Mediating roles of tinnitus and sleep disturbance in the effects of military noise on cognition: a structural equation modeling study with multi-method noise exposure assessment.

ABSTRACT:

Background

Military noise exposure is the most common occupational risk for soldiers. This study aims to investigate the relationships between various noise measurement indicators, tinnitus, sleep disturbance, and cognition, as well as their potential pathways.

Methods

This study conducted a cross-sectional survey in April 2024, enrolling 339 military personnel from China as study participants. Noise exposure was assessed using the cumulative noise exposure (CNE), kurtosis-adjusted CNE (CNE-K), and self-reported hearing protection-adjusted lifetime noise exposure. Tinnitus and sleep disturbance were evaluated using the 6-item tinnitus screener and the Pittsburgh Sleep Quality Index, respectively. Cognition was assessed using the Stroop test. Adjustments were made for covaria

SUBMITTER: Huang W 

PROVIDER: S-EPMC12781344 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature