Elsevier

Public Health

Volume 119, Issue 7, July 2005, Pages 568-577
Public Health

Prevalence of annoyance attributed to electrical equipment and smells in a Swedish population, and relationship with subjective health and daily functioning

https://doi.org/10.1016/j.puhe.2004.07.011Get rights and content

Summary

Background

Self-reported annoyance from electrical equipment has been in evidence since the mid-1980s, and the first reports of illness from everyday chemicals arose in the 1960s. However, the extent of the problem has not yet been fully established.

Aims

The aim of this study was to estimate the prevalence of annoyance related to electrical and chemical factors in a Swedish general population, and to assess possible relationships with subjective health and daily functioning.

Methods

In total, 13,604 subjects, representative of the population of Scania, Sweden, answered a survey containing five questions regarding annoyance from five environmental factors: fluorescent tube lighting, visual display units, other electrical equipment, air that smells of chemicals, and other smells. The survey also obtained data on self-reported health (SRH-7), mental well-being [General Health Questionnaire (GHQ)-12], work situation and daily functioning.

Results

Almost one-third of the respondents reported annoyance from at least one environmental factor. Annoyance was more frequent among women, subjects of working age and immigrants. Subjects who reported environmental annoyance scored higher on GHQ-12 and lower on SRH-7, indicating impaired subjective physical and mental well-being. They were also more likely to report deteriorated daily functioning.

Conclusions

Annoyance related to electrical and/or chemical factors was common in a Swedish population. Subjects reporting environmental annoyance rated their overall health significantly poorer than the general population. The association with subjective health and functional capacity increased with severity of annoyance, which suggests that there is some connection between environmental annoyance, well-being and functional capacity.

Introduction

In the late 1950s and 1960s, Theron Randolph wrote about illness arising from non-allergic susceptibility and maladaptation to environmental irritants such as environmental and indoor chemicals.1 Self-reported annoyance from electromagnetic fields (EMFs) was first described in the literature in the mid-1980s.2, 3 Most of the early reports on EMF-related complaints were mainly concerned with dermatological symptoms associated with work with visual display units (VDUs). Later, reports of more general neurasthenic symptoms, associated not only with VDUs but with a variety of electrical equipment, were made public.4 The most frequently reported symptoms in groups suffering from sensitivity to electricity or VDUs including television and fluorescent tube lighting (FTL), were skin complaints, fatigue, pain and dizziness.5 Those who claimed to be sensitive to electricity in general reported a wider range of symptoms than the group who was mainly sensitive to VDUs or fluorescent lighting. Symptoms most frequently reported in multiple chemical sensitivity (MCS), also known as ‘idiopathic environmental intolerance’, involve the central nervous system, respiratory system and gastrointestinal tract.6

Although self-reported problems associated with VDUs, fluorescent lighting and other electrical devices have been recognized for almost 20 years, the extent of the problem in the general population has not been established. The presumed number of cases of ‘electromagnetic hypersensitivity’ in European countries varies from 10 to more than 10,000.7 Concern about the problem has varied between countries, as have the types of complaints reported. In attempts to estimate the prevalence in different European countries, Sweden and Germany seemed to have the highest number of affected persons.7 A prevalence of self-reported hypersensitivity to electrical or magnetic fields of 1.5% was reported in a city population in Stockholm, Sweden8 and 3.2% in a Californian population.9 In the Californian study, sensitivity or allergy to everyday chemicals was reported by 23.1% of respondents. A combination of sensitivity to electrical devices and everyday chemicals was reported by 1.8% of respondents. A few years previously, the same question about sensitivity to chemicals in California resulted in a prevalence of 15.9% for self-reported sensitivity.10

Self-reported sensitivity to electricity has been found to be more common among women8 and among those with a lower socio-economic status (SES).8, 11 The Swedish study found a higher prevalence in people born outside the Nordic countries, while the Californian study found ethnicity other than White, Black or Hispanic to be predictive of the report of being hypersensitive to EMFs. While Hillert et al.8 found the highest prevalence of self-reported hypersensitivity to EMF in persons aged 60–69 years, Frick et al.12 found no difference between age groups in reporting ‘EMF-related symptoms’. Women have also been found to be more susceptible to, or over-represented in complaints of, chemical sensitivity,10, 13, 14, 15, 16, 17 while the impact of factors such as ethnicity, income and age has been less clear.

