Online supporting information for the following article published in Indoor Air DOI: TO BE ADDED BY THE PRODUCTION EDITOR Higher Measured Moisture in California Homes with Qualitative Evidence of Dampness Janet M. Macher,1 Mark J. Mendell,1 Kazukio Kumagai,1 Nina T. Holland,2 José M. Camacho,3 Kim G. Harley,2 Brenda Eskenazi,2 and Asa Bradman2 1 Environmental Health Laboratory Branch, California Department of Public Health, 850 Marina Bay Parkway, Richmond, CA 94804-6403, USA 2 Center for Children’s Environmental Health Research, School of Public Health, University of California, Berkeley, 2150 Shattuck Avenue, Berkeley, CA 94704-1358, USA 3 Center for the Health Assessment of Mothers and Children of Salinas (CHAMACOS), Natividad Medical Center, 1441 Constitution Boulevard, Salinas, CA 93906-3100, USA Corresponding Author: Janet Macher, 850 Marina Bay Parkway G-365/EHLB, Richmond, CA 94804-6403, (510) 620-2859 (510) 620-2859, Janet.Macher@cdph.ca.gov Page 1 of 13 Table S1 Comparison of systematic living room (LR) and bedroom (BR) moisture readings at prescribed wall locations in homes with vs those without specific qualitative indicators of dampness for the averages and maxima of multiple measurements Indicators (present vs absent)a LR moisture readings (%WME) (N = 653 home visits) BR moisture readings (%WME) (N = 714 home visits) Musty odor vs no odor Average Ratiob Average Ratio GM (GSD) 13.1 (1.3) vs 11.5 (1.3) 1.14 14.3 (1.4) vs 12.2 (1.3) 1.18 Mann Whitney test p = 0.01 p = 0.003 Maximum Ratio Maximum Ratio GM (GSD) 14.9 (1.4) vs 12.7 (1.3) 1.17 17.0 (1.5) vs 13.8 (1.4) 1.23 Mann Whitney test p = 0.02 Visible mold vs no mold p = 0.0001 Average Ratio Average Ratio GM (GSD) 12.5 (1.3) vs 11.2 (1.3) 1.11 13.4 (1.3) vs 11.7 (1.3) 1.15 Mann Whitney test p <0.0001 p <0.0001 Maximum Ratio Maximum Ratio GM (GSD) 14.0 (1.4) vs 12.2 (1.3) 1.15 15.7 (1.5) vs 13.1 (1.3) 1.20 Mann Whitney test p = 0.0002 p <0.0001 Page 2 of 13 Indicators (present vs absent)a LR moisture readings (%WME) (N = 653 home visits) BR moisture readings (%WME) (N = 714 home visits) Rotting wood vs no rot Average Ratio Average Ratio GM (GSD) 13.1 (1.3) vs 11.6 (1.3) 1.13 13.8 (1.4) vs 12.2 (1.3) 1.13 Mann Whitney test p = 0.002 p = 0.15 Maximum Ratio Maximum Ratio GM (GSD) 14.9 (1.4) vs 12.7 (1.3) 1.17 15.9 (1.5) vs 13.9 (1.4) 1.14 Mann Whitney test p = 0.04 Water damage vs no damage p = 0.08 Average Ratio Average Ratio GM (GSD) 12.5 (1.3) vs 11.5 (1.3) 1.09 13.1 (1.4) vs 12.2 (1.3) 1.07 Mann Whitney test p = 0.0002 p = 0.04 Maximum Ratio Maximum Ratio GM (GSD) 14.3 (1.4) vs 12.6 (1.3) 1.13 15.3 (1.5) vs 13.8 (1.4) 1.11 Mann Whitney test p = 0.002 p = 0.05 Page 3 of 13 Indicators (present vs absent)a LR moisture readings (%WME) (N = 653 home visits) BR moisture readings (%WME) (N = 714 home visits) Peeling paint vs no peeling paint Average Ratio Average Ratio GM (GSD) 12.1 (1.3) vs 11.0 (1.2) 1.10 12.7 (1.3) vs 11.7 (1.4) 1.08 Mann Whitney test p = 0.001 p = 0.001 Maximum Ratio