Cent Eur J Public Health 2021, 29(1):28-37 | DOI: 10.21101/cejph.a6108

Sick building syndrome among healthcare workers and healthcare associates at observed general hospital in Slovenia

Sedina Kalender-Smajloviæ1, Mateja Dovjak2, Andreja Kukec3
1 Angela Bo¹kin Faculty of Health Care, Jesenice, Slovenia
2 Faculty of Civil and Geodetic Engineering, University of Ljubljana, Ljubljana, Slovenia
3 Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia

Objective: The aim of this study was to assess the possible associations between self-perceived sick building syndrome (SBS) symptoms among healthcare workers and healthcare associates and self-perceived parameters of indoor work environment quality.

Methods: The cross-sectional study was conducted from February to April 2019. Validated standardized evaluation tools (MM 040 NA Hospital 2007 and MM 040 NA Office 2007) were used for estimating the prevalence of SBS among observed populations. Chi-square and Mann-Whitney U tests for assessing possible associations in SBS symptoms between healthcare workers and associates were used.

Results: The response rate was 69.8%. The results showed a lower prevalence of six or more SBS symptoms in healthcare associates (6.4%) compared to healthcare workers (12.0%). Healthcare workers perceived the most frequent risk factors for SBS to be poor air quality, an inappropriate level of relative humidity, and inappropriate room temperature, while the least frequently self-perceived risk factors were inappropriate lighting and noise levels.

Conclusions: This study represents a platform for further analyses - the identification of health risk factors with environmental monitoring.

Keywords: hospitals, healthcare workers, healthcare associates, sick building syndrome, prevalence

Received: January 21, 2020; Revised: January 19, 2021; Accepted: January 19, 2021; Published: March 31, 2021  Show citation

ACS AIP APA ASA Harvard Chicago IEEE ISO690 MLA NLM Turabian Vancouver
Kalender-Smajloviæ S, Dovjak M, Kukec A. Sick building syndrome among healthcare workers and healthcare associates at observed general hospital in Slovenia. Cent Eur J Public Health. 2021;29(1):28-37. doi: 10.21101/cejph.a6108. PubMed PMID: 33831284.
Download citation

