On the feasibility of measuring physiologic and self-reported sleep disturbance by aircraft noise on a national scale: A pilot study around Atlanta airport.

Aircraft noise can disturb sleep and impair recuperation. Research is needed to develop exposure-response relationships that are representative of noise-exposed communities and can be used to inform noise mitigation policy in the United States. For a national field study on physiologic response to aircraft noise during sleep to be feasible, an inexpensive yet sound study methodology is needed. In the pilot study presented here, the methodology of using electrocardiography and actigraphy to monitor sleep was implemented around Atlanta Hartsfield-Jackson International Airport (ATL). The primary objective was to evaluate the quality and quantity of data that could be obtained with the following study approaches: recruiting participants by postal questionnaire, shipping them the physiologic and noise measurement equipment, and the unattended setup of the equipment and recording of data by the participants themselves. The secondary objective was to compare objective and subjective measures of sleep and health between groups exposed to different levels of nocturnal aircraft noise. We mailed 4080 questionnaires containing items on sleep, health and noise disturbance to residences around ATL that were exposed to at least 35 dB L

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Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.