Indoor environment in dwellings, asthma, allergies, and sick building syndrome in the Swedish population: a longitudinal cohort study from 1989 to 1997
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To investigate changes of sick building syndrome (SBS) and different types of indoor exposures at home over an 8-year follow-up period (1989–1997), and onset of SBS symptoms in relation to size of residence town and education level.
A random sample (0.1%) of the population in a 3-county region in Sweden, initially aged 20–65 years (n = 466). In total, 348 (75%) answered the postal follow-up questionnaire.
Water leakage during the last year had decreased from 11.2 to 4.8% visible indoor mould had decreased from 4.7 to 1.6%, and any sign of building dampness decreased from 16.1 to 9.5%. The prevalence of current smoking had decreased from 30 to 19%. Smokers at baseline reported more onset of SBS symptoms than non-smokers. Furthermore, remission from mucosal symptoms was less likely in subjects that were tobacco smoker. Subjects with any indoor painting during follow-up period reported more onset of SBS symptoms, and those with intermediate education level had more onset of skin symptoms.
Smoking and indoor painting could be predictors of new onset of SBS symptoms. Focus on indoor environment in Sweden the last decades may have resulted in environmental improvements in the dwellings, which can be beneficial both for the inhabitants and for the future public health.
KeywordsAsthma Building dampness Sick building syndrome Indoor environment Cohort study Risk factors
- Apter A, Bracker A, Hodgson M, Sidman J, Leung WY (1994) Epidemiology of the sick building syndrome. J Allergy Clin Immunol 94:277–288Google Scholar
- Björnsson E, Janson C, Norbäck D, Boman G (1998) Symptoms related to the sick building syndrome in a general population sample: associations with atopy, bronchial hyper-responsiveness and anxiety. Int J Tuberc Lung Dis 2:1023–1028Google Scholar
- Bornehag CG, Blomquist G, Gyntelberg F, Jarvholm B, Malmberg P, Nordvall L, Nielsen A, Pershagen G, Sundell J (2001) Dampness in buildings and health. Nordic interdisciplinary review of the scientific evidence on associations between exposure to “dampness” in buildings and health effects (NORDDAMP). Indoor Air 11:72–86CrossRefGoogle Scholar
- Chinn S, Jarvis D, Burney P, Luczynska C, Ackermann-Liebrich U, Anto JM, Cerveri I, De Marco R, Gislason T, Heinrich J, Janson C, Kunzli N, Leynaert B, Neukirch F, Schouten J, Sunyer J, Svanes C, Vermeire P, Wjst M (2004) Increase in diagnosed asthma but not in symptoms in the European Community Respiratory Health Survey [see comment]. Thorax 59:646–651CrossRefGoogle Scholar
- Gunnbjörnsdóttir MI, Franklin KA, Norbäck D, Björnsson E, Gislason D, Lindberg E, Svanes C, Omenaas E, Norrman E, Jõgi R, Jensen EJ, Dahlman-Höglund A, Janson C (2006) RHINE study group prevalence and incidence of respiratory symptoms in relation to indoor dampness: the RHINE study. Thorax 61(3):221–225 (Epub 5 Jan 2006)CrossRefGoogle Scholar
- Hodgson M (1995) The sick-building syndrome. Occup Med 10:167–175Google Scholar
- Husman T (1996) Health effects of indoor-air microorganisms. Scand J Work Environ Health 22:5–13Google Scholar
- Norbäck D, Edling C (1991) Environmental, occupational, and personal factors related to the prevalence of sick building syndrome in the general population. British J Ind Med 48:451–462Google Scholar
- Norbäck D, Björnsson E, Janson C, Palmgren U, Boman G (1999) Current asthma and biochemical signs of inflammation in relation to building dampness in dwellings. Int J Tuberc Lung Dis 3:368–376Google Scholar
- Norlen U, Andersson K (1993) An indoor climate survey of the Swedish housing stock (the ELIB study)”. In: Proceedings of indoor air ‘93, Helsinki, international conference on indoor air quality and climate, vol 1, pp 743–748Google Scholar
- Norlen U, Andersson K (1995) Indoor climate in Swedish dwellings. In: Proceedings of healthy buildings 95, Milano, vol. 1, pp 743–748Google Scholar
- Rogier C, Dabis F, Teissier R, Salamon R (1989) Which role do smoking and air conditioning play in the occurrence of building sickness among hospital personell? Rev Epidemiol Sante Publique 37(3):255–262Google Scholar
- Skov P, Valbjörn O, Pedersen BV, Danish Indoor Climate Study Group (1989) Influence of personal characteristics, job-related factors and psycosocial factors on the sick building syndrome”. Scand J Work Environ Health 15:286–295Google Scholar
- World Health Organisation (1983) Indoor air pollutants: exposure and health effects report on WHO meeting, vol 78. WHO Regional Office for Europe. EURO Reports and Studies 1983, pp 78, 1–48Google Scholar