Maximum Ratio GM (GSD) 13.4 (1.4) vs 12.1 (1.3) 1.11 14.4 (1.4) vs 13.4 (1.4) 1.07 Mann Whitney test p = 0.002 Kitchen leak vs no leak p = 0.003 Average Ratio Average Ratio GM (GSD) 12.0 (1.3) vs 11.7 (1.3) 1.03 12.8 (1.3) vs 12.3 (1.3) 1.04 Mann Whitney test p = 0.04 p = 0.02 Maximum Ratio Maximum Ratio GM (GSD) 13.2 (1.3) vs 12.9 (1.4) 1.02 14.6 (1.4) vs 14.0 (1.4) 1.04 Mann Whitney test p = 0.11 p = 0.08 a Musty odor, rotting wood, water damage, and peeling paint anywhere in the house; visible mold in any room other than a bathroom; and kitchen leak at kitchen sink. b Ratio = (GM if indicator present)/(GM if indicator absent). Page 4 of 13 Table S2 Frequencies of observing four selected dampness indicators associated with higher measured moisture in both living rooms, LRs, and bedrooms, BRs (N = 737 home visits, HVs) Qualitative dampness indicatorsc Overall GMb (GSD) Musty Visible Peeling Water (%WME) odor mold paint damage Number of indicators Wall GMa (number of HVs, % of HVs (GSD) % of 737 HVs) in group (%WME) No indicators (N = 112, 15%) 100% 12.3 (1.3) 12.7 (1.3) 1 indicator (N = 330, 45%) <1% 16.3 (1.2) 18.0 (1.1) 21% 14.7 (1.5) 15.8 (1.5) 77% 13.9 (1.3) 14.8 (1.4) 2% 11.6 (1.2) 11.6 (1.2) 9% 17.2 (1.4) 21.3 (1.6) 12% 17.5 (1.4) 19.4 (1.5) * 9% 17.1 (1.4) 18.5 (1.4) * 49% 16.3 (1.4) 17.1 (1.5) 21% 14.7 (1.4) 15.6 (1.4) 19% 19.8 (1.6) 20.8 (1.6) * * 7% 16.3 (1.7) 18.8 (1.6) * * 1% 13.0 (N = 1) 18.0 (N = 1) * 73% 16.4 (1.5) 17.6 (1.5) 100% 19.5 (1.7) 21.0 (1.7) 2 indicators (N = 180, 24%) 3 indicators (N = 101, 14%) All 4 indicators (N = 14, 2%) * * * * * * * * * * * * * * * * * * * * * * * a Wall GM: the highest systematic moisture reading at a prescribed wall location in a LR or BR. b Overall GM: the highest moisture reading at a wall, site of suspected dampness, or window corner in either room. c Asterisks identify the indicators that were reported alone and in various combinations. Page 5 of 13 Table S3 Comparison of systematic living room (LR) and bedroom (BR) moisture readings at prescribed locations on perimeter walls facing the outdoors (Exterior) and walls next to other rooms (Interior or Interior/Bath) Locations of moisture measurementsa Exterior walls vs Interior walls GM (GSD) Mann Whitney test Exterior walls vs Interior/Bath walls GM (GSD) N = 653 home visits N = 714 home visits LR moisture readings (%WME) BR moisture readings (%WME) Ratiob Ratio n = 1056 and 802 measurements n = 1058 and 834 measurements 12.2 (1.3) vs 13.1 (1.4) vs 1.12 1.15 10.9 (1.2) 11.4 (1.3) p <0.0001 p <0.0001 n = 1056 and 83 measurements n = 1058 and 228 measurements 12.2 (1.3) vs 13.1 (1.4) vs 1.13 1.12 10.8 (1.3) 11.6 (1.3) p <0.0001 p <0.0001 Interior walls vs n = 802 and 83 Interior/Bath walls measurements n = 834 and 228 measurements Mann Whitney test GM (GSD) Mann Whitney test 10.9 (1.2) vs 1.01 11.4 (1.3) vs 10.8 (1.3) 11.6 (1.3) p = 0.35 p = 0.41 a 0.98 Per the field protocol for the systematic wall measurements, approximately half of the measurements