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Building health: an epidemiological study of "sick building syndrome" in the Whitehall II study

Marmot, A.F.; Eley, J.; Stafford, M.; Stansfeld, S.A.; Warwick, E.; Marmot, M.G.; (2006) Building health: an epidemiological study of "sick building syndrome" in the Whitehall II study. Occupational and Environmental Medicine , 63 (4) pp. 283-289. 10.1136/oem.2005.022889. Green open access

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Objectives: Sick building syndrome (SBS) is described as a group of symptoms attributed to the physical environment of specific buildings. Isolating particular environmental features responsible for the symptoms has proved difficult. This study explores the role and significance of the physical and psychosocial work environment in explaining SBS. Methods: Cross sectional data on the physical environment of a selection of buildings were added to individual data from the Whitehall II study—an ongoing health survey of office based civil servants. A self-report questionnaire was used to capture 10 symptoms of the SBS and psychosocial work stress. In total, 4052 participants aged 42–62 years working in 44 buildings were included in this study. Results: No significant relation was found between most aspects of the physical work environment and symptom prevalence, adjusted for age, sex, and employment grade. Positive (non-significant) relations were found only with airborne bacteria, inhalable dust, dry bulb temperature, relative humidity, and having some control over the local physical environment. Greater effects were found with features of the psychosocial work environment including high job demands and low support. Only psychosocial work characteristics and control over the physical environment were independently associated with symptoms in the multivariate analysis. Conclusions: The physical environment of office buildings appears to be less important than features of the psychosocial work environment in explaining differences in the prevalence of symptoms.

Type: Article
Title: Building health: an epidemiological study of "sick building syndrome" in the Whitehall II study
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/oem.2005.022889
Publisher version: http://dx.doi.org/10.1136/oem.2005.022889
Language: English
Additional information: Published by BMJ
Keywords: Sick building syndrome, office environment, psychosocial work characteristics
UCL classification:
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery.ucl.ac.uk/id/eprint/13167
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