Association Between Traffic Noise and Cognitive Function: A Cross-Sectional Study in a Mid-Sized City in Northern Colombia

Exposure to road traffic noise is an increasing public health concern in developing countries. However, limited research has explored its effect on children’s cognitive function in contexts with common lifestyles and socioeconomic conditions in these countries. This study aims to evaluate the association between residential outdoor traffic noise exposure in Sincelejo, Colombia, the multidimensional poverty index (MPI) and the effects on cognitive functions in children with a cross-sectional deisgn. Noise levels were estimated using the CNOSSOS model and spatially linked to selective attention and working memory of children, assessed with standardized cognitive tests. Associations were estimated with logistic regression models adjusted for sociodemographic and school characteristics and stratified by MPI. Sensitivity analyses were conducted to evaluate the consistency of the associations. The results indicated a statistically significant yet weak association between a 1 dBA increase in noise levels and reduced processing speed (≤95) in selective attention tasks, particularly in the area with the highest prevalence of MPI < 50. However, sensitivity analyses did not corroborate these findings, and the observed association should therefore be interpreted with caution as exploratory and hypothesis generating.