of SRH with both annual average road traffic noise exposure and nighttime transportation noise annoyance, examine geographic differences, evaluate potential effect modification and interaction by sex, and investigate whether annoyance mediates the relationship between road traffic noise and self-rated health.
Methods: Using NAKO baseline data (n = 174,956), we implemented a cross-sectional study using logistic regression to analyze associations of road traffic noise ≥55 dB(A) Lden and nighttime transportation noise annoyance with poor SRH, adjusting for relevant sociodemographic characteristics and environmental co-exposures, including air pollution and greenness. We examined geographic differences, tested for effect modification and interaction by sex, and used path analysis to assess mediation by annoyance.
Results: Road traffic noise ≥55 dB(A) (OR 1.06, 95 % CI 1.01; 1.10), and moderate (OR 1.28, 1.23; 1.32) and strong nighttime transportation noise annoyance (OR 1.73, 1.65; 1.81) were associated with higher odds of poor SRH. Associations were similar for males and females, but varied across study regions. The path analysis revealed that road traffic noise was associated with higher odds of poor SRH indirectly via nighttime transportation noise annoyance (indirect effect).
Conclusions: In our study, nighttime transportation noise annoyance was more strongly and consistently associated with poor SRH than road traffic noise. Reducing both transportation noise and related annoyance could help protect population health.
| Item Type: | Journal article |
|---|---|
| Keywords: | Environmental noise exposure; Mediation analysis; Noise annoyance; Population-based cohort; Traffic noise; Wellbeing |
| Faculties: | Medicine > Institute for Medical Information Processing, Biometry and Epidemiology |
| Subjects: | 600 Technology > 610 Medicine and health |
| URN: | urn:nbn:de:bvb:19-epub-135148-6 |
| ISSN: | 00139351 |
| Language: | English |
| Item ID: | 135148 |
| Date Deposited: | 17. Apr 2026 09:48 |
| Last Modified: | 17. Apr 2026 09:48 |
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