办公人员患病大楼综合症相关研究综述

Zaza Hulwanee, Titi Rahmawati
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摘要

背景:“病态建筑综合症”(SBS)一词在20世纪80年代开始流行起来。到目前为止,对这一问题的研究主要是在办公室工作人员中进行的,然后扩大到在医院工作的保健工作者、居民和学童。本综述的目的是确定过去15年来对SBS进行的研究的范围,特别是在办公室人员中进行的研究,以确定在疾病性质、风险因素、个人和经济后果、预防策略和现有干预策略的成本效益方面的知识差距。材料和方法:使用PubMed和Medline数据库检索2003年1月至2018年5月发表的文章。搜索是基于纳入标准和关键词“病态建筑综合症”和“办公室人员”。在最后阶段对23篇文章进行了评估和审查。结果:共发现14项横断面研究、3项纵向研究、1项队列研究、1项病例对照研究、1项病例报告、1项系统评价和流行病学模型研究以及1项成本效益研究。这些研究在美国、日本、瑞典、芬兰、德国、挪威、马来西亚、台湾和埃及进行。21项研究侧重于流行病学,主要是SBS症状的患病率、危险因素和预测因素。一项研究调查了减少SBS的环境干预的成本和收益,另一项研究是分析化学。结论:这些研究涵盖了与SBS的长期后果、导致SBS的行为因素、SBS的经济后果以及减少SBS的环境干预策略的成本效益相关的研究领域,但数据缺乏仍然是一个问题。同时,缺乏对SBS的认识和态度以及个人预防SBS措施方面的研究。需要对这些特定领域进行进一步的研究。
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A REVIEW OF STUDIES RELATED TO SICK BUILDING SYNDROME AMONG OFFICE PERSONNEL
Background: The term “sick building syndrome” (SBS) had started to gain popularity in the 1980s. So far, studies on this subject have been conducted among office personnel and then extended to include healthcare workers working in hospitals, residents, and schoolchildren. The aim of this review is to identify the scope of research of the studies conducted on SBS in the last 15 years, particularly among office personnel, to determine the knowledge gap in the nature of illness, risk factors, individual and economic consequences, preventive strategies, and costeffectiveness of the available intervention strategies. Materials and Methods: PubMed and Medline database were used for the purpose of searching for articles published from January 2003 to May 2018. The search was based on the inclusion criteria and the keywords “sick building syndrome” and “office personnel”. Twentythree articles were assessed and reviewed in the final stage. Results: Fourteen cross-sectional studies, three longitudinal studies, one cohort study, one case-control study, one case report, one systematic review, and epidemiological modelling, and one cost-benefit study were found. These studies were conducted in the US, Japan, Sweden, Finland, Germany, Norway, Malaysia, Taiwan, and Egypt. Twenty-one studies focus on epidemiology, mainly the prevalence on SBS symptoms, risk factors, and predictors. One study looked into the cost and benefit of environmental interventions to reduce SBS and the other study was on analytical chemistry. Conclusion: Study areas related to long-term consequences of SBS, behavioural factors contributing to SBS, economic consequences due to SBS, and cost-effectiveness of environmental intervention strategies to minimise SBS have been covered in those studies but scarcity of data remains an issue. Meanwhile, studies in the area of knowledge and attitudes towards SBS, as well as individual preventive measures for SBS are lacking. Further research focusing on these particular domains is called for.
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