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International Archives of Occupational and Environmental Health

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01.02.2015 | Original Article

Work-related symptoms in indoor environments: a puzzling problem for the occupational physician

verfasst von: Nicola Magnavita

Erschienen in: International Archives of Occupational and Environmental Health | Ausgabe 2/2015

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Abstract

Purposes

People who work indoors often manifest symptoms related to the work environment. Sick building syndrome (SBS) is a condition closely associated with sealed, air-conditioned workplaces and is especially frequent in countries with a cold climate. However, it is also present in Mediterranean countries where artificial ventilation accompanies the natural one. The significance of personal factors, air quality perception, and psychosocial work conditions in relation to SBS and other work-related symptoms needs to be clarified.

Methods

Workers from 28 companies in the Latium region of Italy were invited to answer a questionnaire during their routine medical examination at the workplace. A total of 4,029 out of 4,129 took part in the survey, giving a response rate of 97.6 %.

Results

A high percentage of workers (31.9 %) reported symptoms related to work, and two-thirds of the employees (65.4 %) complained of environmental problems. In logistic regression models, personal factors (gender, smoking habit, age, and atopy), anxiety and depression, environmental discomfort and job strain were associated both with symptoms of SBS and other work-related symptoms. There was a significant association between the perception of stuffy air, dry air, and electricity and cases of SBS. Some associations between symptoms and the work environment lacked biological plausibility.

Conclusions

The occupational physician’s task is to systematically monitor workers’ symptoms and their perception of the work environment in order to analyze this relationship and indicates the best mode of preventing illness/discomfort. This paper provides a method and reference values.

Andersson K, Stridh G (1992) The use of standardized questionnaires in building related illness (BRI) and sick building syndrome (SBS) surveys. In: Levy F, Maroni M (eds) NATO/OCCM pilot study on indoor air quality. National Institute of Occupational Health, Oslo, pp 47–64

Bakke JV, Moen BE, Wieslander G, Norbäck D (2007) Gender and the physical and psychosocial work environments are related to indoor air symptoms. J Occup Environ Med 49(6):641–650CrossRef

Brasche S, Bullinger M, Bronisch M, Bischof W (2001a) Eye- and skin symptoms in German office workers–subjective perception vs. objective medical screening. Int J Hyg Environ Health 203(4):311–316CrossRef

Brasche S, Bullinger M, Morfeld M, Gebhardt HJ, Bischof W (2001b) Why do women suffer from sick building syndrome more often than men? Subjective higher sensitivity versus objective causes. Indoor Air 11(4):217–222CrossRef

Brauer C, Mikkelsen S (2010) The influence of individual and contextual psychosocial work factors on the perception of the indoor environment at work: a multilevel analysis. Int Arch Occup Environ Health 83(6):639–651. doi:10.1007/s00420-010-0511-9 CrossRef

Brauer C, Kolstad H, Ørbaek P, Mikkelsen S (2006a) No consistent risk factor pattern for symptoms related to the sick building syndrome: a prospective population based study. Int Arch Occup Environ Health 79(6):453–464CrossRef

Brauer C, Kolstad H, Ørbaek P, Mikkelsen S (2006b) The sick building syndrome: a chicken and egg situation? Int Arch Occup Environ Health 79(6):465–471CrossRef

Burge PS (2004) Sick building syndrome. Occup Environ Med 61:185–190. doi:10.1136/oem.2003.008813 CrossRef

Burge S, Hedge A, Wilson S et al (1987) Sick building syndrome: a study of 4373 office workers. Ann Occup Hyg 31:493–502CrossRef

Chang C, Gershwin ME (2004) Indoor air quality and human health: truth vs mass hysteria. Clin Rev Allergy Immunol 27(3):219–239CrossRef

Finnegan MJ, Pickering CAC, Burge PS (1984) The sick building syndrome: prevalence studies. BMJ 289:1573–1575CrossRef

Fisk WJ, Black D, Brunner G (2011) Benefits and costs of improved IEQ in U.S. offices. Indoor Air 21(5):357–367. doi:10.1111/j.1600-0668.2011.00719.x CrossRef

Gann M, Corpe U, Wilson I (1990) The application of a short anxiety and depression questionnaire to oil industry staff. J Soc Occup Med 40(4):138–142CrossRef

Goldberg D, Bridges K, Duncan-Jones P, Grayson D (1988) Detecting anxiety and depression in general medical settings. BMJ 297(6653):897–899CrossRef

Jaakkola JJK, Heinonen OP, Seppänen O (1991) Mechanical ventilation in office buildings and the sick building syndrome. An experimental and epidemiological study. Indoor Air 1:111–117CrossRef

Karasek RA (1979) Job demands, job decision latitude, and mental strain. Implication for job redesign. Adm Sci Q 24:285–308CrossRef

Kubo T, Mizoue T, Ide R, Tokui N, Fujino Y, Minh PT et al (2006) Visual display terminal work and sick building syndrome—the role of psychosocial distress in the relationship. J Occup Health 48(2):107–112CrossRef

Lahtinen M, Sundman-Digert C, Reijula K (2004) Psychosocial work environment and indoor air problems: a questionnaire as a means of problem diagnosis. OEM Occup Environ Med 61:143–149CrossRef

