OKULLARDA HASTA BİNA SENDROMU YAYGINLIĞI İLE İÇ ORTAM HAVA KALİTESİ ARASINDAKİ İLİŞKİNİN DEĞERLENDİRİLMESİ
Bu çalışmanın amacı, Türkiye’nin batısında yer alan kırsal ve kentsel bölgelerdeki ilköğretim okullarında Hasta Bina Sendromu (HBS) yaygınlığı ile iç ortam hava kalitesi arasındaki ilişkiyi değerlendirmektir. Bu kesitsel çalışma, kırsal ve kentsel alanlardan rastgele seçilen üç okulda Eylül-Kasım 2018 tarihleri arasında gerçekleştirildi. Öğrenci velileri tarafından, iç ortam hava kalitesi algısı ve HBS’yi tanımlamaya yönelik hazırlanan anket formu dolduruldu. Belirlenen günlerde sınıflarda partikül madde (PM) ve karbondioksit (CO2) seviyeleri ölçüldü. HBS ile bazı değişkenler arasındaki ilişkiyi incelemek için çoklu lojistik regresyon modeli oluşturuldu. Araştırma 966 öğrencide gerçekleştirildi. HBS prevalansı %10,2 olarak bulundu. En sık görülen HBS semptomları yorgunluk, burun tıkanıklığı-akıntısı, öksürük ve baş ağrısı olarak sıralandı. Ölçülen ortalama PM2.5, PM10 ve CO2 değerleri kentsel bölgede kırsal bölgeye göre daha yüksekti. HBS olma riski; ilkokul öğrencilerinde, sınıf hava kalite algısı, sınıf aydınlatma algısı ve sınıf gürültü algısı kötü olanlarda, PM2.5 ve PM10 değerlerinin daha yüksek ölçüldüğü sınıflardaki öğrencilerde daha yüksek bulundu. Her on öğrenciden birinde HBS vardı. HBS ile iç ortam hava kalitesinden rahatsız olma durumu ve artan CO2 ve PM değerleri arasında bir ilişki vardı. Okullarda HBS konusunda farkındalığın artırılması ve ilgili unsurların iyileştirilmesine yönelik çalışmaların yapılmasının önemli olduğu düşünülmektedir.
EVALUATION OF THE RELATIONSHIP BETWEEN SICK BUILDING SYNDROME PREVALENCE AND INDOOR AIR QUALITY IN SCHOOLS
In this study, it was aimed to evaluate the relationship between Sick Building Syndrome (SBS) prevalence and indoor air quality in primary and middle schools in rural and urban areas in the west of Turkey. This cross-sectional study was carried out between September and November 2018 in three randomly selected schools in rural and urban areas. The questionnaire designed to reveal perceived indoor air quality and SBS was completed by the parents of the students. On determined days, particulate matter (PM) and carbon dioxide (CO2) levels were measured in the classrooms. Multiple logistic regression model was developed to investigate the relationship between SBS and some variables. The study was conducted on 966 students. The prevalence of SBS was found to be 10.2%. The most common SBS symptoms were listed as fatigue, nasal congestion-discharge, cough, and headache, respectively. The measured PM2.5, PM10, and CO2 values were higher in the urban area than in the rural area. The risk of SBS was found to be higher in primary school students, in students who have poor perceived classroom air, lighting, and noise quality, and in students studying in classrooms with higher PM2.5, PM10, and CO2 values. One in ten students had SBS. There was a relationship between SBS and poor perceived indoor air quality and increased CO2 and PM values. Raising awareness about SBS and conducting studies aimed at improving related factors in schools are thought to be important.
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