Abstract
Objective
To characterise the chemical exposures and symptoms affecting individuals with subsequent adjustments of social life or occupational conditions, and further characterise these severely affected individuals.
Methods
All individuals (n = 1,134) who reported symptoms from airborne chemical exposures in a population-based questionnaire study of 6,000 individuals were included and dichotomised according to severity. Logistic regression models were used to characterise the group of severely affected individuals.
Results
Severely affected individuals reported more symptoms and exposures related to symptoms than less severely affected individuals, and the number of symptoms was more predictive for severity than the number of exposures. Most predictive for the severity of reported symptoms were CNS-symptoms other than headache (OR = 3.2, P < 0.001) and exposure to freshly printed papers or magazines (OR = 2.0, P = 0.001).
Conclusion
CNS-symptoms except from headache were a main characteristic of individuals severely affected by common chemical exposures in a general population-based sample.
Similar content being viewed by others
References
Afshari A, Gunnarsen L, Clausen PA, Hansen V (2004) Emission of phthalates from PVC and other materials. Indoor Air 14:120–128. doi:10.1046/j.1600-0668.2003.00220.x
Altman DG (1991) Comparing groups—categorical data. In: Practical statistics for medical research. Chapman & Hall, London, pp 229–276
Belpomme D, Irigaray P, Hardell L, Clapp R, Montagnier L, Epstein S et al (2007) The multitude and diversity of environmental carcinogens. Environ Res 105:414–429. doi:10.1016/j.envres.2007.07.002
Berg ND, Linneberg A, Dirksen A, Elberling J (2008) Prevalence of self-reported symptoms and consequences related to inhalation of airborne chemicals in a Danish general population. Int Arch Occup Environ Health 81:881–887. doi:10.1007/s00420-007-0282-0
Burstyn I, Boffetta P, Kauppinen T, Heikkila P, Svane O, Partanen T et al (2003) Estimating exposures in the asphalt industry for an international epidemiological cohort study of cancer risk. Am J Ind Med 43:3–17. doi:10.1002/ajim.10183
Caress SM, Steinemann AC (2003) A review of a two-phase population study of multiple chemical sensitivities. Environ Health Perspect 111:1490–1497
Caress SM, Steinemann AC (2004) A national population study of the prevalence of multiple chemical sensitivity. Arch Environ Health 59:300–305
Caress SM, Steinemann AC (2005) National prevalence of asthma and chemical hypersensitivity: an examination of potential overlap. J Occup Environ Med 47:518–522. doi:10.1097/01.jom.0000161736.54099.44
Carlsson H, Nilsson U, Ostman C (2000) Video display units: an emission source of the contact allergenic flame retardant triphenyl phosphate in the indoor environment. Environ Sci Technol 34:3885–3889. doi:10.1021/es990768n
Carlsson F, Karlson B, Orbaek P, Osterberg K, Ostergren PO (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. doi:10.1016/j.puhe.2004.07.011
Centre for Epidemiology and Research (2003) The New South Wales adult health survey 2002. N S W Public Health Bull 14(Suppl 4):1–148
Cometto-Muniz JE, Cain WS, Abraham MH (2004) Detection of single and mixed VOCs by smell and by sensory irritation. Indoor Air 14(Suppl 8):108–117. doi:10.1111/j.1600-0668.2004.00297.x
Cullen MR (1987) The worker with multiple chemical sensitivities: an overview. Occup Med 2:655–661
Elberling J, Linneberg A, Mosbech H, Dirksen A, Frolund L, Madsen F et al (2004) A link between skin and airways regarding sensitivity to fragrance products? Br J Dermatol 151:1197–1203. doi:10.1111/j.1365-2133.2004.06251.x
Elberling J, Linneberg A, Dirksen A, Johansen JD, Frolund L, Madsen F et al (2005) Mucosal symptoms elicited by fragrance products in a population-based sample in relation to atopy and bronchial hyper-reactivity. Clin Exp Allergy 35:75–81. doi:10.1111/j.1365-2222.2005.02138.x
Gilbert NL, Gauvin D, Guay M, Heroux ME, Dupuis G, Legris M et al (2006) Housing characteristics and indoor concentrations of nitrogen dioxide and formaldehyde in Quebec City, Canada. Environ Res 102:1–8. doi:10.1016/j.envres.2006.02.007
Hausteiner C, Bornschein S, Hansen J, Zilker T, Forstl H (2005) Self-reported chemical sensitivity in Germany: a population-based survey. Int J Hyg Environ Health 208:271–278. doi:10.1016/j.ijheh.2005.03.006
Johansson A, Bramerson A, Millqvist E, Nordin S, Bende M (2005) Prevalence and risk factors for self-reported odour intolerance: the Skovde population-based study. Int Arch Occup Environ Health 78:559–564. doi:10.1007/s00420-005-0616-8
Koch L, Rumrill P, Hennessey M, Vierstra C, Roessler RT (2007) An ecological approach to facilitate successful employment outcomes among people with multiple chemical sensitivity. Work 29:341–349
Kreutzer R, Neutra RR, Lashuay N (1999) Prevalence of people reporting sensitivities to chemicals in a population-based survey. Am J Epidemiol 150:1–12
Lacour M, Zunder T, Schmidtke K, Vaith P, Scheidt C (2005) Multiple chemical sensitivity syndrome (MCS)—suggestions for an extension of the U.S. MCS-case definition. Int J Hyg Environ Health 208:141–151. doi:10.1016/j.ijheh.2005.01.017
Meggs WJ, Dunn KA, Bloch RM, Goodman PE, Davidoff AL (1996) Prevalence and nature of allergy and chemical sensitivity in a general population. Arch Environ Health 51:275–282
Mendell MJ (2007) Indoor residential chemical emissions as risk factors for respiratory and allergic effects in children: a review. Indoor Air 17:259–277. doi:10.1111/j.1600-0668.2007.00478.x
Park J, Knudson S (2007) Medically unexplained physical symptoms. Health Rep 18:43–47
Sorg BA, Bell IR (2001) Preface. Ann N Y Acad Sci 933:ix–xi
Sun S, Schiller JH, Gazdar AF (2007) Lung cancer in never smokers–a different disease. Nat Rev Cancer 7:778–790. doi:10.1038/nrc2190
Sunyer J, Jarvis D, Pekkanen J, Chinn S, Janson C, Leynaert B et al (2004) Geographic variations in the effect of atopy on asthma in the European Community Respiratory Health Study. J Allergy Clin Immunol 114:1033–1039. doi:10.1016/j.jaci.2004.05.072
Acknowledgments
We thank Susanne Schweitz and Anne Marie Topp, who provided valuable secretarial assistance. Aage Bangs Foundation and the Asthma and Allergy Association of Copenhagen supported the study financially. The funding sources had no influence on the work.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Berg, N.D., Linneberg, A., Dirksen, A. et al. Phenotypes of individuals affected by airborne chemicals in the general population. Int Arch Occup Environ Health 82, 509–517 (2009). https://doi.org/10.1007/s00420-008-0352-y
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00420-008-0352-y