Letz GA (1990) Sick building syndrome: acute illness among office workers—the role of building ventilation, airborne contaminants and work stress. Allergy Proc 11(3):109–116CrossRef

Lundin L (1999) Allergic and non-allergic students’ perception of the same high school environment. Indoor Air 9(2):92–102CrossRef

Magnavita N (1998) From mass psychosis to multiple sensitivity: models of interpretation of women’s discomfort. Folia Med 69(3):1657–1670

Magnavita N (2000) Industrial mass psychogenic illness: the unfashionable diagnosis. Br J Med Psychol 73(3):371–375CrossRef

Magnavita N (2001) Cacosmia in healthy workers. Br J Med Psychol 74(1):121–127CrossRef

Magnavita N (2007a) Anxiety and depression at work. The A/D Goldberg Questionnaire. G It Med Lav Ergon 29(3):670–671

Magnavita N (2007b) Health surveillance in ridden work environments by means of the MM040/IAQ Questionnaire. G Ital Med Lav Ergon 29(3):479–481

Magnavita N (2011) Work-related stress in the indoor environment: how might we assess it? G It Med Lav Ergon 33(3, Suppl. B):B28–B32

Magnavita N (2014a) Health surveillance of workers in indoor environments. Application of the Italian version of the MM040/IAQ Questionnaire. Med Lav 105(2):174–186

Magnavita N (2014b) Psychosocial factors in indoor work-related symptoms. Application of the MM040/IAQ questionnaire. Med Lav 105 (in press)

Magnavita N, Sacco A, De Lorenzo G (1995) Occupant complaints in healthy building. Healthy building ‘95, Proceedings of the ISIAQ International Conference, Milan 11–14 Sep 1995, Vol III, p 1825–1830

Magnavita N, Ferraro P, Vincenti F (2007) Influence of work climate on the sick building syndrome. G Ital Med Lav Ergon 29(3):658–660

Meggs WJ (2009) Epidemics of mold poisoning past and present. Toxicol Ind Health 25(9–10):571–576. doi:10.1177/0748233709348277 CrossRef

Moffatt S, Mulloli TP, Bhopal R, Foy C, Phillimore P (2000) An exploration of awareness bias in two environmental epidemiology studies. Epidemiology 11(2):199–208CrossRef

Muzi G, Abbritti G, Accattoli MP, dell’Omo M (1998) Prevalence of irritative symptoms in a nonproblem air-conditioned office building. Int Arch Occup Environ Health 71(6):372–378CrossRef

Niemelä R, Seppänen O, Korhonen P, Reijula K (2006) Prevalence of building-related symptoms as an indicator of health and productivity. Am J Ind Med 49(10):819–825CrossRef

Niven RM, Fletcher AM, Pickering CA, Faragher EB, Potter IN, Booth WB, Jones TJ, Potter PD (2000) Building sickness syndrome in healthy and unhealthy buildings: an epidemiological and environmental assessment with cluster analysis. Occup Environ Med 57(9):627–634CrossRef

Norbäck D (2009) An update on sick building syndrome. Curr Opin Allergy Clin Immunol 9(1):55–59. doi:10.1097/ACI.0b013e32831f8f08 CrossRef

Pacifici R. Report on Smoking in Italy 2012. National Institute of Health, 31 May 2013. [in Italian]. http://www.iss.it/binary/fumo4/cont/Rapporto_Annuale_sul_Fumo_31_maggio_2013_PACIFICI.pdf

Redlich CA, Sparer J, Cullen MR (1997) Sick-building syndrome. Lancet 349(9057):1013–1016CrossRef

Reijula K, Sundman-Digert C (2004) Assessment of indoor air problems at work with a questionnaire. OEM 61:33–38

Runeson-Broberg R, Norbäck D (2013) Sick building syndrome (SBS) and sick house syndrome (SHS) in relation to psychosocial stress at work in the Swedish workforce. Int Arch Occup Environ Health 86(8):915–922. doi:10.1007/s00420-012-0827-8

Skov B, Valbjorn O (1987) The, “sick buiding syndrome” in the office environment. The Danish Town Hall Study. Environ Int 13:339–349CrossRef

Sundell J, Levin H, Nazaroff WW, Cain WS, Fisk WJ, Grimsrud DT, Gyntelberg F, Li Y, Persily AK, Pickering AC, Samet JM, Spengler JD, Taylor ST, Weschler CJ (2011) Ventilation rates and health: multidisciplinary review of the scientific literature. Indoor Air 21(3):191–204. doi:10.1111/j.1600-0668.2010.00703.x CrossRef

Zweers T, Preller L, Brunekreef B, Boleij JSM (1992) Health and indoor climate complaints of 7043 office workers in 61 buildings in the Netherlands. Indoor Air 2:127–136. doi:10.1111/j.1600-0668.1992.00001.x CrossRef

Titel: Work-related symptoms in indoor environments: a puzzling problem for the occupational physician
verfasst von: Nicola Magnavita
Publikationsdatum: 01.02.2015
Verlag: Springer Berlin Heidelberg
Erschienen in: International Archives of Occupational and Environmental Health / Ausgabe 2/2015
Print ISSN: 0340-0131
Elektronische ISSN: 1432-1246
DOI: https://doi.org/10.1007/s00420-014-0952-7

Springer Medizin

Abstract

Purposes

Methods

Results

Conclusions

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