Sick building syndrome and perceived indoor environmental quality: A survey of apartment buildings in Hong Kong

Abstract The outbreak of a highly communicable disease, SARS, in Asia in 2003 has revealed the health risk of living in a high-density environment. To show the important connection between human health and environmental quality, this study surveys the prevalence of sick building syndrome (SBS) among apartment residents and their evaluation of indoor environmental quality (IEQ). Based on a sample of 748 households living in Hong Kong, two interesting findings are revealed: (1) nasal discomfort was the commonest home-related SBS symptom despite the absence of any central ventilation system in apartment buildings; (2) noise, rather than ventilation, was the major IEQ problem perceived by residents. Our statistical analysis further showed that residents with SBS symptoms were less satisfied with their IEQ than those without. That is, despite a positive evaluation of specific IEQ criteria with respect to the building residents lived in, if they reported feeling SBS related symptoms, the overall IEQ evaluation of their building could still be negative. This perception bias gives rise to a sample selection problem in measuring perceived IEQ, which has implications on housing management practices and the formulation of a healthy housing policy.

[1]  Clive Osmond,et al.  Growth and living conditions in childhood and hypertension in adult life: a longitudinal study , 2002, Journal of hypertension.

[3]  Chi Sun Poon,et al.  Reducing building waste at construction sites in Hong Kong , 2004 .

[4]  O. Valbjørn,et al.  The “sick” building syndrome in the office environment: The Danish town hall study , 1987 .

[5]  J. Heckman.  Sample selection bias as a specification error , 1979 .

[6]  O. Lloyd,et al.  Atlas of Disease Mortalities in Hong Kong for the Three Five-Year Periods in 1979-93 , 1997 .

[7]  L. T. Wong,et al.  A multivariate-logistic model for acceptance of indoor environmental quality (IEQ) in offices , 2008 .

[8]  J. Crawford,et al.  Sick building syndrome, work factors and occupational stress. , 1996, Scandinavian journal of work, environment & health.

[9]  Shiming Deng,et al.  A questionnaire survey on sleeping thermal environment and bedroom air conditioning in high-rise residences in Hong Kong , 2006 .

[10]  Vivian W. Y Tam,et al.  Environmental performance measurement indicators in construction , 2006 .

[11]  Christine A Erdmann,et al.  Mucous membrane and lower respiratory building related symptoms in relation to indoor carbon dioxide concentrations in the 100-building BASE dataset. , 2004, Indoor air.

[12]  G A Letz,et al.  Sick building syndrome: acute illness among office workers--the role of building ventilation, airborne contaminants and work stress. , 1990, Allergy proceedings : the official journal of regional and state allergy societies.

[13]  M. Chan-yeung,et al.  A cluster of cases of severe acute respiratory syndrome in Hong Kong. , 2003, The New England journal of medicine.

[14]  G. Lip,et al.  Blood pressure demographics: nature or nurture ... ... genes or environment? , 2005, BMC medicine.

[15]  Vivian W. Y Tam,et al.  Environmental Performance Evaluation (EPE) for construction , 2002 .

[16]  Peter Cameron,et al.  A major outbreak of severe acute respiratory syndrome in Hong Kong. , 2003, The New England journal of medicine.

[17]  G. Dunteman,et al.  Association of Personal and Workplace Characteristics with Health, Comfort And Odor: A Survey of 3948 Office Workers in Three Buildings , 1993 .

[18]  David Lehrer,et al.  Listening to the occupants: a Web-based indoor environmental quality survey. , 2004, Indoor air.

[19]  U Haverinen-Shaughnessy,et al.  A preliminary study on the association between ventilation rates in classrooms and student performance. , 2006, Indoor air.

[20]  G. Moulin.  Minimizing the potential for nosocomial pneumonia: Architectural, engineering, and environmental considerations for the intensive care unit , 2005, European Journal of Clinical Microbiology and Infectious Diseases.

[21]  Tze Wai Wong,et al.  Evidence of airborne transmission of the severe acute respiratory syndrome virus. , 2004, The New England journal of medicine.

[22]  L. Chan,et al.  Indoor/outdoor air quality correlation and questionnaire survey at two staff quarters in Hong Kong , 1998 .

