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000309612 1001_ $$aSlesinski, S Claire$$b0
000309612 245__ $$aTransportation noise and self-rated health: Evidence from the German National Cohort (NAKO).
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000309612 520__ $$aA 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.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.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) 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 by sex, and used path analysis to assess mediation by annoyance.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).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.
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000309612 650_7 $$2Other$$aenvironmental noise exposure
000309612 650_7 $$2Other$$amediation analysis
000309612 650_7 $$2Other$$anoise annoyance
000309612 650_7 $$2Other$$apopulation-based cohort
000309612 650_7 $$2Other$$atraffic noise
000309612 650_7 $$2Other$$awellbeing
000309612 7001_ $$aBolte, Gabriele$$b1
000309612 7001_ $$aZhuang, Sida$$b2
000309612 7001_ $$aLakes, Tobia$$b3
000309612 7001_ $$aRehfuess, Eva$$b4
000309612 7001_ $$aStaab, Jeroen$$b5
000309612 7001_ $$aBamberg, Fabian$$b6
000309612 7001_ $$aBaurecht, Hansjörg$$b7
000309612 7001_ $$aBecher, Heiko$$b8
000309612 7001_ $$0P:(DE-He78)90d5535ff896e70eed81f4a4f6f22ae2$$aBrenner, Hermann$$b9$$udkfz
000309612 7001_ $$aGlaser, Nadine$$b10
000309612 7001_ $$0P:(DE-He78)e0ac0d57cdb66d87f2d95ae5f6178c1b$$aGreiser, Karin Halina$$b11$$udkfz
000309612 7001_ $$aGünther, Kathrin$$b12
000309612 7001_ $$aHarth, Volker$$b13
000309612 7001_ $$aHeise, Jana-Kristin$$b14
000309612 7001_ $$aKeil, Thomas$$b15
000309612 7001_ $$aKlett-Tammen, Carolina J$$b16
000309612 7001_ $$aLeitzmann, Michael$$b17
000309612 7001_ $$aLieb, Wolfgang$$b18
000309612 7001_ $$aMeinke-Franze, Claudia$$b19
000309612 7001_ $$aMikolajczyk, Rafael$$b20
000309612 7001_ $$aMoreno Velásquez, Ilais$$b21
000309612 7001_ $$aMueller, Ulrich$$b22
000309612 7001_ $$aNagrani, Rajini$$b23
000309612 7001_ $$aObi, Nadia$$b24
000309612 7001_ $$aÖvermöhle, Cara$$b25
000309612 7001_ $$aPischon, Tobias$$b26
000309612 7001_ $$aSchikowski, Tamara$$b27
000309612 7001_ $$aSchipf, Sabine$$b28
000309612 7001_ $$aSchlett, Christopher L$$b29
000309612 7001_ $$aSchmidt, Börge$$b30
000309612 7001_ $$aSchulze, Matthias B$$b31
000309612 7001_ $$aTönnies, Thaddäus$$b32
000309612 7001_ $$aWillich, Stefan N$$b33
000309612 7001_ $$aPeters, Annette$$b34
000309612 7001_ $$aSchneider, Alexandra$$b35
000309612 7001_ $$aWolf, Kathrin$$b36
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