Results-A total of 273 subjects (69%) collected a PEF meter but a completed record sheet was returned by only 247 (62%); this was still significantly more than the 202 subjects (54%) who attended for and successfully completed a challenge test. Amplitude % mean was higher in women than in men (9.7% v 8.5%). In multiple regression analysis amplitude % mean increased significantly with age, mean skin weal diameter, and with current smoking. The odds of having a PD20 below 24 5,umol increased with mean skin weal diameter and were greater in current smokers. Neither age nor sex had a significant effect on bronchial reacitvity but there were significant interactions between age and the effects of both smoking and atopy. Conclusions-The higher response rate associated with the use of PEF variability measurement, and the association with factors implicated in the pathogenesis of airways disease, suggest that PEF variability would be a useful measurement to employ in epidemiological studies. (Thorax 1993;48:899-905)