[23]  Foo Tuan Seik.  Subjective assessment of urban quality of life in Singapore (1997–1998) , 2000 .

[24]  Kw Chau,et al.  Are our residential buildings healthy and safe? A survey in Hong Kong , 2006 .

[25]  B. Gandek,et al.  Is the standard SF-12 Health Survey valid and equivalent for a Chinese population? , 2005, Quality of Life Research.

[26]  P Wargocki,et al.  Perceived air quality, sick building syndrome (SBS) symptoms and productivity in an office with two different pollution loads. , 1999, Indoor air.

[27]  Vivian W. Y Tam,et al.  Implementation of environmental management in the Hong Kong construction industry , 2002 .

[28]  Mohan M. Kumaraswamy,et al.  Evaluation of factors affecting Time and Cost performance in Hong Kong Building projects , 1999 .

[29]  K. Chau,et al.  Impact of Political Incidents, Financial Crises, and Severe Acute Respiratory Syndrome on Hong Kong Property Buyers , 2006 .

[30]  C A Pickering,et al.  The sick building syndrome: prevalence studies. , 1984, British medical journal.

[31]  R. Burnett,et al.  Adverse health effects among adults exposed to home dampness and molds. , 1991, The American review of respiratory disease.

[32]  Mark E Anderson,et al.  Sudden Infant Death Syndrome and prenatal maternal smoking: rising attributed risk in the Back to Sleep era , 2005, BMC medicine.

[33]  C. Leung,et al.  Socio-economic factors and tuberculosis: a district-based ecological analysis in Hong Kong. , 2004, The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease.

[34]  T. Sigsgaard,et al.  Building-related symptoms and molds: a two-step intervention study. , 2002, Indoor air.

[35]  D Norbäck,et al.  Development of a multiple regression model to identify multi-family residential buildings with a high prevalence of sick building syndrome (SBS). , 2000, Indoor air.

[36]  Kris Byron.  A meta-analytic review of work–family conflict and its antecedents ☆ , 2005 .

[37]  A Hedge,et al.  Sick building syndrome: a study of 4373 office workers. , 1987, The Annals of occupational hygiene.

[38]  S A Stansfeld,et al.  Building health: an epidemiological study of “sick building syndrome” in the Whitehall II study , 2006, Occupational and Environmental Medicine.

[39]  Dcw Ho,et al.  Assessing the health and hygiene performance of apartment buildings , 2004 .

[40]  Margaret S. Westaway,et al.  A longitudinal investigation of satisfaction with personal and environmental quality of life in an informal South African housing settlement, Doornkop, Soweto , 2006 .

[41]  Mei-yung Leung,et al.  Investigating key components of the facility management of secondary schools in Hong Kong , 2005 .

[42]  S. Joshi,et al.  The sick building syndrome , 2008, Indian journal of occupational and environmental medicine.

[43]  R. Tamblyn,et al.  Exposure to varying levels of contaminants and symptoms among workers in two office buildings. , 1996, American journal of public health.

[44]  E. Bardana,et al.  Sick building syndrome--a wolf in sheep's clothing. , 1997, Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology.

[45]  Edwin H.W. Chan,et al.  Is the development control legal framework conducive to a sustainable dense urban development in Hong Kong , 2004 .

[46]  D Norbäck,et al.  Sick building syndrome in relation to building dampness in multi-family residential buildings in Stockholm , 2001, International archives of occupational and environmental health.

[47]  K. Chau,et al.  Impact of Political Incidents, Financial Crises, and Severe Acute Respiratory Syndrome on Hong Kong Regulators and Developers , 2006 .

[48]  S. Kahlmeier,et al.  Perceived environmental housing quality and wellbeing of movers , 2001, Journal of epidemiology and community health.

[49]  Kari Reijula,et al.  Sick Building Syndrome and Psychosocial Factors ‐ a Literature Review , 1998 .

[50]  R. Bauer,et al.  Sick Building Syndrome , 1991, Southern medical journal.

[51]  J. Seltzer.  Building-related illnesses. , 1994, The Journal of allergy and clinical immunology.