{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T23:39:02Z","timestamp":1792193942151,"version":"4.4.0"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"127","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"\n Background:<\/jats:bold>\n Environmental noise pollution has emerged as an increasingly significant public health concern, particularly in relation to its potential impact on the mental health of adults aged 35 years or older. This study aims to systematically examine the association between environmental noise exposure and the incidence of depression and anxiety symptoms within this demographic.\n Methods:<\/jats:bold>\n Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a comprehensive search of multiple electronic databases was conducted. A total of 11 eligible studies were identified, comprising 15,525 adults aged 35 years or older, among whom 2205 (14.2%) individuals reported experiencing symptoms of depression or anxiety. A random-effects model was used for meta-analysis with heterogeneity assessment, sensitivity analysis and exploratory subgroup analyses to evaluate the robustness and variability of the findings.\n Results:<\/jats:bold>\n The meta-analysis demonstrated a significant association between long-term environmental noise exposure and an increased risk of depression and anxiety symptoms in adults aged 35 years or older (risk ratio [RR]\u2009=\u20091.29, 95% confidence interval: 1.16\u20131.51,\n P<\/jats:italic>\n < 0.05). Substantial heterogeneity was observed across the included studies (\n I<\/jats:italic>\n 2<\/jats:sup>\n \u2009=\u200968.1%), suggesting moderate variability in study design, geographic location and exposure assessment methodologies. Sensitivity analyses confirmed the robustness of the findings, and recalculated RRs ranged from 1.27 to 1.35. Exploratory subgroup analyses revealed that road traffic noise was the most commonly investigated source and consistently exhibited positive associations. Notably, both aircraft noise and community-level or multi-source noise were linked to adverse mental health outcomes.\n Conclusion:<\/jats:bold>\n Long-term exposure to environmental noise increases the risk of depression and anxiety in adults aged 35 or older. Key factors such as socioeconomic status, residential environment and individual sensitivity to noise moderate this association. Future research should further explore the role of socioeconomic factors.\n <\/jats:p>","DOI":"10.4103\/nah.nah_82_25","type":"journal-article","created":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T12:00:53Z","timestamp":1757592053000},"page":"320-332","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":9,"title":["Systematic Review and Meta-Analysis of the Association between Environmental Noise Exposure and Depression and Anxiety Symptoms in Community-Dwelling Adults"],"prefix":"10.4103","volume":"27","author":[{"given":"Xinling","family":"Hu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,9,11]]},"reference":[{"key":"R1-20250912","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1038\/s41370-024-00642-5","article-title":"Noise and mental health: evidence, mechanisms, and consequences","volume":"35","author":"Hahad","year":"2025","journal-title":"J Expo Sci Environ Epidemiol"},{"key":"R2-20250912","doi-asserted-by":"crossref","first-page":"1360","DOI":"10.1097\/MS9.0000000000002744","article-title":"From immune response to mental health: neutrophils in schizophrenia","volume":"87","author":"Obeagu","year":"2024","journal-title":"Ann Med Surg (Lond)"},{"key":"R3-20250912","doi-asserted-by":"crossref","first-page":"6621","DOI":"10.3390\/ijerph17186621","article-title":"Urban noise and psychological distress: a systematic review","volume":"17","author":"Mucci","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"R4-20250912","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1265\/ehpm.25-00015","article-title":"Environmental noise perception and risk of poor mental health in a region on the Mediterranean coast of Spain","volume":"30","author":"Nolasco","year":"2025","journal-title":"Environ Health Prev Med"},{"key":"R5-20250912","doi-asserted-by":"crossref","first-page":"4134","DOI":"10.3390\/ijerph16214134","article-title":"Road traffic noise exposure and depression\/anxiety: an updated systematic review and meta-analysis","volume":"16","author":"Dzhambov","year":"2019","journal-title":"Int J Environ Res Public Health"},{"key":"R6-20250912","doi-asserted-by":"crossref","first-page":"4222","DOI":"10.3390\/ijerph20054222","article-title":"Building a city with low noise pollution: exploring the mental health effect thresholds of spatiotemporal environmental noise exposure and urban planning solution","volume":"20","author":"Zhang","year":"2023","journal-title":"Int J Environ Res Public Health"},{"key":"R7-20250912","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1093\/eurpub\/ckad044","article-title":"Environmental noise exposure and health outcomes: an umbrella review of systematic reviews and meta-analysis","volume":"33","author":"Chen","year":"2023","journal-title":"Eur J Public Health"},{"key":"R8-20250912","first-page":"713","article-title":"Statistical issues in estimation of adjusted risk ratio in prospective studies","volume":"18","author":"Janani","year":"2015","journal-title":"Arch Iran Med"},{"key":"R9-20250912","first-page":"65","article-title":"Road traffic noise exposure and depressive symptoms: a population-based study in Amsterdam","volume":"18","author":"Leijssen","year":"2019","journal-title":"Environ Health"},{"key":"R10-20250912","first-page":"18","article-title":"Aircraft noise and mental health: evidence from Belfast","volume":"58","author":"Wright","year":"2018","journal-title":"J Environ Psychol"},{"key":"R11-20250912","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1289\/ehp.1409400","article-title":"Residential road traffic noise and high depressive symptoms after five years of follow-up: results from the Heinz Nixdorf Recall Study","volume":"124","author":"Orban","year":"2016","journal-title":"Environ Health Perspect"},{"key":"R12-20250912","doi-asserted-by":"crossref","first-page":"954","DOI":"10.3390\/ijerph13100954","article-title":"Environmental noise annoyance and mental health in adults: findings from the cross-sectional German Health Update (GEDA) study 2012","volume":"13","author":"Hammersen","year":"2016","journal-title":"Int J Environ Res Public Health"},{"key":"R13-20250912","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","volume":"40","author":"Hardoy","year":"2005","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"key":"R14-20250912","first-page":"302","article-title":"Residential road traffic noise exposure and self-reported health status: the South Australian Health Omnibus Survey","volume":"132","author":"Nitschke","year":"2014","journal-title":"Environ Res"},{"key":"R15-20250912","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/j.envres.2016.10.017","article-title":"Aircraft, road and railway traffic noise and depression in a large case-control study based on primary medical care data.","volume":"152","author":"Seidler","year":"2017","journal-title":"Environ Res"},{"key":"R16-20250912","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/j.envres.2014.02.010","article-title":"Road traffic noise, sleep and mental health","volume":"131","author":"Sygna","year":"2014","journal-title":"Environ Res"},{"key":"R17-20250912","first-page":"529","article-title":"Relationship between proximity to main roads and mental health in residents","volume":"277","author":"Yamazaki","year":"2005","journal-title":"J Sound Vib"},{"key":"R18-20250912","first-page":"3309","article-title":"Annoyance, sleep and concentration problems due to combined traffic noise and the benefit of quiet side","volume":"9","author":"Bodin","year":"2012","journal-title":"Int J Environ Res Public Health"},{"key":"R19-20250912","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1016\/j.envint.2018.09.008","article-title":"The impact of social capital, land use, air pollution and noise on individual morbidity in Dutch neighbourhoods","volume":"121","author":"Zock","year":"2018","journal-title":"Environ Int"},{"key":"R20-20250912","first-page":"163","article-title":"Occupational noise exposure and depressive symptoms: the fourth Korean National Health and Nutrition Examination Survey (KNHANES IV, 2008-2009)","volume":"87","author":"Yoon","year":"2014","journal-title":"Int Arch Occup Environ Health"},{"key":"R21-20250912","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1136\/jech-2020-214264","article-title":"Aircraft noise control policy and mental health: a natural experiment based on the Longitudinal Aging Study Amsterdam (LASA)","volume":"75","author":"Li","year":"2021","journal-title":"J Epidemiol Community Health"},{"key":"R22-20250912","first-page":"253","article-title":"Effects of aircraft noise on annoyance, sleep disorders, and blood pressure among adult residents near the Orio al Serio International Airport (BGY)","volume":"109","author":"Carugno","year":"2018","journal-title":"Italy. Med Lav"},{"key":"R23-20250912","doi-asserted-by":"crossref","first-page":"105960","DOI":"10.1016\/j.envint.2020.105960","article-title":"The independent association of source-specific transportation noise exposure, noise annoyance and noise sensitivity with health-related quality of life","volume":"143","author":"Cerletti","year":"2020","journal-title":"Environ Int"},{"key":"R24-20250912","doi-asserted-by":"crossref","first-page":"24127","DOI":"10.1038\/s41598-021-03647-4","article-title":"Association between occupational or environmental noise exposure and renal function among middle-aged and older Korean adults: a cross-sectional study","volume":"11","author":"Kim","year":"2021","journal-title":"Sci Rep"},{"key":"R25-20250912","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1186\/s12889-021-10280-3","article-title":"The role of aircraft noise annoyance and noise sensitivity in the association between aircraft noise levels and medication use: results of a pooled-analysis from seven European countries","volume":"21","author":"Baudin","year":"2021","journal-title":"BMC Public Health"},{"key":"R26-20250912","doi-asserted-by":"crossref","first-page":"3579","DOI":"10.3390\/ijerph7103580","article-title":"Exploring the relationship between noise sensitivity, annoyance and health-related quality of life in a sample of adults exposed to environmental noise","volume":"7","author":"Shepherd","year":"2010","journal-title":"Int J Environ Res Public Health"},{"key":"R27-20250912","doi-asserted-by":"crossref","first-page":"2400","DOI":"10.3390\/ijerph15112400","article-title":"WHO environmental noise guidelines for the European region: a systematic review on environmental noise and quality of life, wellbeing and mental health","volume":"15","author":"Clark","year":"2018","journal-title":"Int J Environ Res Public Health"},{"key":"R28-20250912","doi-asserted-by":"crossref","first-page":"2696","DOI":"10.3390\/ijerph19052696","article-title":"Association between noise annoyance and mental health outcomes: a systematic review and meta-analysis","volume":"19","author":"Gong","year":"2022","journal-title":"Int J Environ Res Public Health"}],"container-title":["Noise and Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/nah.nah_82_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:45:19Z","timestamp":1787067919000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/nah.nah_82_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":28,"journal-issue":{"issue":"127","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/nah.nah_82_25","relation":{},"ISSN":["1463-1741"],"issn-type":[{"value":"1463-1741","type":"print"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"2025-06-11","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-28","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}