Exposure to road traffic noise and behavioral problems in Chinese schoolchildren: A cross-sectional study

Urinary microplastic contaminants in primary school children: Associations with behavioral development

Behavioral problems in children have been increasingly linked to environmental exposures. Microplastics (MPs), prevalent in urban environments, are emerging contaminants with potential neurodevelopmental effects. This study examines the relationship between urinary MPs and behavioral outcomes among primary school children in Shenyang, China. This study was conducted involving 1000 children aged 6-9 years from 40 schools across Shenyang. Urinary MPs, including polyamide (PA), polypropylene (PP), and polyvinyl chloride (PVC), were quantified using optical microscopy. Behavioral outcomes were assessed using the Strengths and Difficulties Questionnaire (SDQ). Mixed-effect negative binomial models evaluated associations between MPs and SDQ scores, adjusting for relevant covariates. The median urinary total microplastic concentration was 9 particles/100 mL. Increased particle counts of urinary MPs were positively associated with higher scores for emotional problems, conduct problems, hyperactivity, and peer problems. Total microplastic levels were linked to increased emotional symptoms (estimate: 0.128, 95 % CI: 0.065-0.198, p < 0.001), conduct problems (estimate: 0.231, 95 % CI: 0.140-0.323, p < 0.001), and hyperactivity (estimate: 0.168, 95 % CI: 0.101-0.235, p < 0.001). Peer relationship issues were also elevated with higher urinary microplastic levels (estimate: 0.206, 95 % CI: 0.133-0.271, p < 0.001). Conversely, prosocial behaviors declined with increased microplastic concentrations (estimate: -0.125, 95 % CI: -0.192 to -0.052, p = 0.001). Stratified analyses indicated no significant differences in these associations between boys and girls. Overall, urinary microplastic concentrations were significantly associated with adverse behavioral outcomes in children, highlighting the potential neurodevelopmental risks of microplastic exposure.

Ozone concentration, physical activity, and emotional and behavioral problems in children and adolescents

BACKGROUND

No prior study has examined the mutual association of long-term outdoor ozone (O3) concentration and physical activity (PA) with emotional and behavioral problems (EBPs) in children and adolescents. This study aims to investigate the association between long-term outdoor O3 concentration and the risk of EBPs in children and adolescents and further explore whether increased PA levels modify this association.

METHODS

Data were obtained from the 2020 wave follow-up examination of an ongoing prospective cohort study (COHERENCE project) in Guangzhou, China. A total of 419,033 children aged 6-17-year-old were included. Annual average outdoor O3 concentrations were obtained from the China High Air Pollutants (CHAP) dataset based on participants' residential addresses. PA levels were identified using the International Physical Activity Questionnaire Short Form (IPAQ). EBPs were assessed by the Chinese Parent-Report Strengths and Difficulties Questionnaire (SDQ-P).

RESULTS

Each interquartile range (IQR) increase in outdoor O3 concentration was associated with an increased odds ratio (OR) for abnormal emotional problems (OR: 1.024, 95% CI: 1.010-1.038), conduct problems (OR: 1.015, 95% CI: 1.002-1.029), peer relationship problems (OR: 1.029, 95% CI: 1.006-1.052), prosocial behavior (OR: 1.023, 95% CI: 1.012-1.034), total difficulties (OR: 1.024, 95% CI: 1.010-1.038), and internalizing behavior (OR: 1.039, 95% CI: 1.026-1.053), in fully adjusted models. The highest OR for abnormal EBPs was observed in children with low PA levels, in combination with high O3 concentration.

CONCLUSION

This study identified that long-term outdoor O3 concentration is associated with an increased risk of EBPs in children and adolescents, with higher PA levels attenuating these risks.

