{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T05:21:30Z","timestamp":1772083290971,"version":"3.50.1"},"reference-count":48,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2020,4,22]],"date-time":"2020-04-22T00:00:00Z","timestamp":1587513600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Life"],"abstract":"<jats:p>Background: The effect of noise and vibration exposure on disturbed sleep has been investigated in the past. However, this study was carried out to investigate the relationship between workplace noise and vibration exposure with insomnia amongst representative Korean workers, both simultaneously and separately. Methods: Our research analyzed an overall population of 30,837 workers aged 15 years or older using data derived from the 5th Korean Working Conditions Survey (KWCS) conducted in 2017. Chi-squared tests and logistic regression were performed to investigate baseline characteristics and to quantify the association between workplace exposure to noise and vibration with insomnia. Relative excess risk due to interaction (RERI), attributable proportion (AP), and synergy index (S) were calculated to measure interactions between simultaneous noise and vibration exposure with insomnia. Results: The prevalence of those who reported insomnia was 18.3% of the general population. Among men and women, insomnia in those who were exposed to noise only was 13.9% and 18.3%, respectively, and in those who were exposed to vibration only, it was 23.9% in males and 26.4% in females. Insomnia in those who were exposed to both noise and vibration simultaneously was 20.5% and 41.2% in men and women, respectively. The odds ratio (OR) of insomnia due to noise exposure was 1.10 and 1.07 in men and women, respectively. OR of vibration exposure was 1.84 in men and 1.58 in women. For noise plus vibration exposure OR was 1.83 in men and 3.14 in female workers, where the synergistic effect of noise and vibration exposure could be seen. The association between the varying degree of simultaneous noise plus vibration exposure with insomnia showed a dose\u2013response relationship. The interaction measures showed a synergistic effect of simultaneous exposure in women but not in men. Conclusion: Our study revealed an association between occupational noise and vibration exposure and insomnia, both individually and simultaneously. Additional studies and research are required to further comprehend this relationship.<\/jats:p>","DOI":"10.3390\/life10040046","type":"journal-article","created":{"date-parts":[[2020,4,23]],"date-time":"2020-04-23T02:10:52Z","timestamp":1587607852000},"page":"46","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Association between Occupational Noise and Vibration Exposure and Insomnia among Workers in Korea"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3031-3388","authenticated-orcid":false,"given":"Fatima","family":"Nari","sequence":"first","affiliation":[{"name":"Department of Public Health, Graduate School, Yonsei University, Seoul 03722, Korea"},{"name":"Institute of Health Services Research, Yonsei University, Seoul 03722, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yun Kyung","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Public Health, Graduate School, Yonsei University, Seoul 03722, Korea"},{"name":"Institute of Health Services Research, Yonsei University, Seoul 03722, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9381-7276","authenticated-orcid":false,"given":"Soo Hyun","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Public Health, Graduate School, Yonsei University, Seoul 03722, Korea"},{"name":"Institute of Health Services Research, Yonsei University, Seoul 03722, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2306-5398","authenticated-orcid":false,"given":"Eun-Cheol","family":"Park","sequence":"additional","affiliation":[{"name":"Institute of Health Services Research, Yonsei University, Seoul 03722, Korea"},{"name":"Department of Preventive Medicine, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sung-In","family":"Jang","sequence":"additional","affiliation":[{"name":"Institute of Health Services Research, Yonsei University, Seoul 03722, Korea"},{"name":"Department of Preventive Medicine, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,4,22]]},"reference":[{"key":"ref_1","first-page":"113","article-title":"Effect of hand-arm vibration on inner ear and cardiac functions in man","volume":"57","author":"Pyykko","year":"1994","journal-title":"Nagoya J. Med. Sci."},{"key":"ref_2","first-page":"1015","article-title":"Landscaping in reducing traffic noise problem in cities: Ankara case","volume":"4","author":"Erdogan","year":"2009","journal-title":"Afr. J. Agric. Res."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"280","DOI":"10.5271\/sjweh.2140","article-title":"Pathological changes observed in the finger biopsy of patients with vibration-induced white finger","volume":"12","author":"Takeuchi","year":"1986","journal-title":"Scand. J. Work Environ. Health"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1007\/BF00386929","article-title":"Length of occupational noise exposure and blood pressure","volume":"63","author":"Lang","year":"1992","journal-title":"Int. Arch. Occup. Environ. Health"},{"key":"ref_5","first-page":"5","article-title":"Health effects caused by noise: Evidence in the literature from the past 25 years","volume":"6","author":"Ising","year":"2003","journal-title":"Noise Health"},{"key":"ref_6","first-page":"123","article-title":"Noise exposure and public health","volume":"108","author":"Passchier","year":"2000","journal-title":"Environ. Health Perspect."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Kim, J., Lee, W., Won, J.-U., Yoon, J.-H., Seok, H., Kim, Y.