A number of provocation tests have failed to show that people experiencing sensitivity to EMFs or electrical devices were better than a control group at distinguishing real exposure to EMFs from sham exposure.11, 18, 19, 20, 21

Subjects suffering from environmental illness mainly related to chemicals have been found to be more anxious, stressed, depressed and functionally disabled, and report more medical disability, impaired functioning and more days in bed due to disability.14, 22, 23, 24, 25 In a review article, Black26 confirmed the image of subjects with MCS as being more depressed and scoring higher on scales of anxiety, depression and somatization. Women with self-reported poor health attributed to chemicals have been reported to show poorer overall health and increased disability.27 A qualitative study on 12 women with environmental sensitivity indicated a multiple-system involvement with changes to personal health, environment and occupation that contributed to a decline in occupational performance.28

Since several studies have failed to find objective signs of allergic reactions present in subjects claiming sensitivity to electricity, the only way to examine the prevalence of this ‘syndrome’ is through self-reports. Previous studies in this field have examined the prevalence of self-reported sensitivity or hypersensitivity against environmental factors. However, for a person to regard him/herself as hypersensitive against some factor, there should be an annoyance reaction, or experiences of unpleasant symptoms, combined with an attribution of this annoyance or symptoms to some stimuli. The prevalence of attribution of irritation or annoyance to electricity or smell-related environmental stimuli in the general population, without necessarily leading to the subject regarding him/herself as hypersensitive, has not yet been examined.

The aim of this study was to estimate the prevalence of attribution of annoyance to electrical devices, chemicals and smells in a Swedish general population, and to assess the distribution of this annoyance attribution in various demographic and socio-economic groups. We further aimed to investigate whether subjects reporting such annoyance presented reduced subjective health status and functional capacity.

Section snippets

Subjects

A postal questionnaire was sent to a non-proportional geographically stratified sample of 24,922 persons born between 1919 and 1981 and living in Scania (Skåne, the southernmost county of Sweden) in November 1999–April 2000. In total, 7402 women and 6202 men responded, giving a response rate of 59%.29

Questions about environmental annoyance

Five questions regarding annoyance from environmental factors were included in the survey. These questions were: ‘During the past 14 days, did you experience annoyance that you associate with: (1)

Results

Of the respondents, 30.2% (CI 29.4–31.0) reported annoyance, to any degree, from at least one environmental factor. In response to the five basic questions, ‘other smells’ was the factor most frequently reported as annoying (Table 1). Of the electrical environmental factors, VDUs were most frequently associated with reports of some annoyance, while FTL was most commonly associated with reports of much annoyance. Of all five factors, ‘other electrical equipment’ was most rarely associated with

Discussion

Annoyance attributed to electrical and/or chemical factors was common in the general Swedish population. To have been ‘very annoyed’ in association with any of these factors was also common. The questions in this survey differ from previous prevalence studies8, 10, 13 in that we did not ask about suffering from sensitivity to electricity or MCS, but only about annoyance attributed to various factors, which seems to have given a larger proportion of positive answers. We do not know how many of

Conclusion

In conclusion, annoyance attributed to environmental factors was common in a general Swedish population. Such annoyance attribution was most frequent among women, people outside the labour market, immigrants, and people of working age. Subjects associating annoyance with electrical devices, chemicals and smells rated their overall health and functional capacity significantly poorer than that of the general population.

Acknowledgements

The authors thank Juan Merlo for valuable discussions and comments on the methods. This study was financially supported by the Swedish Council for Working Life and Social Research, project #2001-0321 and 0322.

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