Noise and mental health: evidence, mechanisms, and consequences

The recognition of noise exposure as a prominent environmental determinant of public health has grown substantially. While recent years have yielded a wealth of evidence linking environmental noise exposure primarily to cardiovascular ailments, our understanding of the detrimental effects of noise on the brain and mental health outcomes remains limited. Despite being a nascent research area, an increasing body of compelling research and conclusive findings confirms that exposure to noise, particularly from sources such as traffic, can potentially impact the central nervous system. These harms of noise increase the susceptibility to mental health conditions such as depression, anxiety, suicide, and behavioral problems in children and adolescents. From a mechanistic perspective, several investigations propose direct adverse phenotypic changes in brain tissue by noise (e.g. neuroinflammation, cerebral oxidative stress), in addition to feedback signaling by remote organ damage, dysregulated immune cells, and impaired circadian rhythms, which may collectively contribute to noise-dependent impairment of mental health. This concise review linking noise exposure to mental health outcomes seeks to fill research gaps by assessing current findings from studies involving both humans and animals.

Longitudinal associations of neighbourhood environmental exposures with mental health problems during adolescence: Findings from the TRAILS study

BACKGROUND

Cross-sectional studies have found associations between neighbourhood environments and adolescent mental health, but the few longitudinal studies mainly focused on single exposure-based analyses and rarely assessed the mental health associations with environmental changes.

OBJECTIVES

We assessed longitudinal within- and between-person associations of multiple neighbourhood time-varying physical and social environmental exposures with externalising and internalising problems throughout adolescence.

METHODS

We used four waves of TRAILS (Tracking Adolescents' Individual Lives Survey) data on self-reported externalising and internalising problems at ages 11, 13, 16, and 19 among 2,135 adolescents in the Netherlands. We measured residence-based time-varying environmental exposures, including green space, air pollution (fine particulate matter (PM2.5)), noise, deprivation, and social fragmentation. We fitted random-effect within-between regression models to assess the environment-mental health associations.

RESULTS

At the within-person level, an interquartile range (IQR) increase in PM2.5 was associated with a 0.056 IQR (95% CI: 0.014, 0.099) increase in externalising problems, while an IQR social fragmentation increase was associated with a 0.010 IQR (95% CI: -0.020, -0.001) decrease in externalising problems. Stratification revealed that the association with PM2.5 was significant only for movers, whereas the association with social fragmentation remained only for non-movers. At the between-person level, an IQR higher noise was associated with a 0.100 IQR (95% CI: 0.031, 0.169) more externalising problems, while higher deprivation (β = 0.080; 95% CI: 0.022, 0.138) and lower fragmentation (β = -0.073; 95% CI: -0.128, -0.018) were associated with more internalising problems. We also observed positive between-person associations between PM2.5, noise, and internalising problems, but both associations were unstable due to the high PM2.5-noise correlation. Further, we observed a non-linear between-person PM2.5-externalising problems association turning positive when PM2.5 > 15 µg/m3. Null associations were found for green space.

CONCLUSION

Our findings suggested that air pollution, noise, and neighbourhood deprivation are risk factors for adolescent mental health. Not only exposure levels but also exposure changes matter for adolescent mental health.

The association between childhood adiposity in northeast China and anthropogenic heat flux: A new insight into the comprehensive impact of human activities

Anthropogenic heat has been reported to have significant health impacts, but research on its association with childhood adiposity is still lacking. In this study, we matched the 2008-2012 average anthropogenic heat flux, as simulated by a grid estimation model using inventory methods, with questionnaire and measurement data of 49,938 children randomly recruited from seven cities in Northeast China in 2012. After adjusting for social demographic and behavioral factors, we used generalized linear mixed-effect models to assess the association between anthropogenic heat flux and adiposity among children. We also examined the effect modification of various social demographic and behavioral confounders. We found that each 10 W/m2 increase in total anthropogenic heat flux and that from the industry source was associated with an increase of 5.82% (95% CI = 0.84%-11.05%) and 6.62% (95% CI = 0.87%-12.70%) in the odds of childhood adiposity. Similarly, the excess rate of adiposity among children were 5.26% (95% CI = -1.33%-12.29%) and 8.51% (95% CI = 2.24%-15.17%) per 1 W/m2 increase in the anthropogenic heat flux from transportation and buildings, and was 7.94% (95% CI = 2.28%-13.91%) per 0.001 W/m2 increase in the anthropogenic heat flux from human metabolism. We also found generally greater effect estimates among female children and children who were exposed to passive smoking during pregnancy, born by caesarean section, non-breastfed/mixed-fed, or lived within 20 m adjacent to the main road. The potential deleterious effect of anthropogenic heat exposure on adiposity among children may make it a new but major threat to be targeted by future mitigation strategies.

