Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Proceedings: Indoor Air 2002 DO BUILDING-RELATED COMPLAINTS REFLECT EXPECTATIONS? W Bischof1* S Brasche1, B Kruppa2, M Bullinger3 for the ProKlimA Study group 1 Friedrich-Schiller-University Jena, Institute of Occupational, Social and Environmental Medicine, Department of Indoor Climatology Erfurt, Germany 2 Bundesindustrieverband Heizungs-, Klima-, Sanitärtechnik, Bonn, Germany 3 Department for Medical Psychology, University of Hamburg, Germany ABSTRACT Expectations confound the interaction between environment and human perception. Assuming expectations have an important impact on well-being and behaviour, identifying predictors of expectations might be a needful task concerning prevention. Thus, data of 4,596 office workers investigated in phase I of the ProKlimA project have been analysed by multiple logistic regression to find associations between expectations and potential impact variables. Women, subjects working in buildings with air conditioning and employees identified as SBS cases are characterised by consistently higher expectations towards indoor humidity, temperature, air velocity and ventilation quality. Adjusted odds ratios (OR) for ‘SBS cases’ range between 1.61 and 2.52. The risk of having higher expectations ranges between 1.45 and 1.93 for office workers in spaces with air conditioning compared to naturally ventilated rooms. With OR from 1.45 to 1.78, women report higher expectations than men. Building design and facility management should consider related expectations. INDEX TERMS Expectation, SBS symptoms, humidity, ventilation, temperature, air velocity. INTRODUCTION ‘Morphological, spatial, and materialization concepts of office buildings often do not respond to needs, expectations, perception and response-mechanisms of the human brain ....’ (Trasbsky and Vroon, 1990) is a commonly believed but poorly investigated topic in indoor air research. Especially, expectations have been claimed to confound the interaction between environment and human perception. In the main, two aspects of the indoor environment have been discussed in this context: odour and thermal comfort. Creuzevault et al. (1990) demand inclusion of social and cultural analysis of users’ expectations into the development of an indoor air quality prediction model. Therefore, the authors attempt to provide users with better answers regarding control of heat and odour in respect to indoor air quality. Dalton et al. (1996), investigating responses to volatile chemicals, found ‘strong evidence that both the perceived odor and cognitive expectations about a chemical can significantly affect how individuals respond to it’. These findings are consistent with other studies (Knasko, 1992; Schoen, 1997). Concerning thermal comfort aspects Auliciems (1973) concludes that discrepancies between predicted and observed parameters must have resulted from some more subtle and less easily identifiable process of behavioural or physiological adaptation. Cultural expectations (Cena and Sliwowski, 1995) and context-specific expectations (Olesen et al., 2001) might influence the * Contact author email: [email protected] 461 Proceedings: Indoor Air 2002 satisfaction with an indoor climate. Thus, satisfaction ‘results from matching thermal conditions in a given context and one’s thermal expectations of what the indoor climate should be like in the same context’ (de Dear and Brager, 2001). Assuming that expectations are an important impact on well-being and behaviour, identifying predictors of expectations might be a needful task to prevent adverse health effects. METHODS Between 1995 and 1998 14 German office buildings were surveyed by ProKlimA, a multidisciplinary project group [Bischof 1999]. In Phase I of the project an initial questionnaire was applied to all employees of these buildings. Amongst others, the selfadministered questionnaire included a sensory perception module consisting of 9 to 11 items pertaining to 6 different sub-scales and questions related to job satisfaction, allergies, acute illness and to psycho-social and demographic factors [Bullinger 1993]. In addition, the subjects were asked to express their expectations concerning selected parameters of the indoor environment such as