References

  1. Saeki Y, Kadonosono K, Uchio E. Clinical and allergological analysis of ocular manifestations of sick building syndrome. Clin Ophthalmol. 2017;11:517-22. Go to original source... Go to PubMed...
  2. lndoor air pollutants: exposure and health effects. EURO Rep Stud. 1983;(78):1-42.
  3. Dovjak M, Kukec A. Creating healthy and sustainable buildings. An assessment of health risk factors. Cham: Springer Open; 2019. Go to original source...
  4. Runeson R, Wahlstedt K, Wieslander G, Norbäck D. Personal and psychosocial factors and symptoms compatible with sick building syndrome in the Swedish workforce. Indoor Air. 2006;16(6):445-53. Go to original source... Go to PubMed...
  5. Lu CY, Tsai MC, Muo CH, Kuo YH, Sung FC, Wu CC. Personal, psychosocial and environmental factors related to sick building syndrome in official employees of Taiwan. Int J Environ Res Public Health. 2017;15(1):7. doi: 10.3390/ijerph15010007. Go to original source... Go to PubMed...
  6. Vafaeenasab MR, Morowatisharifabad MA, Taghi Ghaneian M, Hajhosseini M, Ehrampoush MH. Assessment of sick building syndrome and its associating factors among nurses in the educational hospitals of Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Glob J Health Sci. 2014;7(2):247-53. Go to original source... Go to PubMed...
  7. Dovjak M, Shukuya M, Krainer A. User-centred healing-oriented conditions in the design of hospital environments. Int J Environ Res Public Health. 2018;15(10):2140. doi: 10.3390/ijerph15102140. Go to original source... Go to PubMed...
  8. ¦mie³owska M, Zabiegala B, Maræ M. Indoor air quality in public utility environments - a review. Environ Sci Pollut Res Int. 2017;24(12):1166-76. Go to original source...
  9. Aluko OO, Adebayo AE, Adebisi TF, Ewegbemi MK, Abidoye, AT, Popoola, BF. Knowledge, attitudes and perceptions of occupational hazards and safety practices in Nigerian healthcare workers. BMC Res Notes. 2016;9:71. doi: 10.1186/s13104-016-1880-2. Go to original source... Go to PubMed...
  10. Arikan I, Tekin Õ, Erbas O. Relationship between sick building syndrome and indoor air quality among hospital staff. Med Lav. 2018;109(6):435-43. Go to PubMed...
  11. Dovjak M, Kukec A. Prevention and control of sick building syndrome (SBS). Part 2, Design of a preventive and control strategy to lower the occurrence of SBS. Int J San Eng Res. 2014;8(1):41-55.
  12. Chang CJ, Yang HH, Wang YF, Li MS. Prevalence of sick building syndrome-related symptoms among hospital workers in confined and open working spaces. AAQR. 2015;15(6):2378-84. Go to original source...
  13. Aljeesh Y, Al Madhoun W, Abu Shamh I, Arcaya M. Assessment of indoor air quality in neonatal intensive care units in government hospitals in Gaza Strip, Palestine. Public Health Res. 2016;6(1):24-30.
  14. Nordström K, Norbäck D, Akselsson R. Influence of indoor air quality and personal factors on the sick building syndrome (SBS) in Swedish geriatric hospitals. Occup Environ Med. 1995;52(3):170-6. Go to original source... Go to PubMed...
  15. Keyvani S, Mohammadyan M, Mohamadi S, Etemadinezhad S. Sick building syndrome and its associating factors at a hospital in Kashan, Iran. Iran J Health Sci. 2017;5(2):19-24. Go to original source...
  16. Kelland P. Sick building syndrome, working environments and hospital staff. Indoor Built Environ. 1992;1:335-40. Go to original source...
  17. Krainer A, Perdan R, Krainer G. Retrofitting of the Slovene Ethnographic Museum. Bauphysik. 2007;29(5):350-65. Go to original source...
  18. Pajek L, Ko¹ir M. Can building energy performance be predicted by a bioclimatic potential analysis? Case study of the Alpine-Adriatic region. Energy Build. 2017;139:160-73. Go to original source...
  19. Jesenice General Hospital. Public information [Internet]. Jesenice: Jesenice General Hospital; 2018 [cited 2019 Dec 26]. Available from: https://www.sb-je.si/o_bolnisnici/informacije_javnega_znacaja/. (In Slovene.)
  20. Andersson K. Indoor climate - Hospital/Health Care Establishment [Internet]. Örebro: Örebro University Hospital; 2007 [cited 2018 Mar 15]. Available from: http://www.mmquestionnaire.se/mmq/mm040_care.pdf.
  21. Andersson K. Epidemiological approach to indoor air problems. Indoor Air. 1998;8 (Suppl 4):32-9. Go to original source...
  22. Commission of the European Communities. Sick building syndrome: a practical guide. Environment and quality of life report, no. 4. Luxembourg: Office for Official Publications of the European Communities; 1989.
  23. Andersson K, Fagerlund I, Norlén U, Nygren M. The association between SBS symptoms and physical and psychosocial environment of school personnel. Proc Indoor Air. 1999;4:360-5.
  24. Yassi A, Kjellström T, de Kok T. Basic environmental health. Oxford: Oxford University Press; 2001. Go to original source...
  25. Kukec A, Dovjak M. Prevention and control of Sick Building Syndrome (SBS). Part 1: Identification of risk factors. Int J San Eng Res. 2014;(8)1:16-40.
  26. Li CS, Hsu CW, Tai ML. Indoor pollution and sick building syndrome symptoms among workers in day-care centers. Arch Environ Health. 1997;52(3):200-7. Go to original source... Go to PubMed...
  27. Hellgren UM, Reijula K. Indoor air problems in hospitals: a challenge for occupational health. AAOHN J. 2011;59(3):111-7. Go to original source...
  28. Nordström K, Norbäck D, Akselsson R. Effect of air humidification on the sick building syndrome and perceived indoor air quality in hospitals: a four month longitudinal study. Occup Environ Med. 1994;51(10):683-8. Go to original source... Go to PubMed...
  29. Wieslander G, Norbäck D, Nordström K, Wålinder R, Venge P. Nasal and ocular symptoms, tear film stability and biomarkers in nasal lavage, in relation to building-dampness and building design in hospitals. Int Arch Occup Environ Health. 1999;72(7):451-61. Go to original source... Go to PubMed...
  30. Mendelson MB, Catano VM, Kelloway K. The role of stress and social support in Sick Building Syndrome. Work Stress. 2000;14(2):137-55. Go to original source...
  31. Jung CC, Wu PC, Tseng CH, Su HJ. Indoor air quality varies with ventilation types and working areas in hospitals. Build Environ. 2015;85:190-5. Go to original source...
  32. Passarelli GR. Sick building syndrome: an overview to raise awareness. J Build Apprais. 2009;5:55-66. Go to original source...
  33. Dovjak M, Kukec A, Kristl ®, Ko¹ir M, Bilban M, Shukuya M, et al. Integral control of health hazards in hospital environment. Indoor Built Environ. 2013;22(5):776-95. Go to original source...
  34. Norbäck D. An update on sick building syndrome. Curr Opin Allergy Clin Immunol. 2009;9(1):55-9. Go to original source... Go to PubMed...
  35. Bentayeb M, Norback D, Bednarek M, Bernard A, Cai G, Cerrai S, et al. Indoor air quality, ventilation and respiratory health in elderly residents living in nursing homes in Europe. Eur Respir J. 2015;45(5):1228-38. Go to original source... Go to PubMed...
  36. Fink R, Er¾en I, Medved S, Kastelec D. Experimental research on physiological response of elderly with cardiovascular disease during heat wave period. Indoor Built Environ. 2015;24(4):534-43. Go to original source...
  37. Fink R, Er¾en I, Medved S. Symptomatic response of the elderly with cardiovascular disease during a heat wave in Slovenia. Cent Eur J Public Health. 2017;25(4):293-8. Go to original source... Go to PubMed...