Abstract
OBJECTIVE--To examine the relation between damp and mould growth and symptomatic ill health. DESIGN--Cross-sectional study of random sample of households containing children; separate and independent assessments of housing conditions (by surveyor) and health (structured interview by trained researcher). SETTING--Subjects' homes (in selected areas of public housing in Glasgow, Edinburgh, and London). SUBJECTS--Adult respondents (94% women) and 1169 children living in 597 households. END POINTS--Specific health symptoms and general evaluation of health among respondents and children over two weeks before interview; and score on general health questionnaire (only respondents). MEASUREMENTS AND MAIN RESULTS--Damp was found in 184 (30.8%) dwellings and actual mould growth in 274 (45.9%). Adult respondents living in damp and mouldy dwellings were likely to report more symptoms overall, including nausea and vomiting, blocked nose, breathlessness, backache, fainting, and bad nerves, than respondents in dry dwellings. Children living in damp and mouldy dwellings had a greater prevalence of respiratory symptoms (wheeze, sore throat, runny nose) and headaches and fever compared with those living in dry dwellings. The mean number of symptoms was higher in damp and mouldy houses and positively associated with increasing severity of dampness and mould (dose response relation). All these differences persisted after controlling for possible confounding factors such as household income, cigarette smoking, unemployment, and overcrowding. Other possible sources of bias that might invalidate the assumption of a causal link between housing conditions and ill health--namely, investigator bias, respondent bias, and selection bias--were also considered and ruled out. CONCLUSION--Damp and mouldy living conditions have an adverse effect on symptomatic health, particularly among children.
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- Andersen T. F. Persistence of social and health problems in the welfare state: a Danish cohort experience from 1948 to 1979. Soc Sci Med. 1984;18(7):555–560. doi: 10.1016/0277-9536(84)90070-4. [DOI] [PubMed] [Google Scholar]
- Britten N., Davies J. M., Colley J. R. Early respiratory experience and subsequent cough and peak expiratory flow rate in 36 year old men and women. Br Med J (Clin Res Ed) 1987 May 23;294(6583):1317–1320. doi: 10.1136/bmj.294.6583.1317. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Burr M. L., Mullins J., Merrett T. G., Stott N. C. Indoor moulds and asthma. J R Soc Health. 1988 Jun;108(3):99–101. doi: 10.1177/146642408810800311. [DOI] [PubMed] [Google Scholar]
- Gravesen S. Fungi as a cause of allergic disease. Allergy. 1979 Jun;34(3):135–154. doi: 10.1111/j.1398-9995.1979.tb01562.x. [DOI] [PubMed] [Google Scholar]
- Larsen L. S. A three-year-survey of microfungi in the air of Copenhagen 1977-79. Allergy. 1981 Jan;36(1):15–22. doi: 10.1111/j.1398-9995.1981.tb01819.x. [DOI] [PubMed] [Google Scholar]
- MAUNSELL K. Sensitization risk from inhalation of fungal spores. J Laryngol Otol. 1954 Nov;68(11):765–775. doi: 10.1017/s0022215100050246. [DOI] [PubMed] [Google Scholar]
- Martin C. J., Platt S. D., Hunt S. M. Housing conditions and ill health. Br Med J (Clin Res Ed) 1987 May 2;294(6580):1125–1127. doi: 10.1136/bmj.294.6580.1125. [DOI] [PMC free article] [PubMed] [Google Scholar]
- May J. J., Stallones L., Darrow D., Pratt D. S. Organic dust toxicity (pulmonary mycotoxicosis) associated with silo unloading. Thorax. 1986 Dec;41(12):919–923. doi: 10.1136/thx.41.12.919. [DOI] [PMC free article] [PubMed] [Google Scholar]