were from perimeter walls facing the outdoors (exterior walls): 54% and 50% of all wall measurements for LRs and BRs, respectively (Figure 3). The second most frequent measurement location was an interior wall with a room other than a bathroom on the other side of it (interior walls): 41% and 39% of LR and BR measurements, respectively. The remaining measurements were from interior walls next to bathrooms (interior/bath walls): 4% and 11% of LR and BR measurements, respectively. No measurements were made in rooms that shared a wall with a kitchen or laundry room, and <1% of measurements were reported as “other” or had missing wall type. b Ratio = (GM location1)/(GM location 2). Page 6 of 13 Table S4 Comparison of targeted living room (LR) and bedroom (BR) moisture readings at sites of suspected dampness on perimeter walls facing the outdoors (Exterior), on walls next to other rooms (Interior), and at other locations (Other) N = 100 home visits N = 221 home visits Suspected site moisture measurements LR moisture readings (%WME) BR moisture readings (%WME) Exterior walls vs Interior walls n = 128 and 9 measurements n = 262 and 33 measurements GM (GSD) 15.0 (1.5) vs 14.1 (1.5) 16.1 (1.5) vs 14.6 (1.4) Mann Whitney test p = 0.68 p = 0.14 n = 128 and 3 measurements n = 262 and 19 measurements GM (GSD) 15.0 (1.5) vs 16.5 (1.6) 16.1 (1.5) vs 15.1 (1.6) Mann Whitney test too few measurements at other locations to calculate p = 0.62 n = 9 and 3 measurements n = 34 and 19 measurements GM (GSD) 14.1 (1.5) vs 16.5 (1.6) 14.6 (1.4) vs 15.1 (1.6) Mann Whitney test too few measurements at other locations to calculate Exterior walls vs Other locations Interior walls vs Other locations a Ratioa 1.07 0.91 0.85 Ratio = (GM location1)/(GM location 2). Page 7 of 13 p = 0.41 Ratio 1.10 1.06 0.97 Table S5 Comparison of targeted living room (LR) and bedroom (BR) moisture readings at sites of suspected dampness (Suspected) and systematic readings at prescribed wall locations (Wall) in the same rooms for the averages and maxima of multiple measurements if more than one LR moisture readings (%WME) (N = 100 home visits) Suspected site vs Wall moisture measurements GM (GSD) a Ratioa Average Ratio 1.15 16.0 (1.5) vs 13.7 (1.4) 1.17 Average 15.2 (1.5) vs 13.2 (1.4) BR moisture readings (%WME) (N = 221 home visits) Wilcoxon signed rank test p <0.0001 p <0.0001 Correlation (r) 0.84, p <0.0001 0.74, p <0.0001 Maximum Ratio Maximum Ratio GM (GSD) 15.7 (1.5) vs 15.6 (1.5) 1.01 16.6 (1.5) vs 16.1 (1.4) 1.03 Wilcoxon signed rank test p = 0.58 p = 0.01 Correlation (r) 0.85, p <0.0001 0.81, p <0.0001 Ratio = (GM Suspected)/(GM Wall). Page 8 of 13 Table S6 Comparison of systematic living room (LR) and bedroom (BR) moisture readings at the corners of windows (Window; single measurements) and at prescribed wall locations (Wall; averages and maxima of multiple measurements) in the same rooms LR moisture readings (%WME) (N = 295 home visits) Window vs Wall moisture measurements Average