September-October 2012 Volume 14 Issue 60 ISSN Impact Factor for 2011: 1.254

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Indexed with MEDLINE, EMBASE & SCI ISSN 1463-1741 Impact Factor for 2011: 1.254 A Bi-monthly Inter-disciplinary International Journal www.noiseandhealth.org September-October 2012 Volume 14 Issue 60

Effects of industrial wind turbine noise on sleep and health Michael A. Nissenbaum, Jeffery J. Aramini 1, Christopher D. Hanning 2 Northern Maine Medical Center, Fort Kent, Maine, USA, 1 Intelligent Health Solutions, Guelph, Ontario, Canada, 2 University Hospitals of Leicester NHS Trust, Leicester, UK Abstract Industrial wind turbines (IWTs) are a new source of noise in previously quiet rural environments. Environmental noise is a public health concern, of which sleep disruption is a major factor. To compare sleep and general health outcomes between participants living close to IWTs and those living further away from them, participants living between 375 and 1400 m (n Validated questionnaires were used to collect information on sleep quality (Pittsburgh Sleep Quality Index PSQI), daytime sleepiness (Epworth Sleepiness Score ESS), and general health (SF36v2), together with psychiatric disorders, attitude, and demographics. Descriptive and multivariate analyses were performed to investigate the effect of the main exposure variable of interest (distance to the nearest IWT) on various health outcome measures. Participants living within 1.4 km of an IWT had worse sleep, were sleepier during the day, and had worse SF36 Mental Component Scores compared to those living reports of sleep disturbance and ill health by those living close to IWTs are supported. Keywords: Health, industrial wind turbines, noise, sleep Introduction [1] [2-4] [5,6] Methods General study design Quick Response Code: Access this article online Website: www.noiseandhealth.org DOI: 10.4103/1463-1741.102961 PubMed ID: *** Questionnaire development [7] [8] [9] [1-4] Study sites and participant selection 237 Noise & Health, September-October 2012, Volume 14:60, 237-43

site, Data handling and validation Table 1: Measured and predicted noise levels at Mars Hill and Vinalhaven Distance to nearestturbine (m) 1 Statistical analysis [10] P Results Study participants Mars hill Predicted max. LAeq 1 hr 1 Measured noise LAeq 1 hr 1 Average Range 244 51 52 320 48 50 366 47 49 640 42 44 762 41 43 1037 39 41 1799 35 37 2 Measured Noise LAeq 2 152 53 366 46 595 41 869 38 1082 36 1 2 Noise & Health, September-October 2012, Volume 14 238

Statistical results Table 2: Demographic data of Mars Hill and Vinalhaven study participants Distance (m) from residence to nearest IWT (mean) 18 20 14 27 11 12 10 23 50 57 65 58 1 14 21 30 24 1 P P P P P P Regression equation: PSQI = ln (distance) + sex + age + site [controlled for household clustering]. Ln (distance) p-value = 0.0198 239 Noise & Health, September-October 2012, Volume 14

Table 3: Sleep and mental health outcomes of the study participants grouped by distance from the nearest IWT Distance (m) from residence to nearest IWT (mean) 1 2 3 4 5 6 2 0 1 2 3 4 5 6 Figure 2: Modeled Epworth Sleepiness Scale (ESS) versus Distance to nearest IWT (mean and 95% confidence limits) Regression equation: ESS = ln (distance) + sex + age + site [controlled for household clustering)]. ln (distance) p-value = 0.0331 Discussion [11-13] 1 Noise & Health, September-October 2012, Volume 14 240

Figure 3: Modeled SF36 Mental Component Score (MCS) versus Distance to nearest IWT (mean and 95% confidence limits) Regression equation: MCS = ln (distance) + sex + age + site [controlled for household clustering]. ln (distance) p-value = 0.0014 [14] Potential biases [11,15,16] [11] Mechanisms [12] 241 Noise & Health, September-October 2012, Volume 14

[12,15] [16] [17] [18] [19-23] [24] [25] [9] [8] [8,9] [26,27] [28] [29] [2-4,30] Conclusions Acknowledgments Noise & Health, September-October 2012, Volume 14 242

Address for correspondence: Michael A. Nissenbaum, MD, Northern Maine Medical Center, 194 E. Main Street, Fort Kent, Maine 04743, USA E-mail: mnissenbaum@att.net References MT, et al. Noise et al et al How to cite this article: Source of Support: QUICK RESPONSE CODE LINK FOR FULL TEXT ARTICLES 243 Noise & Health, September-October 2012, Volume 14