lighting, temperature, humidity, ventilation quality, sound level, air velocity and perceived air quality on a 5-point-scale (not, slightly, quite, very and extremely important). Voting ‘extremely important’ has been defined as ‘highly expectant’. Demographic and psycho-social parameters known to be associated with building-related symptoms (Brasche 1999), the type of ventilation (air conditioning vs. natural ventilation) and the expression of symptoms itself (defined as at least 2 subscales of the sensory perception module having at least 3 items ”minor annoying” or more = ‘SBS case’) have been set as explanatory factors. Associations between expectations and explanatory factors are presented as odds ratios. Statistical software SAS, Rel. 8.0 was used for the calculation including linear logistic regression models (OR). RESULTS In total 4,596 office workers took part on phase I of the ProKlimA investigation in 14 office buildings. Table 1 presents the distribution concerning explanatory variables of the investigated sample. Table 1. Sample characteristic concerning potential explanatory variables VARIABLE Female sex ≤ 30 years Low educational level Self reported acute illness Self reported allergy Cold season Low job satisfaction ‘SBS case’ Air conditioning NO YES n % N % 2001 3340 44.3 74.1 2512 1170 55.7 25.9 2193 3647 3127 3249 3292 2826 1882 50.0 83.3 68.1 70.8 71.7 63.0 41.0 2194 730 1462 1340 1297 1656 2707 50.0 16.7 31.9 29.2 28.3 37.0 59.0 Results of the multiple logistic regression analysis are shown in Table 2. 462 Proceedings: Indoor Air 2002 Table 2. Adjusted odds ratios (OR) and 95% confidence intervals (CI) for expectations towards humidity, temperature, air velocity and ventilation comparing demographic, psychosocial factors, building related symptoms and type of ventilation. expectations towards indoor ⇒ sample size prevalence, % female vs. male ≤ 30 years vs. older low educational level self reported acute illness self reported allergy cold season low job satisfaction ‘SBS case’ Air conditioning (AC) humidity temperature air velocity ventilation 4,067 12.5 4,074 16.7 4,048 7.8 4,074 23.1 OR Ci_l\Ci_u OR Ci_l\Ci_u OR Ci_l\Ci_u OR Ci_l\Ci_u 1.60 1.27\1.99 1.16 0.94\1.44 1.78 1.46\2.16 1.66 1.38\2.00 1.45 1.10\1.90 1.03 0.79\1.34 1.62 1.37\1.93 1.65 1.40\1.95 1.06 0.86\1.30 0.97 0.75\1.24 1.08 0.88\1.32 1.04 0.78\1.37 1.23 1.00\1.52 2.51 2.04\3.08 1.72 1.33\2.22 1.06 0.88\1.27 0.89 0.71\1.12 1.03 0.86\1.24 1.06 0.84\1.35 1.05 0.87\1.28 1.61 1.35\1.93 1.65 1.32\2.05 1.44 1.11\1.86 1.13 0.84\1.51 0.95 0.74\1.22 1.25 0.88\1.76 1.19 0.92\1.53 2.52 1.95\3.24 1.93 1.39\2.66 0.95 0.81\1.12 0.91 0.74\1.11 1.12 0.96\1.32 0.92 0.75\1.14 1.12 1.00\1.41 1.87 1.59\2.19 1.45 1.20\1.76 Expectations toward ventilation are characterized by the highest prevalence – almost a quarter of all subjects investigated judge ventilation quality as an extremely important issue. Prevalence concerning air velocity are the lowest with 7.8 %. Statistically significant associations (p<0.05) concerning all 4 types of expectations were found for sex, SBS symptoms and type of ventilation. Consistently higher expectations were reported from women, subjects identified as SBS cases and those working in buildings/indoor spaces with air conditioning. Subjects below 31 years of age report higher expectation towards temperature and ventilation. Low job satisfaction is associated with significantly higher expectations towards indoor humidity and ventilation. Subjects characterized by a low educational level report higher expectation towards air velocity. No associations were found between expectation and disposition (acute illness, allergy) or season. Significant intercorrelations between all types of expectations exist at a low to medium level. Pearson correlation coefficients range from 0.352 to 0.442 (p<0.0001). DISCUSSION Expectations toward the indoor environment are influenced by multiple factors. Thermal comfort – the ‘oldest’ field of systematic research related to the indoor environment – has already included alternatives to explain artefacts of the conventional comfort theory. Thus, the adaptive model understands that ‘building occupants are not simply passive recipients of their building’s internal thermal environment, like climate chamber experimental