Abstract

BackgroundElectromagnetic hypersensitivity refers to health effects attributed to electromagnetic fields (EMF) exposure and has been formally named “idiopathic environmental intolerance attributed to electromagnetic fields” (IEI-EMF) by the World Health Organization. Because of the growing use of cell phones, IEI-EMF has become a global public health concern. A survey in 2007 in Taiwan showed that the prevalence rate of IEI-EMF was 13.3%, which is higher than rates in studies conducted previously. The survey also found that the rate was higher in women.MethodsTo evaluate whether the prevalence rate of IEI-EMF is increasing and to verify the higher risk in women, we conducted a nationwide questionnaire survey using the same methods as the 2007 survey to assess the change in the prevalence rate of IEI-EMF in Taiwan. We also conducted a review of the literature and a meta-analysis to evaluate the changes in the prevalence rate around the world.ResultsOn the basis of the representative sample of 3303 participants, we found that the prevalence rate of IEI-EMF in Taiwan declined from 13.3% to 4.6% over a period of 5 years. The literature review also found the prevalence rates in other countries to be decreasing, instead of increasing as predicted previously. The meta-analysis of the data from the literature showed that women are more likely to have IEI-EMF than men, with an odds ratio of 1.19 (95% confidence interval: 1.01—1.40).ConclusionsWe found the prevalence rate of IEI-EMF has been declining, instead of increasing as predicted previously. Women are more likely to report having IEI-EMF than men. Further studies to explore the causes leading to the declines may help the public, scientific community, and government deal with idiopathic intolerance to other environmental exposures.

Highlights

  • Electromagnetic hypersensitivity refers to health effects attributed to electromagnetic fields (EMF) exposure and has been formally named “idiopathic environmental intolerance attributed to electromagnetic fields” (IEI-EMF) by the World Health Organization

  • Households were randomly selected from each of the 25 geographical areas of Taiwan according to proportional population size, and a respondent above 18 years of age was enrolled from each household

  • To compare the results of our survey with those of the 2007 survey, we adjusted the IEI-EMF prevalence rate for sex, education level, and age according to the demographic data in 2007 reported by the government

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Summary

Introduction

Electromagnetic hypersensitivity refers to health effects attributed to electromagnetic fields (EMF) exposure and has been formally named “idiopathic environmental intolerance attributed to electromagnetic fields” (IEI-EMF) by the World Health Organization. A survey in 2007 in Taiwan showed that the prevalence rate of IEI-EMF was 13.3%, which is higher than rates in studies conducted previously. As IEI-EMF constitutes a worldwide public health issue, its prevalence rate has been investigated globally. It was reported in 1998 as 3.2% in California [12] and in 2004 as 5% in Switzerland [13]. A survey in Taiwan in 2007 showed that the prevalence rate was 13.3% [14], much higher than those reported in other countries. To evaluate whether the prevalence of IEI-EMF is increasing, we conducted a survey in Taiwan using the same methods as those in the 2007 survey [14] and performed a meta-analysis to assess the global time trend in the prevalence rate. We conducted a review of the literature on the difference in the risk between the two sexes

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