title: Respiratory morbidity and medical visits associated with dampness and air-conditioning in offices and homes.
abstract: We used data from 4345 adult US residents who were part of a 2004 national random mail survey to investigate associations between dampness and air-conditioning (AC) in homes and offices, and health outcomes, sick leave due to respiratory symptoms and medical visits during the past 12 months. We identified from this group 1396 office workers employed in professional, executive, administrative, managerial or administrative support occupations. Office workers reporting home dampness had an elevated prevalence of nasal symptoms [prevalence ratio (PR) = 1.4, P = 0.01] and constitutional symptoms (PR = 1.3, P = 0.01) in the previous year. Office workers reporting workplace dampness had an elevated prevalence of sick leave attributed to respiratory symptoms (PR = 1.3, P = 0.04) in the previous year. Office workers with home AC were more likely to have visited a medical specialist in the previous year (PR = 1.3, P = 0.02). We did not find any statistically significant associations between workplace AC and any of the health outcomes. We estimated an annual cost of US$1.4 billion for excess respiratory-related sick leave among office workers with workplace dampness. Our study strengthens the evidence of a relationship between dampness and health effects, and highlights the resulting economic impact.
  
  
  CONCLUSIONS
  This study adds to the literature on respiratory morbidity associated with home and office exposures to mold and dampness. Public health response to lessen these exposures will improve the health and well-being of residents and workers as well as diminish the economic burden of lost work time and medical costs.
authors.affiliation: Division of Respiratory Disease Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, 1095 Willowdale Road, Morgantown, WV 26505, USA. nsahakian@cdc.gov
authors.forename: N
authors.initials: N
authors.lastname: Sahakian
authors.forename: J-H
authors.initials: JH
authors.lastname: Park
authors.forename: J
authors.initials: J
authors.lastname: Cox-Ganser
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000389:Air Conditioning / Q000009:adverse effects*; D016902:Air Pollution, Indoor / Q000009:adverse effects* / Q000191:economics; D005260:Female; D006801:Humans; D006813:Humidity / Q000009:adverse effects*; D008297:Male; D008875:Middle Aged; D009819:Office Visits / Q000706:statistics & numerical data*; D015995:Prevalence; D012140:Respiratory Tract Diseases / Q000191:economics / Q000453:epidemiology / Q000209:etiology*; D014481:United States / Q000453:epidemiology; D055815:Young Adult