-K., Lee, S., and Roh, J. (2017). The relationship between occupational noise and vibration exposure and headache\/eyestrain, based on the fourth Korean Working Condition Survey (KWCS). PLoS ONE, 12.","DOI":"10.1371\/journal.pone.0177846"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1007\/s00420-003-0493-y","article-title":"Effect of different vibration frequencies on heart rate variability and driving fatigue in healthy drivers","volume":"77","author":"Jiao","year":"2004","journal-title":"Int. Arch. Occup. Environ. Health"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1097\/JOM.0000000000000935","article-title":"Symptoms of Nervous System Related Disorders Among Workers Exposed to Occupational Noise and Vibration in Korea","volume":"59","author":"Lee","year":"2017","journal-title":"J. Occup. Environ. Med."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1093\/bmb\/ldg033","article-title":"Noise pollution: Non-auditory effects on health","volume":"68","author":"Stansfeld","year":"2003","journal-title":"Br. Med Bull."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Evandt, J., Oftedal, B., Hjertager Krog, N., Nafstad, P., Schwarze, P.E., and Marit Aasvang, G. (2016). A Population-Based Study on Nighttime Road Traffic Noise and Insomnia. Sleep, 40.","DOI":"10.1093\/sleep\/zsw055"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/j.smrv.2006.09.001","article-title":"Environmental noise, sleep and health","volume":"11","author":"Muzet","year":"2007","journal-title":"Sleep Med. Rev."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1016\/j.slsci.2014.11.003","article-title":"Environmental noise and sleep disturbances: A threat to health?","volume":"7","author":"Halperin","year":"2014","journal-title":"Sleep Sci."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1053\/smrv.2002.0186","article-title":"Epidemiology of insomnia: What we know and what we still need to learn","volume":"6","author":"Ohayon","year":"2002","journal-title":"Sleep Med. Rev."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1207\/s15402010bsm0501_1","article-title":"Associations between Self-Reported Sleep Disturbance and Environmental Noise Based on Reanalyses of Pooled Data from 24 Studies","volume":"5","author":"Miedema","year":"2007","journal-title":"Behav. Sleep Med."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1053\/smrv.2001.0245","article-title":"Clinical effects of sleep fragmentation versus sleep deprivation","volume":"7","author":"Bonnet","year":"2003","journal-title":"Sleep Med. Rev."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1328","DOI":"10.1164\/ajrccm.153.4.8616562","article-title":"The effect of sleep fragmentation on daytime function","volume":"153","author":"Martin","year":"1996","journal-title":"Am. J. Respir. Crit. Care Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1080\/10705500801929510","article-title":"Association of hostility with sleep duration and sleep disturbances in an employee population","volume":"15","author":"Vahtera","year":"2008","journal-title":"Int. J. Behav. Med."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/j.sleep.2008.04.005","article-title":"Insomnia and its relationship to health-care utilization, work absenteeism, productivity and accidents","volume":"10","author":"Daley","year":"2009","journal-title":"Sleep Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"143","DOI":"10.1111\/jsr.12104","article-title":"Insomnia and accidents: Cross-sectional study (EQUINOX) on sleep-related home, work and car accidents in 5293 subjects with insomnia from 10 countries","volume":"23","author":"Bayon","year":"2014","journal-title":"J. Sleep Res."},{"key":"ref_21","unstructured":"Berglund, B., Lindvall, T., Schwela, D.H., and World Health Organization (1999). Guidelines for Community Noise, World Health Organization."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1336","DOI":"10.1016\/j.envint.2011.05.019","article-title":"Modeling of road traffic noise and estimated human exposure in Fulton County, Georgia, USA","volume":"37","author":"Seong","year":"2011","journal-title":"Environ. Int."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1106\/412A-2GMA-BTUL-MALT","article-title":"Control and Response Characteristics of a Magneto-Rheological Fluid Damper for Passenger Vehicles","volume":"11","author":"Lee","year":"2000","journal-title":"J. Intell. Mater. Syst. Struct."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1136\/oem.54.2.73","article-title":"Measurement, evaluation, and assessment of occupational exposures to hand-transmitted vibration","volume":"54","author":"Griffin","year":"1997","journal-title":"Occup. Environ. Med."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"La, Y.K., Choi, Y.H., Chu, M.K., Nam, J.M., Choi, Y.-C., and Kim, W.-J. (2020). Gender differences influence over insomnia in Korean population: A cross-sectional study. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0227190"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"239","DOI":"10.4306\/pi.2016.13.2.239","article-title":"Gender Differences in Relations of Smoking Status, Depression, and Suicidality in Korea: Findings from the Korea National Health and Nutrition Examination Survey 2008\u20132012","volume":"13","author":"Kim","year":"2016","journal-title":"Psychiatry Investig."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Lee, W., Lee, J.-G., Yoon, J.-H., and Lee, J.-H. (2020). Relationship between occupational dust exposure levels and mental health symptoms among Korean workers. PLoS ONE, 15.","DOI":"10.1371\/journal.pone.0228853"},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Park, S.J., Jung, M., and Sung, J.H. (2019). Influence of Physical and Musculoskeletal Factors on Occupational Injuries and Accidents in Korean Workers Based on Gender and Company Size. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16030345"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"3730","DOI":"10.3390\/ijerph7103730","article-title":"Noise and quality of life","volume":"7","author":"Seidman","year":"2010","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Yoon, J.-H., Won, J.-U., Lee, W., Jung, P.K., and Roh, J. (2014). Occupational noise annoyance linked to depressive symptoms and suicidal ideation: A result from nationwide survey of Korea. PLoS ONE, 9.","DOI":"10.1371\/journal.pone.0105321"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1007\/s00127-005-0837-x","article-title":"Exposure to aircraft noise and risk of psychiatric disorders: The Elmas survey\u2014Aircraft noise and psychiatric disorders","volume":"40","author":"Hardoy","year":"2005","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1007\/BF00381570","article-title":"Autonomic and peripheral nervous system dysfunction in workers exposed to hand-arm vibration: A study of R-R interval variability and distribution of nerve conduction velocities","volume":"63","author":"Murata","year":"1991","journal-title":"Int. Arch. Occup. Environ. Health"},{"key":"ref_33","first-page":"77","article-title":"Autonomic nervous function of hand-arm vibration syndrome patients","volume":"57","author":"Harada","year":"1994","journal-title":"Nagoya J. Med. Sci."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Smith, M.G., Croy, I., \u00d6gren, M., and Persson Waye, K. (2013). On the Influence of Freight Trains on Humans: A Laboratory Investigation of the Impact of Nocturnal Low Frequency Vibration and Noise on Sleep and Heart Rate. PLoS ONE, 8.","DOI":"10.1371\/journal.pone.0055829"},{"key":"ref_35","first-page":"57","article-title":"Sleep disturbances related to environmental noise","volume":"4","author":"Griefahn","year":"2002","journal-title":"Noise Health"},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1007\/s004200050171","article-title":"Combined effects of hand-arm vibration and noise on temporary threshold shifts of hearing in healthy subjects","volume":"69","author":"Zhu","year":"1997","journal-title":"Int. Arch. Occup. Environ. Health"},{"key":"ref_37","first-page":"545","article-title":"Noise, impulse noise, and other physical factors: Combined effects on hearing","volume":"10","author":"Pekkarinen","year":"1995","journal-title":"Occup. Med."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1007\/s00420-003-0497-7","article-title":"Cognitive performance and subjective experience during combined exposures to whole-body vibration and noise","volume":"77","author":"Ljungberg","year":"2004","journal-title":"Int. Arch. Occup. Environ. Health"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"1486","DOI":"10.1121\/1.400305","article-title":"Sleep disturbances caused by vibrations from heavy road traffic","volume":"88","author":"Arnberg","year":"1990","journal-title":"J. Acoust. Soc. Am."},{"key":"ref_40","unstructured":"Goelzer, B.H.C., and Sehrndt, G. (2020, January 19). Occupational Exposure to Noise: Evaluation, Prevention and Control. Available online: https:\/\/www.who.int\/occupational_health\/publications\/occupnoise\/en\/."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1002\/ajim.4700230407","article-title":"Selected health risks caused by long-term, whole-body vibration","volume":"23","author":"Seidel","year":"1993","journal-title":"Am. J. Ind. Med."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1186\/s40557-018-0269-1","article-title":"Relationship between simultaneous exposure to ergonomic risk factors and work-related lower back pain: A cross-sectional study based on the fourth Korean working conditions survey","volume":"30","author":"Kim","year":"2018","journal-title":"Ann. Occup. Environ. Med."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"e474","DOI":"10.1097\/JOM.0000000000001729","article-title":"Gender Differences With Regard to Perceived Job Insecurity and Insomnia in a Working Population","volume":"61","author":"Kim","year":"2019","journal-title":"J. Occup. Environ. Med."},{"key":"ref_44","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders: DSM-5, American Psychiatric Association.","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1016\/j.shaw.2019.09.004","article-title":"Association between Occupational Physicochemical Exposures and Headache\/Eyestrain Symptoms among Korean Indoor\/Outdoor Construction Workers","volume":"10","author":"Jung","year":"2019","journal-title":"Saf. Health Work"},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1097\/00003446-198708000-00003","article-title":"Synergistic Interactions of Noise and Other Ototraumatic Agents","volume":"8","author":"Boettcher","year":"1987","journal-title":"Ear Hear."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1016\/j.ergon.2016.10.006","article-title":"Synergistic effects of noise and hand-arm vibration on distortion product otoacoustic emissions in healthy subjects","volume":"62","author":"Sisto","year":"2017","journal-title":"Int. J. Ind. Ergon."},{"key":"ref_48","doi-asserted-by":"crossref","unstructured":"Choi, S.B., Yoon, J.-H., and Lee, W. (2019). The Modified International Standard Classification of Occupations defined by the clustering of occupational characteristics in the Korean Working Conditions Survey. Ind. Health.","DOI":"10.2486\/indhealth.2018-0169"}],"container-title":["Life"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-1729\/10\/4\/46\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T13:45:14Z","timestamp":1760363114000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-1729\/10\/4\/46"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,22]]},"references-count":48,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,4]]}},"alternative-id":["life10040046"],"URL":"https:\/\/doi.org\/10.3390\/life10040046","relation":{},"ISSN":["2075-1729"],"issn-type":[{"value":"2075-1729","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4,22]]}}}