Building dampness and mold in European homes in relation to climate, building characteristics and socio‐economic status: The European Community Respiratory Health Survey ECRHS II

We studied dampness and mold in homes in relation to climate, building characteristics and socio-economic status (SES) across Europe, for 7127 homes in 22 centers. A subsample of 3118 homes was inspected. Multilevel analysis was applied, including age, gender, center, SES, climate, and building factors. Self-reported water damage (10%), damp spots (21%), and mold (16%) in past year were similar as observed data (19% dampness and 14% mold). Ambient temperature was associated with self-reported water damage (OR=1.63 per 10°C; 95% CI 1.02-2.63), damp spots (OR=2.95; 95% CI 1.98-4.39), and mold (OR=2.28; 95% CI 1.04-4.67). Precipitation was associated with water damage (OR=1.12 per 100 mm; 95% CI 1.02-1.23) and damp spots (OR=1.11; 95% CI 1.02-1.20). Ambient relative air humidity was not associated with indoor dampness and mold. Older buildings had more dampness and mold (P<.001). Manual workers reported less water damage (OR=0.69; 95% CI 0.53-0.89) but more mold (OR=1.27; 95% CI 1.03-1.55) as compared to managerial/professional workers. There were correlations between reported and observed data at center level (Spearman rho 0.61 for dampness and 0.73 for mold). In conclusion, high ambient temperature and precipitation and high building age can be risk factors for dampness and mold in homes in Europe.

[1]  N. Laird,et al.  Meta-analysis in clinical trials revisited. , 2015, Contemporary clinical trials.

[2]  D. Jarvis,et al.  Predictors of microbial agents in dust and respiratory health in the Ecrhs , 2015, BMC Pulmonary Medicine.

[3]  Ki‐Hyun Kim,et al.  A Review of the Consequences of Global Climate Change on Human Health , 2014, Journal of environmental science and health. Part C, Environmental carcinogenesis & ecotoxicology reviews.

[4]  R. Sharpe,et al.  Modifiable factors governing indoor fungal diversity and risk of asthma , 2014, Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology.

[5]  K. Azuma,et al.  Effects of water-damaged homes after flooding: health status of the residents and the environmental risk factors , 2014, International journal of environmental health research.

[6]  D. Dockery,et al.  The relationship between indoor and outdoor temperature, apparent temperature, relative humidity, and absolute humidity. , 2013, Indoor air.

[7]  M. Jaakkola,et al.  Association of indoor dampness and molds with rhinitis risk: a systematic review and meta-analysis. , 2013, The Journal of allergy and clinical immunology.

[8]  Robert S. Stawski,et al.  Multilevel Analysis: An Introduction to Basic and Advanced Multilevel Modeling (2nd Edition) , 2013 .

[9]  J. Bernstein,et al.  Climate change and our environment: the effect on respiratory and allergic disease. , 2013, The journal of allergy and clinical immunology. In practice.

[10]  D. Jarvis,et al.  Mould and dampness in dwelling places, and onset of asthma: the population-based cohort ECRHS , 2013, Occupational and Environmental Medicine.

[11]  M. Jaakkola,et al.  Rhinitis, sinusitis, and upper airway disease Association of indoor dampness andmolds with rhinitis risk: A systematic review and meta-analysis , 2013 .

[12]  U Haverinen-Shaughnessy,et al.  Occurrence of moisture problems in schools in three countries from different climatic regions of Europe based on questionnaires and building inspections - the HITEA study. , 2012, Indoor air.

[13]  M. Jaakkola,et al.  Residential Dampness and Molds and the Risk of Developing Asthma: A Systematic Review and Meta-Analysis , 2012, PloS one.

[14]  U. Haverinen-Shaughnessy Prevalence of dampness and mold in European housing stock , 2012, Journal of Exposure Science and Environmental Epidemiology.

[15]  D. Jarvis,et al.  Geographical variation and the determinants of domestic endotoxin levels in mattress dust in Europe. , 2012, Indoor air.

[16]  M. Strippoli,et al.  Meta‐analysis of mould and dampness exposure on asthma and allergy in eight European birth cohorts: an ENRIECO initiative , 2011, Allergy.

[17]  Brack W. Hale,et al.  Crawl spaces as reservoirs for transmission of mold to the livable part of the home environment , 2011, Reviews on environmental health.

[18]  Ingrid Johansson,et al.  Fungal DNA and pet allergen levels in Swedish day care centers and associations with building characteristics. , 2011, Journal of environmental monitoring : JEM.