GM (GSD) Ratioa Average Ratio 1.11 14.7 (1.4) vs 12.7 (1.3) 1.16 Wilcoxon signed rank test p <0.0001 p <0.0001 Correlation (r) 0.80, p <0.0001 0.73, p <0.0001 GM (GSD) a 13.2 (1.4) vs 11.9 (1.3) BR moisture readings (%WME) (N = 332 home visits) Maximum Ratio Maximum Ratio 13.2 (1.4) vs 13.1 (1.4) 1.01 14.7 (1.4) vs 14.4 (1.4) 1.01 Wilcoxon signed rank test p = 0.38 p = 0.24 Correlation (r) 0.79, p <0.0001 0.73, p <0.0001 Ratio = (GM Window)/(GM Wall). Page 9 of 13 Table S7 Comparison of targeted living room (LR) and bedroom (BR) moisture readings at sites of suspected dampness (Suspected; averages and maxima of multiple measurements if more than one) and systematic measurements at the corners of windows (Window; single measurements) in the same rooms Suspected site vs Window moisture measurements GM (GSD) BR moisture readings (%WME) (N = 74 home visits) Average Ratioa Average Ratio 18.7 (1.5) vs 18.7 (1.5) 1.00 16.4 (1.4) vs 17.2 (1.5) 0.95 Wilcoxon signed rank test p = 0.70 p = 0.16 Correlation (r) 0.85, p <0.0001 0.72, p <0.0001 GM (GSD) a LR moisture readings (%WME) (N = 22 home visits) Maximum Ratio Maximum Ratio 19.5 (1.5) vs 18.7 (1.5) 1.04 17.1 (1.5) vs 17.2 (1.5) 0.99 Wilcoxon signed rank test p = 0.48 p = 0.83 Correlation (r) 0.87, p <0.0001 0.79, p <0.0001 Ratio = (GM Suspected)/(GM Window). Page 10 of 13 Table S8 Comparison of targeted living room (LR) and bedroom (BR) moisture readings made for different reasons for suspecting dampness N = 100 home visits N = 221 home visits Reasons for suspecting dampness LR moisture readings (%WME) BR moisture readings (%WME) Two or more reasons vs Visible mold n = 19 and 100 measurements n = 36 and 183 measurements GM (GSD) 17.8 (1.5) vs 14.2 (1.5) 20.4 (1.5) vs 14.9 (1.5) Mann Whitney test p = 0.02 p = 0.0001 n = 19 and 10 measurements n = 36 and 70 measurements GM 17.8 (1.5) vs 15.9 (1.5) 20.4 (1.5) vs 15.7 (1.4) Mann Whitney test p = 0.42 p = 0.003 n = 10 and 100 measurements n = 70 and 183 measurements GM (GSD) 15.9 (1.5) vs 14.2 (1.5) 15.7 (1.4) vs 14.9 (1.5) Mann Whitney test p = 0.38 Two or more reasons vs Musty odor Musty odor vs Visible mold a Ratioa 1.25 1.12 1.11 p = 0.24 Ratio = (GM reason 1)/(GM reason 2). Page 11 of 13 Ratio 1.37 1.30 1.06 Fig. S1 GMs of average and maximum moisture meter readings at prescribed wall locations in homes with different total numbers of qualitative dampness indicators (i.e., musty odor, visible water damage, visible mold, and peeling paint; % in box = percentage of home visits, restricted to the 621with three systematic measurements in both rooms). Page 12 of 13 Fig. S2 Maximum targeted moisture readings at sites of suspected dampness (suspect) and systematic readings at prescribed wall locations (wall) and the corners of windows (window) in the same rooms (r = correlation coefficient; error bars above and below each column represent the GM for that type of measurement multiplied and divided, respectively, by one GSD for the measurement type). Page 13 of 13