Seasonal variation in perceived indoor environment and nonspecific symptoms in a temperate climate.

Few epidemiological studies have examined the effects of season on symptoms typical of sick building syndrome (SBS). The present study aims to clarify seasonal variation in a perceived indoor environment and SBS symptoms in a temperate climate. A total of 116 workers were recruited from office buildings in southern Japan that presented no apparent serious indoor problems. A validated questionnaire was distributed four times, once at the end of each season. Seasonal effects on the perceived indoor environment and SBS symptoms were investigated with a parametric test for repeated measurement of categorical data. Logits were used as the response function, and were compared to overall logits to determine the relevant odds ratios (OR). The effect of season/building interaction was also evaluated. Significant seasonal variation in the perceived indoor environment was found for temperature, dryness, air stuffiness, and static electricity (p for season, <0.05), although the seasonal patterns for temperature and dryness differed according to the building (p for interaction, <0.05). Symptoms in the mucous membrane (eyes, nose, and throat) and skin increased considerably in the winter and spring (p for season, <0.05), whereas general symptoms varied little, but such seasonality of symptoms was not modified by the building factor. The associations between perception of indoor environments and mucous and skin symptoms became stronger during winter and spring. The present results suggest that perceived indoor environments, nonspecific symptoms and their associations are closely associated with the season among office workers in a temperate climate.