Traffic Noise Assessment Using Intelligent Acoustic Sensors (Traffic Ear) and Vehicle Telematics Data

Here, we introduce Traffic Ear, an acoustic sensor pack that determines the engine noise of each passing vehicle without interrupting traffic flow. The device consists of an array of microphones combined with a computer vision camera. The class and speed of passing vehicles were estimated using sound wave analysis, image processing, and machine learning algorithms. We compared the traffic composition estimated with the Traffic Ear sensor with that recorded using an automatic number plate recognition (ANPR) camera and found a high level of agreement between the two approaches for determining the vehicle type and fuel, with uncertainties of 1-4%. We also developed a new bottom-up assessment approach that used the noise analysis provided by the Traffic Ear sensor along with the extensively detailed urban mobility maps that were produced using the geospatial and temporal mapping of urban mobility (GeoSTMUM) approach. It was applied to vehicles travelling on roads in the West Midlands region of the UK. The results showed that the reduction in traffic engine noise over the whole of the study road was over 8% during rush hours, while the weekday-weekend effect had a deterioration effect of almost half. Traffic noise factors (dB/m) on a per-vehicle basis were almost always higher on motorways compared the other roads studied.

The Association between Physical Environment and Externalising Problems in Typically Developing and Neurodiverse Children and Young People: A Narrative Review

The physical environment is of critical importance to child development. Understanding how exposure to physical environmental domains such as greenspace, urbanicity, air pollution or noise affects aggressive behaviours in typical and neurodiverse children is of particular importance given the significant long-term impact of those problems. In this narrative review, we investigated the evidence for domains of the physical environment that may ameliorate or contribute to the display of aggressive behaviours. We have considered a broad range of study designs that include typically developing and neurodiverse children and young people aged 0-18 years. We used the GRADE system to appraise the evidence. Searches were performed in eight databases in July 2020 and updated in June 2022. Additional articles were further identified by hand-searching reference lists of included papers. The protocol for the review was preregistered with PROSPERO. Results: We retrieved 7174 studies of which 67 are included in this review. The studies reported on green space, environmental noise and music, air pollution, meteorological effects, spatial density, urban or rural setting, and interior home elements (e.g., damp/sensory aspects/colour). They all used well validated parent and child reported measures of aggressive behaviour. Most of the studies were rated as having low or unclear risk of bias. As expected, noise, air pollution, urbanicity, spatial density, colour and humidity appeared to increase the display of aggressive behaviours. There was a dearth of studies on the role of the physical environment in neurodiverse children. The studies were heterogeneous and measured a range of aggressive behaviours from symptoms to full syndromes. Greenspace exposure was the most common domain studied but certainty of evidence for the association between environmental exposures and aggression problems in the child or young person was low across all domains. We found a large knowledge gap in the literature concerning neurodiverse children, which suggests that future studies should focus on these children, who are also more likely to experience adverse early life experiences including living in more deprived environments as well as being highly vulnerable to the onset of mental ill health. Such research should also aim to dis-aggregate the underlying aetiological mechanisms for environmental influences on aggression, the results of which may point to pathways for public health interventions and policy development to address inequities that can be relevant to ill health in neurodiverse young people.