subjects, but rather, they play an active role in creating their own thermal preferences’ (de Dear and Brager, 2001). Such preferences are understood to be influenced by past thermal experiences and current thermal expectations. Differences between predicted and observed comfort parameters have been noticed mainly in naturally ventilated buildings, where comfort temperatures show a much wider range as predicted by the PMV model (Olesen et al., 2001). Similar tendencies have been noticed for mean indoor air velocities (de Dear and Brager, 2001). In our sample, adjusted odds ratios show too a significant risk of higher expectations toward temperature and 463 Proceedings: Indoor Air 2002 air velocity from subjects who work in buildings with air conditioning. Above that, working in AC buildings is associated with generally higher expectations concerning indoor air, such as ventilation quality and humidity. Expectations toward lighting, sound level, and perceived air quality (data not shown) are not characterised by higher risk for AC buildings but are associated with SBS symptoms. Thus, light, sound and smell seems to be a matter of general concern and not specifically related to air conditioned spaces. With the inclusion of the information that those subjects complaining about SBS symptoms report consistently higher expectations into SBS models their ‘background noise’ might be reduced and such, identifying additional impact factors might be possible. On the other hand, changes in the level of expectations might be a consequence of past sensory and/or psychosocial experiences. CONCLUSION Subjects’ expectations have a remarkable impact on the prevalence of building-related symptoms. Women, employees working in office buildings with air conditioning and subjects reporting SBS symptoms are characterised by consistently higher expectations (significant OR rage from 1.45 to 2.52) towards indoor humidity, temperature, air velocity and ventilation quality. Building design and facility management should consider related expectations of occupants. ACKNOWLEDGEMENT The ProKlimA-project was supported by a grant of the German Ministerium für Bildung, Wissenschaft, Forschung und Technologie (BMBF). REFERENCES Auliciems A 1973. Thermal sensations of secondary schoolchildren in summer. J Hyg 71:453458. Bischof W, Brasche S, Bullinger M, et al. 1999. ProKlimA – history, aim and study design. Proceedings of the 6th Proceedings of the 8th International Conference on Indoor Air Quality and Climate – Indoor Air ’99, Vol 5, pp 376-381. Edinburgh: Indoor Air ’99. Brasche S, Bullinger M, Gebhardt H, et al. 1999. Factors determining different symptom patterns of Sick Building Syndrome. Results from a multivariate analysis. Proceedings of the 8th International Conference on Indoor Air Quality and Climate – Indoor Air ’99, Vol 5, pp 402-407. Edinburgh: Indoor Air ’99. Bullinger M, Frick U, Kirchberger I, et al. 1993. Assessing components and determinants of the Building Illness Syndrome. Proceedings of the 6th International Conference on Indoor Air Quality and Climate – Indoor Air ’93, Vol 1, pp 755-760. Helsinki: Indoor Air ’93. Cena, K, Sliwowski, L 1995. Social and behavioural aspects of thermal comfort field studies. Proc Healthy Buildings '95 3:1737-742. Creuzevault, D, Cluzel, D, Dalicieux, P, Fauconnier, R 1990. An indoor air quality predication model. Proc Indoor Air '90 4:165-170. Dalton, P, Wysocki, CJ, Brody, MJ, Lawley, HJ 1997. The influence of cognitive bias on the perceived odor, irritation and health symptoms from chemical exposure. Int Arch Occup Environ Health 69:407-417. de Dear R, Brager GS 2001. The adaptive model of thermal comfort and energy conservation in the built environment. Int J Biometeorol 45:100-08. 464 Proceedings: Indoor Air 2002 Knasko, SC 1992. Ambient odor's effect on creativity, mood, and perceived health. Chem Sens 17:27-35. Olesen BW, de Dear R, Brager GS 2001. Status and new developments in indoor thermal environmental standards. JHES 5:1-12. Schoen, LJ 1997. Why are there few air quality complaints in retail spaces?. Proc Healthy Buildings '97 2:523-528. Trabsky, W, Vroon, P 1990. A psychological approach of the sick building syndrome, based on the evolution of the human brain. Proc Indoor Air '90 1:793-798. 465