TY - JOUR TI - Exploring the relationships between soundscape quality and public health using a systems thinking approach AV - public VL - 1 Y1 - 2025/02/12/ N1 - This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. ID - discovery10204767 N2 - Urban soundscapes significantly influence public health, with sound quality affecting well-being and social value. While traditional noise control has emphasized harm reduction, soundscape studies propose that managing sound environments can promote health benefits. This study explores the complex relationships between soundscape quality and public health using a systems thinking approach. In a participatory workshop with 21 experts from fields such as urban planning, environmental psychology, and acoustics, a causal loop diagram (CLD) was developed to illustrate the interactions between soundscape quality and public health variables. The CLD revealed key feedback loops and intervention points, organized around themes of socio-economic impact, environmental justice, biodiversity, and soundscape design. Findings highlight that while soundscape quality can enhance community well-being, increased economic value may drive gentrification, altering the social structure and reducing sound source diversity. Additionally, the role of soundscape quality in biodiversity suggests both co-benefits and ecological risks. This study demonstrates the potential of systems thinking to guide interdisciplinary approaches in soundscape management, identifying strategic pathways to inform future research and policy development for equitable and health-promoting urban environments. SN - 3005-141X PB - Springer Science and Business Media LLC UR - https://doi.org/10.1038/s44384-025-00003-y JF - npj Acoustics A1 - Aletta, Francesco A1 - Zhou, Ke A1 - Mitchell, Andrew A1 - Oberman, Tin A1 - Pluchinotta, Irene A1 - Torresin, Simone A1 - Cerwén, Gunnar A1 - Lam, Bhan A1 - Can, Arnaud A1 - Guastavino, Catherine A1 - Tarlao, Cynthia A1 - Lavandier, Catherine A1 - Schulte-Fortkamp, Brigitte A1 - Cobussen, Marcel A1 - Burgess, Marion A1 - Nooshin, Laudan A1 - Payne, Sarah R A1 - Ratcliffe, Eleanor A1 - Bernatek, Ruth A1 - Hornikx, Maarten A1 - Ma, Hui A1 - Kang, Jian ER -