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. 2020 Aug 25;17(17):6175. doi: 10.3390/ijerph17176175

Table 3.

Depression.

Study Region(s)
Study Design
Quality Score (++,+,-)
Population Outcome Assessment Noise Source Noise Measures Noise Categories Effect Estimates;
Meta-Analysis (Yes, No with Reasons)
Baudin et al. 2018 [37] France
cross-sectional
(-)
n = 1244
(M = 549, F = 695)
18–≥75 Years
GHQ-12 Aircraft LDEN
Leq,24h
LD, 6::00 a.m.-10:00 p.m.
LN, (not specified)
<40
50–54
55–59
≥60 dB
Odds Ratio
(adjusted)

yes
Floud et al. 2011 [38] UK, NL, Sweden, Italy, Germany, Greece,
cross-sectional
(-)
n = 4861
(M = 2404, F = 2457)
45–70 Years
Anti-depressive use
(last 2 weeks, self-reported)
Aircraft
road
Leq, 7:00 a.m.-11:00 p.m.
or Leq, 6::00 a.m.-10:00 p.m.

LN, 11:00 p.m.-7:00 a.m.
or LN, 10:00 p.m.-6:00 a.m.
LAeq,16h
a 35–76 dB (aircraft)
a 45–76 dB (road)
LN
a 30–70 dB (aircraft)
a 45–70 dB (road)
Odds Ratio
(adjusted)

yes
Generaal et al. 2019a [39] NL
case-control/cross-sectional
(-)
n = 2980
(M = 1007, F = 1973)
18–65 years
Recent diagnosis (major depression and dysthymia)
based on CIDI b
Aircraft
Road
rail
(combined)
LDEN - Odds Ratio
(adjusted)

no, exposure sources were not considered separately
Generaal et al. 2019b [40] NL
pooled analysis
(-)
n = 32,487
≥18 years
8 studies included
CIDI, PHQ-9, HADS-D, DES-D, 4DSQ, BDI-II Aircraft
Road
rail
(combined)
LDEN - Odds Ratio
(adjusted)

no, exposure sources were not considered separately
Greiser et al. 2010 [41] Germany
case-control
(-)
n = 511,742
with depression:
n = 3136
(M = 981, F = 2155)
>39 years
Routine health insurance data c aircraft LN, 10:00 p.m.-6:00 a.m.
Leq, 6:00 a.m.-10:00 p.m.
Leq, 11:00 p.m.-1:00 a.m.
Leq, 3:00 a.m.-5:00 a.m.
Leq,24h
Leq,24h
≥35 dB

otherwise
≥40 dB
Odds Ratio
(adjusted)

no, main noise effects not reported without interaction terms
He et al. 2019 [56] Canada
cohort
(-)
F = 140,456 Hospital records d outdoor noise (mostly road) Leq,24h
LDEN
LN, 11:00 p.m.-7:00 a.m.
<55 dB
55.0–59.9 dB
60.0–64.9 dB
≥65 dB
Hazard Ratio
(adjusted)
no, exposure sources were not considered separately
Halonen et al. 2013, 2014 [42,59] Finland
cross-sectional
(-)
n = 15,611
(M = 3086,
F = 12,525)
21–76 years
Anti-depressive use e road LDEN ≤45 dB
45.1–50 dB
50.1–55 dB
55.1–60 dB
>60 dB
Odds Ratio
(adjusted)

yes
Leijssen et al. 2019 [43] NL
cross-sectional
(-)
n = 23,293
(M = 9920,
F = 13,373)
18–70 years
PHQ-9 road Leq,24h 45–54 dB
55–59 dB
60–64 dB
65–69 dB
≥70 dB
Odds Ratio
(adjusted)

yes
Klompmaker et al. 2019 [45] NL
cross-sectional
(+)
n = 354,827 (M = 161,045, F = 193,782)
≥19 years
Prescriptions of antidepressants (ATC code e), K10 road
railway
LDEN - Odds Ratio
(adjusted)

yes
Miyakawa et al. 2007 [44] Japan
cross-sectional
(-)
n = 188
(M = 101, F = 87)
GHQ-28 aircraft LDEN 55–59 dB
59–65 dB
Odds Ratio
(adjusted)

no, noise was not measured for ‘unexposed’ sample
Okokon et al. 2018 [46] Finland
cross-sectional
(-)
n = 5860
(M = 2497, F = 3363)
55.0 years
Anti-depressive use
(a) 1 week, (b) 1–4 weeks, (c) 1–12 months, (d) over 1 year ago
road LDEN ≤45 dB,
45.1–50 dB, 50.1–55 dB,
55.1–60 dB
≥60 dB
Odds Ratio
(adjusted)

