Effects of mold, water damage and window pane condensation on adult rhinitis and asthma partly mediated by different odors

Abstract

A questionnaire survey was performed in eight Chinese cities (40,279 adults participated; response rate 75%). There were questions on demographic information of the participants, allergic rhinitis, asthma, perceived odors and home environment. The majority were women (74.7%) and 12.2% were smokers; 6.6% reported allergic rhinitis and 1.6% reported asthma. Totally 38% reported stuffy odor; 24.6% unpleasant odor; 11.5% pungent odor and 10.4% mold odor. Reporting of condensation on window panes were common (62.1%); visible mold or dampness stains (21.9%) and water damage (14.7%) were less common. All dampness indicators were associated with allergic rhinitis and asthma (OR = 1.34–1.87) and all odors (OR = 1.79–6.17). All odors were associated with allergic rhinitis and asthma (OR = 1.23–4.51). Odor perception was partly a mediator of the effects of mold and dampness on allergic rhinitis (% of total effect mediated: 2.7–9.8%) and asthma (2.2–10.7%) when adjusting for other home environment factors. Increased mediation effects for allergic rhinitis (% of total effect mediated: 11.2–17.4%) and asthma (% of total effect mediated: 5.5–14.7%) were found for total odor score (0–8) as compared to the mediation effects for four single odors. In conclusion, mold and dampness in dwellings were associated with adult allergic rhinitis, asthma and odors. Different odors were related to allergic rhinitis and asthma. Some of the effects of mold/dampness on allergic rhinitis and asthma were indirect effect mediated by odors from damp buildings, but most of the effects were direct effects.

Symptom Clusters