Environmental noise is positively associated with socioeconomically less privileged neighborhoods in the Netherlands

Background: Environmental noise has detrimental effects on various health outcomes. Although disparities in some environmental exposures (e.g., air pollution) are well -documented, there is still a limited and uncertain understanding of the extent to which specific populations are disproportionately burdened by noise. Aim: To assess whether environmental noise levels are associated with demographic and socioeconomic neighborhood compositions. Methods: We cross -sectionally examined long-term noise levels for 9,372 neighborhoods in the Netherlands. We linked these noise levels with administrative data on neighborhood characteristics for the year 2021. Linear and non-linear spatial regression models were fitted to explore the associations between noise, demographic, and socioeconomic neighborhood characteristics. Results: Our results showed that 46 % of the neighborhoods exhibited noise levels surpassing the recommended threshold of 53 dB to prevent adverse health effects. The regressions uncovered positive and partially non-linear neighborhood -level associations between noise and non -Western migrants, employment rates, low-incomers, and address density. Conversely, we found negative associations with higher -educated neighborhoods and those with a greater proportion of younger residents. Neighborhoods with older populations displayed a U-shaped association. Conclusions: This national study showed an inequality in the noise burden, adversely affecting vulnerable, marginalized, and less privileged neighborhoods. Addressing the uneven distribution of noise and its root causes is an urgent policy imperative for sustainable Dutch cities.