yes
Orban et al. 2016 [47] Germany
cohort
(+)
n = 3300
(M = 1715, F = 1585)
45–74 years
CES-D
Anti-depressive use (last week)
road LDEN
LN, 10:00 p.m.-6:00 a.m.
LDEN
>55 vs. ≤55 dB;
≤55 dB
>55–≤60 dB
>60–≤65 dB
>65 dB
LN >50 dB
Relative Risks
(adjusted)

yes
Schreckenberg et al. 2009 [48] Germany
cross-sectional
(-)
n = 2311
(M = 1034, F = 1276)
<18–≥80 years
Daily use of mood-controlling, psychotropic drugs
(last 12 months)
aircraft Leq, 6:00 a.m.-10:00 p.m.
LN, 10:00 p.m.-6:00 a.m.
NAT55,6:00 a.m.-10:00 p.m. f
NAT55, 10:00 p.m.-6:00 a.m.
Lmax55, (6:00 a.m.-10:00 p.m.) f
Lmax55, (10:00 p.m.-6:00 a.m.)
40–45 dB
45–50 dB
50–55 dB
55–60 dB
60–65 dB

For Leq,22-06h:
reference < 40 dB
Odds Ratio
(adjusted)

yes
Seidler et al. 2017 [12] Germany
case-control
(+)
n = 1,026,670
(77,295 cases, 578,246 controls) ≥40 years
Routine health insurance
data g
Aircraft
Road
railway
Leq,24h.
LN, 10:00 p.m.-6:00 a.m.
(further measures considered for aircraft noise)
<40, max <50 dB <40, max ≥50 dB
≥40–<45 dB
≥50–<55 dB
≥55–<60 dB
≥60–<65 dB
≥65–<70 dB
≥70 dB;

Continuous analysis h
Odds Ratio
(adjusted)

yes
Stansfeld et al. 1993, 1996 [49,50] UK
cohort (+)
cross-sectional (-)
n = 2398
(only men)
50–64 Years
GHQ-30 road Leq,6:00 a.m.-10 p.m. 51–55 dB
56–60 dB
61–65 dB
66–70 dB
Means/ Percent
(adjusted)

yes
(unadjusted RRs derived from distributions in 1993 paper)
Stansfeld et al. 2009b [51] UK
intervention field study
(-)
n = 387
households
CIS-R
GHQ-28
road Leq,10:00 a.m.-5:00 p.m.
L10
- Means/ Percent
No
intervention field study
Sygna et al. 2014 [52] Norway
cross-sectional
(-)
n = 2898
(M = 1442, F = 1456)
18–˃78 years
HSCL-25 road LDEN not reported Odds Ratio
(adjusted)

yes
Tzivian et al. 2018 [58] Germany
cross-sectional (analysis within cohort)
(+)
n = 2050
50–80 years
CES-D road LDEN Binomial cut-off: 60 dB (LDEN)
55 dB (LN);

<45 dB
≥45–<55 dB
≥55–<65 dB
≥65–<75 dB
≥75

continuous (starting at 0 dB)
Odds Ratio
(adjusted)

yes
van Kamp et al. 2007 [54] NL
longitudinal/ cross-sectional and panel study
(+)
n = 6091
n = 2700 (longitudinal)
≥18 years
GHQ-12 aircraft LDEN
LN,10:00 p.m.-6:00 a.m.
- Odds Ratio
(adjusted)

yes
Zock et al. 2018 [55] NL
cross-sectional (analysis within cohort)
(+)
n = 4450
0–≥65 years
Primary care data i road
railway
LDEN - Odds Ratio
(adjusted)

yes

4DSQ four-Dimensional Symptom-Questionnaire; BDI-II Beck Depression Inventory-II; CES-D Center for Epidemiological Studies Depression Scale; CIDI semi-structured Composite International Diagnostic Interview; CIS-R Clinical Interview Schedule-Revised; HADS-D Anxiety and Depression Scale; HSCL Hopkins Symptom Checklist; GHQ General Health Questionnaire; UK United Kingdom; NL Netherlands, NAT number above threshold; PHQ-9 nine-item Patient Health Questionnaire; K10 Kessler Psychological Distress Scale; F female; M male. (a) noise levels started at this level, and all noise levels below this range were set to this level; (b) Composite International Diagnostic Interview (CIDI) using DSM-IV criteria; (c) International Statistical Classification of Diseases and Related Health Problems version 9 ICD-9: 311 and ICD-10: F33, F34 diagnoses; (d) ICD-9 296.2, 296.3, 300.4, 309.28, 311; ICD-10 F32–F34.1, F41.2; (e) Anatomical Therapeutic Chemical (ATC) classification code: N06A prescription from National Prescription Register; (f) NAT55 = the number above threshold 55 dB, Lmax55 = average maximum sound level above threshold 55 dB; (g) ICD-10: F32.–, F34.1, F33.–, F41.2; (h) Continuous analysis considered noise levels starting at 35 dB (noise below 40 dB set to 35 dB).; (i) International Classification of Primary Care (ICPC) code: P03, P76 from Nivel primary care database.