The presented study reports the prevalence of somatic symptoms in three study samples living in the vicinity of composting plants. Microorganisms were measured in the air of the residential areas closest to the plants at the same time an epidemiological investigation was performed in the neighborhood near (150 to 1,500 m) to three plants and in corresponding control residential areas of the same district. Nine hundred and seventy-nine residents were questioned about the odor annoyance in their vicinity. An instrument measuring somatic complaints (SOMS 2 acc. Rief et al., 2001) was used to determine the unexplained somatic symptoms of the past two years and a gender-independent Total Complaint Index (TCI) was calculated. The percentages of study population reporting somatic symptoms were higher in all six samples in comparison with the German population (Rief et al., 2001) and in samples living near composting sites compared to the corresponding control samples. The study sample living close to site A (exposed to bioaerosols and odor annoyance) had the highest rates of complaints. A difference could be seen in comparison to the corresponding control sample (TCI: p[Anear vs. Acontrol] = 0.001; Mann-Whitney). In this group breathlessness was reported more than twice as often as in the other three samples. Out of the five most frequently reported symptoms four corresponded to the five complaints the German population reports most frequently in all groups. Nausea was the fifth most reported symptom in both samples reporting annoying residential odors (Anear and Bnear). The type of somatic symptoms reported most often was influenced little by environmental odors and medically relevant bioaerosol concentrations, except for nausea in context with annoying residential odors. As expected frequency of reporting general somatic symptoms was influenced by the perceived environment near the three composting sites. Concerning the sum of bodily complaints (TCI) though, this was only significant in the group exposed to medically relevant concentrations of residential outdoor bioaerosols, which was accompanied by high rates for breathlessness. The SOMS2 was able to mirror measurable, medically relevant environmental exposures in study groups and showed fewer changes concerning annoying or presumed environmental exposures.

中文翻译：

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堆肥场所附近居民体臭症状的排名和频率

本研究报告了生活在堆肥植物附近的三个研究样本中的躯体症状患病率。在距离植物最近的居民区的空气中对微生物进行了测量，同时在靠近三个植物的地区（150至1,500 m）以及同一地区的相应对照居民区中进行了流行病学调查。询问了979名居民附近的气味烦扰。使用一种测量躯体不适的仪器（SOMS 2，Rief等，2001）确定过去两年无法解释的躯体症状，并计算出与性别无关的总投诉指数（TCI）。与德国人口相比，所有六个样本中报告有躯体症状的研究人群百分比都较高（Rief等人，2001），并且与相应的对照样本相比，生活在堆肥场所附近的样本中的百分比更高。生活在地点A附近的研究样本（暴露于生物气溶胶和异味烦扰）的投诉率最高。与相应的对照样品相比，可以看到差异（TCI：p [Anear vs. Acontrol] = 0.001； Mann-Whitney）。在该组中，据报告呼吸困难是其他三个样本的两倍多。在五种最常报告的症状中，有四种与德国人口在所有群体中最常报告的五种投诉相对应。在两个报告中令人讨厌的住宅气味（Anear和Bnear）的样本中，恶心是第五大报告的症状。所报告的躯体症状类型通常不受环境气味和医学上相关的生物气溶胶浓度的影响，除了带有令人讨厌的住宅气味的恶心外。正如预期的报告一般躯体症状的频率一样，受三个堆肥场所附近的感知环境影响。但是，就身体不适总和（TCI）而言，这仅在暴露于医学上相关浓度的居民室外生物气溶胶的人群中非常重要，并且伴随着呼吸困难的发生率很高。SOMS2能够反映出可衡量的