Abstract
Background: Poor acoustic condition at home can have negative health impact. The aim was to investigate home environment factors and stress symptoms associated with noise annoyance. Methods: All adults (≥18 y) registered in selected apartments in Sweden were invited to participate in a questionnaire survey including medical questions and personal factors. Totally 5775 adults participated (response rate 46%). Information on home environment was obtained through an indoor environment questionnaire. Two-level logistic regression models (individual, municipality) were performed to estimate associations.Results: Totally 11.2% reported any frequent noise at home. Voice/radio/TV/music/similar sounds from neighbours (13.2%) and scraping sound/footsteps/thumping from neighbours (16.5%) and road traffic (16.1%). Younger participants reported more noise annoyance and more stress-related symptoms. Females were more sensitive to noise from neighbours and traffic noise causing severe effects. Noise annoyance was related to tiredness, headache and difficulty concentrating (OR=1.70-8.19), and noise annoyance from many sources was related to a higher risk of symptoms. A warmer climate (OR=1.30), buildings constructed from 1961-1985 (OR=1.50-1.85), renting (OR=1.83) and living alone (OR=1.42) were related to more noise annoyance. A warmer climate (OR=1.95), higher municipality population density (OR=1.24), a longer living time (OR=1.34), construction year (1961-1975) (OR=2.42), renting (OR=1.80-2.32), living above ground floor (OR=1.45) and having a bathroom fan (OR=1.84) were associated with increased noise annoyance from neighbours. Factors associated with increased noise annoyance from installations or ventilation/fans/heat pumps included a warmer climate, higher municipality population density, construction year (1961-1995), renting and any mechanical ventilation. Higher municipality population density, construction year (especially 1961-1985) and renting were associated with more noise annoyance from traffic (OR=1.77-3.92). Renting (OR=1.73) and living above ground floor (OR=1.60) were related to more severe traffic noise effects.Conclusions: The present study shows that noise annoyance may cause stress-related symptoms. Younger age, female gender, living alone, a longer living time, a warmer climate, higher municipality population density and building factors (renting, construction period 1961-1975, living above ground floor and mechanical ventilation system) were related to more noise annoyance.