生活噪声暴露与抑郁症状的关联研究  

Association between noise exposure in daily life and depressive symptoms

作　　者：胡忠信 陈春棉 杨蒋舜 HU Zhongxin;CHEN Chunmian;YANG Jiangshun(The Third Psychiatric Ward,Wenzhou Seventh People's Hospital,Wenzhou,Zhejiang 325006,China;Wenzhou Seventh People's Hospital,Wenzhou,Zhejiang 325006,China)

机构地区：[1]温州市第七人民医院精神综合三病区,浙江温州325006 [2]温州市第七人民医院,浙江温州325006

出　　处：《预防医学》2024年第12期1032-1035,共4页China Preventive Medicine Journal

基　　金：温州市基础性科研项目(Y2023130)。

摘　　要：目的 探讨生活噪声暴露与抑郁症状的关联,为降低生活噪声对抑郁症状发生发展的影响提供依据。方法 基于美国国家健康和营养调查项目2015-2020年数据,收集≥18岁人群的人口学信息和生活噪声暴露等资料,采用病人健康问卷评估抑郁症状;采用多因素logistic回归模型分析生活噪声暴露与抑郁症状的关联。结果 收集3 216人资料,其中男性1 707人,占53.08%;女性1 509人,占46.92%。年龄为(49.30±18.07)岁。生活噪声暴露491人,占15.27%。检出抑郁症状265例,检出率为8.24%。抑郁症状组有生活噪声暴露66例,占24.91%;正常组有生活噪声暴露425人,占14.40%,两组生活噪声暴露比例差异有统计学意义(P<0.05)。多因素logistic回归分析结果显示,调整性别、年龄、文化程度、婚姻状况、家庭收入贫困比率、睡眠时间、饮酒量和听力后,生活噪声暴露(OR=1.743,95%CI:1.258~2.413)与较高的抑郁症状风险存在统计学关联。结论 生活噪声暴露与抑郁症状风险升高有关。Objective To examine the association between noise exposure in daily life and depressive symptoms,so as to provide the evidence for reducing the impact of noise in daily life on depressive symptoms.Methods Based on the 2015 to 2020 database of National Health and Nutrition Examination Survey,demographic information and noise expo⁃sure in daily life were collected from people aged 18 years and over.Depressive symptoms were evaluated using the Pa⁃tient Health Questionnaire-9.The relationship between noise exposure in daily life and depressive symptoms were ana⁃lyzed using a multivariable logistic regression model.Results A total of 3216 individuals were enrolled,including 1707 males(53.08%)and 1509 females(46.92%).The mean age was(49.30±18.07)years.There were 491 individu⁃als with noise exposure in daily life,accounting for 15.27%.There were 265 cases with depressive symptoms,account⁃ing for 8.24%.There were 66 individuals exposed to noise in daily life in the group with depression symptoms(24.91%),and 425 individuals exposed to noise in daily life in the normal group(14.40%),with statistically significant difference in noise exposure in daily life between the two groups(P<0.05).Multivariable logistic regression analysis showed that after adjusting for gender,age,educational level,marital status,household income poverty ratio,sleep dura⁃tion,alcohol consumption and hearing,individuals who had noise exposure in daily life(OR=1.743,95%CI:1.258-2.413)were more likely to have high risk of depressive symptoms.Conclusion Noise exposure in daily life was associ⁃ated with an increased risk of depressive symptoms.

关 键 词：生活噪声暴露 抑郁症状 关联 

分 类 号：R749.4[医药卫生—神经病学与精神病学]