Abstract
Consumer products, such as those with a fragrance, can adversely affect air quality and health. This national study in the United Kingdom (UK) investigated the prevalence of chemical sensitivity, a condition associated with chemical pollutant exposures, and the medical diagnosis of multiple chemical sensitivities (MCS). In addition, it investigated the co-occurrence of chemical sensitivity with asthma and asthma-like conditions, and with fragrance sensitivity (adverse health effects from fragranced consumer products). Using a nationally representative population sample (n = 1100), an online survey was conducted of adults in the UK, comprising England, Wales, Northern Ireland, and Scotland. The survey found that, across the UK population, 16.3% report chemical sensitivity; 6.6% medically diagnosed MCS; 25.3% are asthmatic, diagnosed with asthma (17.1%), an asthma-like condition (9.0%), or both; and 27.8% are fragrance sensitive. The conditions frequently co-occur: among the chemically sensitive, 57.0% are asthmatic and 77.7% are fragrance sensitive; and among asthmatics, 36.7% are chemically sensitive and 54.0% are fragrance sensitive. Air fresheners and deodorizers trigger health problems for 15.5% of the general population, 52.5% of chemically sensitive, and 38.8% of asthmatics. Disabling health problems can result from exposure to fragranced products for 41.7% of the chemically sensitive and 37.3% of asthmatics. Further, 21.2% of the chemically sensitive and 14.0% of asthmatics lost workdays or a job in the past year due to fragranced products in the workplace. Results indicate that chemical sensitivity is widespread in the UK, affecting over 5.7 million adults, with over 2.3 million diagnosed MCS, 8.9 million asthmatics, and 9.8 million fragrance sensitive. Reducing chemical exposure to problematic sources, such as fragranced consumer products, is a critical step to reduce adverse health and societal effects.
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References
Ashford NA, Miller CS (1998) Chemical exposures: low levels and high stakes, 2nd edn. John Wiley and Sons, Inc, New York, N.Y
Azuma K, Uchiyama I, Katoh T, Ogata H, Arashidani K, Kunugita N (2015) Prevalence and characteristics of chemical intolerance: a Japanese population-based study. Arch Environ Occup Health 70:341–353
Caress S, Steinemann A (2005) National Prevalence of asthma and chemical hypersensitivity: an examination of potential overlap. J Occup Environ Med 47(5):518–522
Caress SM, Steinemann AC (2009a) Prevalence of Fragrance Sensitivity in the American Population. J Environ Health 71(7):46–50
Caress SM, Steinemann AC (2009b) Asthma and chemical hypersensitivity: prevalence, etiology, and age of onset. Toxicol Ind Health 25(1):71–78
Carlsson F, Karlson B, Ørbæk P, Österberg K, Östergren P-O (2005) Prevalence of annoyance attributed to electrical equipment and smells in a Swedish population, and relationship with subjective health and daily functioning. Public Health 119:568–577
(EA) Equality Act (2010) Chapter 15. Parliament of the United Kingdom. https://www.legislation.gov.uk/ukpga/2010/15/pdfs/ukpga_20100015_en.pdf. Accessed 8 Dec 2018
Eysenbach G (2004) Improving the quality of web surveys: the checklist for reporting results of internet E-surveys (CHERRIES). J Med Internet Res 6(3):e34
Johansson Å, Brämerson A, Millqvist E, Nordin S, Bende M (2005) Prevalence and risk factors for self-reported odour intolerance: the Skövde population-based study. Int Arch Occup Environ Health 78:559–564
Kreutzer R, Neutra RR, Lashuay N (1999) Prevalence of people reporting sensitivities to chemicals in a population-based survey. Am J Epidemiol 150(1):1–12
McDonald BC, de Gouw JA, Gilman JB, Jathar SH, Akherati A, Cappa CD et al (2018) Volatile chemical products emerging as largest petrochemical source of urban organic emissions. Science 359(6377):760–764
Miller CS, Prihoda TJ (1999) The environmental exposure and sensitivity inventory (EESI): a standardized approach for measuring chemical intolerances for research and clinical applications. Toxicol Ind Health 15(3–4):370–385
Ott W, Steinemann A, Wallace L (eds) (2007) Exposure analysis. CRC Press, Boca Raton, FL
Palmquist E, Claeson AS, Neely G, Stenberg B, Nordin S (2014) Overlap in prevalence between various types of environmental intolerance. Int J Hyg Environ Health 217(4–5):427–434
Reid S, Hotopf M, Hull L, Ismail K, Unwin C, Wessely S (2001) Multiple chemical sensitivity and chronic fatigue syndrome in British gulf war veterans. Am J Epidemiol 153(6):604–609
Reid S, Hotopf M, Hull L, Ismail K, Unwin C, Wessely S (2002) Reported chemical sensitivities in a health survey of United Kingdom military personnel. Occup Environ Med 59(3):196–198
Skovbjerg S, Berg ND, Elberling J, Christensen KB (2012) Evaluation of the quick environmental exposure and sensitivity inventory in a Danish population. J Environ Public Health 2012:304314. https://doi.org/10.1155/2012/304314
SSI (Survey Sampling International) (2016) Dynamix Sampling Approach. Available from: https://www.surveysampling.com/technology/ssi-dynamix/. Accessed 8 Dec 2018
Steinemann A (2015) Volatile emissions from common consumer products. Air Qual Atmos Health 8(3):273–281
Steinemann A (2016) Fragranced consumer products: exposures and effects from emissions. Air Qual Atmos Health 9(8):861–866
Steinemann A (2017) Health and societal effects from fragranced consumer products. Prev Med Rep 5:45–47
Steinemann A (2018a) National Prevalence and effects of multiple chemical sensitivities. J Occup Environ Med 60(3):e152–e156
Steinemann A (2018b) Prevalence and effects of multiple chemical sensitivities in Australia. Prev Med Rep 10:191–194
Steinemann A (2018c) Fragranced Consumer Products: Sources of Emissions, Exposures, and Health Effects in the United Kingdom. Air Qual Atmos Health 11(3):253–258
Steinemann A (2018d) Fragranced consumer products: effects on asthmatics. Air Qual Atmos Health 11(1):3–9
Steinemann A, Wheeler AJ, Larcombe A (2018) Fragranced consumer products: effects on asthmatic Australians. Air Qual Atmos Health 11(4):365–371
United Kingdom (UK) (2018) Office for National Statistics. Population Estimates. Analysis Tool mid-2016 UK. 35,395,854 adults 18–65 https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationestimates. Accessed 8 Dec 2018
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Steinemann, A. Chemical sensitivity, asthma, and effects from fragranced consumer products: National Population Study in the United Kingdom. Air Qual Atmos Health 12, 371–377 (2019). https://doi.org/10.1007/s11869-018-00655-8
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DOI: https://doi.org/10.1007/s11869-018-00655-8