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Consistent pattern of elevated symptoms in air-conditioned office buildings

A reanalysis of epidemiologic studies

Bibliographic Data

ID11034299
AuthorsMark J Mendell (0000-0001-7194-7654, University of California, Berkeley), A H Smith (0000-0003-4355-2705)
Year1990
Volume80
Issue10
Pages1193-1199
Publication date1990-10-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.80.10.1193
PMID2400029
OpenAlexW2132054230
LanguageEN
Citations received7
References cited21

Published studies of the relation between type of building ventilation system and work-related symptom prevalence in office workers have been contradictory. A reanalysis was performed of six studies meeting specific eligibility criteria, combining published data with unpublished information obtained from study authors. Five eligible studies were from the United Kingdom, and one was from Denmark. Standardized categories of building ventilation type were created to allow comparison of effects across studies. Within each study, prevalence odds ratios (PORs) were calculated for symptoms in each ventilation category relative to a baseline category of naturally ventilated buildings. Air-conditioned buildings were consistently associated with increased prevalence of work-related headache (POR = 1.3-3.1), lethargy (POR = 1.4-5.1), and upper respiratory/mucus membrane symptoms (POR = 1.3-4.8). Humidification was not a necessary factor for the higher symptom prevalence associated with air-conditioning. Mechanical ventilation without air-conditioning was not associated with higher symptom prevalence. The consistent associations found between type of building ventilation and reported symptom prevalence have potentially important public health and economic implications

Environmental health · Lethargy · Logistic regression · Meteorology · Odds · Odds ratio · Pathology · Public health · Ventilation (architecture) · Building Energy and Comfort Optimization · Demography · Epidemiology · Indoor Air Quality and Microbial Exposure · Infection Control and Ventilation · Internal Medicine · Medicine

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Unique citing works7
Citations per year0,19
Citation span1990 - 1996 (7)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 5

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