[19]  D. Jarvis,et al.  Lung function decline in relation to mould and dampness in the home: the longitudinal European Community Respiratory Health Survey ECRHS II , 2011, Thorax.

[20]  Mark J. Mendell,et al.  Respiratory and Allergic Health Effects of Dampness, Mold, and Dampness-Related Agents: A Review of the Epidemiologic Evidence , 2011, Environmental health perspectives.

[21]  Paul J. Beggs,et al.  Adaptation to Impacts of Climate Change on Aeroallergens and Allergic Respiratory Diseases , 2010, International journal of environmental research and public health.

[22]  J. Fairburn,et al.  Social inequities in environmental risks associated with housing and residential location--a review of evidence. , 2010, European journal of public health.

[23]  I. Annesi-Maesano,et al.  Climate change and respiratory disease: European Respiratory Society position statement , 2009, European Respiratory Journal.

[24]  Yuexia Sun,et al.  Validity of building characteristics and dorm dampness obtained in a self-administrated questionnaire. , 2007, The Science of the total environment.

[25]  M. Kogevinas,et al.  Socioeconomic status, asthma and chronic bronchitis in a large community-based study , 2007, European Respiratory Journal.

[26]  Jan Sundell,et al.  How valid are parents' questionnaire responses regarding building characteristics, mouldy odour, and signs of moisture problems in Swedish homes? , 2007, Scandinavian journal of public health.

[27]  Felicia Wu,et al.  In Search of a Common European Approach to a Healthy Indoor Environment , 2007, Environmental health perspectives.

[28]  D. Jarvis,et al.  Cat allergen level: its determinants and relationship to specific IgE to cat across European centers. , 2006, The Journal of allergy and clinical immunology.

[29]  Deborah Jarvis,et al.  Distribution and determinants of house dust mite allergens in Europe: the European Community Respiratory Health Survey II. , 2006, The Journal of allergy and clinical immunology.

[30]  P Rudnai,et al.  Parental education and children's respiratory and allergic symptoms in the Pollution and the Young (PATY) study , 2006, European Respiratory Journal.

[31]  Deborah Jarvis,et al.  Socioeconomic status and asthma prevalence in young adults: the European Community Respiratory Health Survey. , 2004, American journal of epidemiology.

[32]  M Airaksinen,et al.  Microbial contamination of indoor air due to leakages from crawl space: a field study. , 2004, Indoor air.

[33]  M. Braubach,et al.  Housing and health in Europe: preliminary results of a pan-European study. , 2003, American journal of public health.

[34]  D. Jarvis,et al.  The European Community Respiratory Health Survey II , 1994, European Respiratory Journal.

[35]  D. Jarvis,et al.  Environmental and occupational disorders Housing characteristics, reported mold exposure, and asthma in the European Community Respiratory Health Survey , 2002 .

[36]  F Neukirch,et al.  The European Community Respiratory Health Survey: what are the main results so far? European Community Respiratory Health Survey II. , 2001, The European respiratory journal.

[37]  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.

[38]  J. Angerer,et al.  Occupational exposure to polycyclic aromatic hydrocarbons in a fireproof stone producing plant: biological monitoring of 1-hydroxypyrene, 1-, 2-, 3- and 4-hydroxyphenanthrene, 3-hydroxybenz(a)anthracene and 3-hydroxybenzo(a)pyrene , 2000, International archives of occupational and environmental health.

[39]  K. Nielsen,et al.  Microfungal contamination of damp buildings--examples of risk constructions and risk materials. , 1999, Environmental health perspectives.

[40]  C. Janson,et al.  Current asthma and biochemical signs of inflammation in relation to building dampness in dwellings. , 1999, The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease.

[41]  A H Aamodt,et al.  Reproducibility of indoor environment characteristics obtained in a walk through questionnaire. A pilot study. , 1999, Indoor air.

[42]  R. Dales,et al.  Indoor air quality and health: validity and determinants of reported home dampness and moulds. , 1997, International journal of epidemiology.

[43]  R. Burnett,et al.  Indoor Air Quality and Health: Reproducibility of Respiratory Symptoms and Reported Home Dampness and Molds using a Self‐Administered Questionnaire , 1994 .

[44]  B. Brunekreef,et al.  Home dampness and childhood respiratory symptoms: the role of sensitisation to dust mites and moulds. , 1994 .

[45]  D. Strachan Damp housing and childhood asthma: validation of reporting of symptoms. , 1988, BMJ.