We conducted a 1-year epidemiologic study in Boston, Massachusetts, beginning May 1997, to examine the associations between environmental factors and office workers' health. We recruited 98 subjects (81 females and 17 males) in 21 offices in four office buildings. We conducted environmental sampling every 6 weeks and concurrently administered detailed questionnaires to collect information on work-related symptoms, psychosocial factors, and perceptions of the office environments. In multivariate analyses, eye irritation was positively correlated with floor dust [odds ratio (OR) = 1.46; 95% confidence intervals (CI), 1.14-1.86] and reported lack of office cleanliness (OR = 1.52; 95% CI, 1.11-2.08). Nonspecific symptoms were positively associated with unidentified chair fungi (OR = 1.87; 95% CI, 1. The first three symptom groups are commonly considered part of the BRS complex, although individual symptoms within each group may be associated with other welldefined diseases. Lower respiratory symptoms are usually considered as building-related illness and suggest the presence of asthma, hypersensitivity pneumonitis, or lower respiratory infection. Eye irritation included reported "dry/irritated eyes" and "tired eyes." The nonspecific symptom group included seven symptoms: "headache," "unusual tiredness," "tension," "difficulty concentrating/remembering things," "dizziness," "feeling depressed," and "nausea." Upper respiratory symptoms included "sore/dry throat," "sinus congestion," "cough," and "sneezing." Lower respiratory symptoms included "wheezing," "chest tightness," and "shortness of breath." The symptom groups were determined according to the categories commonly used in previous investigations (Eriksson et al. 1996;Redlich et al. 1997) and the clinical judgment of one coauthor.A symptom was considered building related if a participant experienced the symptom at least one day per week during the past month and felt better when away from work (Sieber et al. 1996). A symptom group was then defined as present if a subject reported at least one BRS from the group, except that the nonspecific symptom group was defined as present if at least two of its components were reported. Symptom groups were used as outcome variables to correlate with predictor variables.Predictor variables. Variables used for fungal exposures were total culturable airborne fungal concentrations [colony-forming units (CFU) per cubic meter of air], total culturable fungal concentrations in floor dust (CFU per square meter of floor), and total culturable fungal concentrations in chair dust (CFU/chair). In addition, we used factor scores of the fungal groups derived from principal component analysis (PCA) for airborne (four PCA factors), floor (six PCA factors), and chair fungi (six PCA factors). PCA is a variable reduction procedure that can identify important subsets (i.e., principal components) of the original set of variables (Cody and Smith 1997;Jongman et al. 1995;Kleinbaum et al. 1988). PCA factor scores were calculated using linear combina...