TY  - JOUR
AU  - Slesinski, S Claire
AU  - Bolte, Gabriele
AU  - Zhuang, Sida
AU  - Lakes, Tobia
AU  - Rehfuess, Eva
AU  - Staab, Jeroen
AU  - Bamberg, Fabian
AU  - Baurecht, Hansjörg
AU  - Becher, Heiko
AU  - Brenner, Hermann
AU  - Glaser, Nadine
AU  - Greiser, Karin Halina
AU  - Günther, Kathrin
AU  - Harth, Volker
AU  - Heise, Jana-Kristin
AU  - Keil, Thomas
AU  - Klett-Tammen, Carolina J
AU  - Leitzmann, Michael
AU  - Lieb, Wolfgang
AU  - Meinke-Franze, Claudia
AU  - Mikolajczyk, Rafael
AU  - Moreno Velásquez, Ilais
AU  - Mueller, Ulrich
AU  - Nagrani, Rajini
AU  - Obi, Nadia
AU  - Övermöhle, Cara
AU  - Pischon, Tobias
AU  - Schikowski, Tamara
AU  - Schipf, Sabine
AU  - Schlett, Christopher L
AU  - Schmidt, Börge
AU  - Schulze, Matthias B
AU  - Tönnies, Thaddäus
AU  - Willich, Stefan N
AU  - Peters, Annette
AU  - Schneider, Alexandra
AU  - Wolf, Kathrin
TI  - Transportation noise and self-rated health: Evidence from the German National Cohort (NAKO).
JO  - Environmental research
VL  - nn
SN  - 0013-9351
CY  - San Diego, Calif.
PB  - Elsevier
M1  - DKFZ-2026-00262
SP  - 123885
PY  - 2026
AB  - 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.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
KW  - environmental noise exposure (Other)
KW  - mediation analysis (Other)
KW  - noise annoyance (Other)
KW  - population-based cohort (Other)
KW  - traffic noise (Other)
KW  - wellbeing (Other)
LB  - PUB:(DE-HGF)16
C6  - pmid:41611060
DO  - DOI:10.1016/j.envres.2026.123885
UR  - https://inrepo02.dkfz.de/record/309612
ER  -