The built environment has direct and indirect effects on mental health. High-rise housing is inimical to the psychological well-being of women with young children. Poor-quality housing appears to increase psychological distress, but methodological issues make it difficult to draw clear conclusions. Mental health of psychiatric patients has been linked to design elements that affect their ability to regulate social interaction (e.g., furniture configuration, privacy). Alzheimer's patients adjust better to small-scale, homier facilities that also have lower levels of stimulation. They are also better adjusted in buildings that accommodate physical wandering. Residential crowding (number of people per room) and loud exterior noise sources (e.g., airports) elevate psychological distress but do not produce serious mental illness. Malodorous air pollutants heighten negative affect, and some toxins (e.g., lead, solvents) cause behavioral disturbances (e.g., self-regulatory ability, aggression). Insufficient daylight is reliably associated with increased depressive symptoms. Indirectly, the physical environment may influence mental health by altering psychosocial processes with known mental health sequelae. Personal control, socially supportive relationships, and restoration from stress and fatigue are all affected by properties of the built environment. More prospective, longitudinal studies and, where feasible, randomized experiments are needed to examine the potential role of the physical environment in mental health. Even more challenging is the task of developing underlying models of how the built environment can affect mental health. It is also likely that some individuals may be more vulnerable to mental health impacts of the built environment. Because exposure to poor environmental conditions is not randomly distributed and tends to concentrate among the poor and ethnic minorities, we also need to focus more attention on the health implications of multiple environmental risk exposure.

/pdf/the-built-environment-and-mental-health-21axdseamt.pdf

The built environment and mental health.

Noise is a prominent feature of the environment including noise from transport, industry and neighbours. Exposure to transport noise disturbs sleep in the laboratory, but not generally in field studies where adaptation occurs. Noise interferes in complex task performance, modifies social behaviour and causes annoyance. Studies of occupational and environmental noise exposure suggest an association with hypertension, whereas community studies show only weak relationships between noise and cardiovascular disease. Aircraft and road traffic noise exposure are associated with psychological symptoms but not with clinically defined psychiatric disorder. In both industrial studies and community studies, noise exposure is related to raised catecholamine secretion. In children, chronic aircraft noise exposure impairs reading comprehension and long-term memory and may be associated with raised blood pressure. Further research is needed examining coping strategies and the possible health consequences of adaptation to noise.

/pdf/noise-pollution-non-auditory-effects-on-health-5fmte691k3.pdf

Noise pollution: non-auditory effects on health

Characteristics of the physical environment that influence child development are discussed. Topics include behavioral toxicology, noise, crowding, housing and neighborhood quality, natural settings, schools, and day care settings. Socioemotional, cognitive, motivation, and psychophysiological outcomes in children and youths are reviewed. Necessary methodological and conceptual advances are introduced as well.

Child Development and the Physical Environment

https://teamsofangels.org/publication/medical_journal_articles/Noise.pdf

Aircraft and road traffic noise and children's cognition and health: a cross-national study

This paper reviews research on issues relating to the effects of noise on children at school. Areas covered include factors affecting speech intelligibility in the classroom; the effects of environmental and classroom noise on children's academic performance; children's annoyance due to noise; and surveys of classroom noise levels. Consistencies and discrepancies between the results of various studies are highlighted. The paper concludes by outlining some current acoustic standards for classrooms.

The effects of noise on children at school: a review

Background. Previous field studies have indicated that children's cognitive performance is impaired by chronic aircraft noise exposure. However, these studies have not been of sufficient size to account adequately for the role of confounding factors. The objective of this study was to test whether cognitive impairments and stress responses (catecholamines, cortisol and perceived stress) are attributable to aircraft noise exposure after adjustment for school and individual level confounding factors and to examine whether children exposed to high levels of social disadvantage are at greater risk of noise effects. Methods. The cognitive performance and health of 451 children aged 8-11 years, attending 10 schools in high aircraft noise areas (16 h outdoor Leq > 63 dBA) was compared with children attending 10 matched control schools exposed to lower levels of aircraft noise (16 h outdoor Leq < 57 dBA). Results. Noise exposure was associated with impaired reading on difficult items and raised annoyance, after adjustment for age, main language spoken and household deprivation. There was no variation in the size of the noise effects in vulnerable subgroups of children. High levels of noise exposure were not associated with impairments in mean reading score, memory and attention or stress responses. Aircraft noise was weakly associated with hyperactivity and psychological morbidity. Conclusions. Chronic noise exposure is associated with raised noise annoyance in children. The cognitive results indicate that chronic aircraft noise exposure does not always lead to generalized cognitive effects but, rather, more selective cognitive impairments on difficult cognitive tests in children.

https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S003329170100469X

The West London Schools Study: the effects of chronic aircraft noise exposure on child health.

Preliminary results on noise perception, annoyance and self-assessed health are reported from a cross-sectional study of 451 children attending 10 schools exposed to high levels of chronic aircraft noise (>63 dBA 16hr Leq) and 10 schools exposed to lower aircraft noise exposure (<57 dBA 16hr Leq), well matched across noise for age, sex and socioeconomic position. Children from high noise schools heard more aircraft noise and were more annoyed by aircraft noise than children from low noise schools, but did not differ substantially on road traffic noise annoyance. Self-assessed health was not associated with noise exposure. Further analyses in this study will examine aircraft noise exposure in relation to cognitive outcomes, adjusting for confounding, using multi-level modeling to take into account school level as well as individual level factors. For the covering abstract see ITRD E107776.

M Jiggins

Papers

The West London Schools Study: the effects of chronic aircraft noise exposure on child health.

Aircraft noise at school and child performance and health. initial results from the west london schools study