People who live near industrial swine operations have reported decreased health and quality of life. To investigate these issues, we survreyed residents of three rral communities, one in the vicinity of an approximately 6,000-head hog operation, one in the vicinity of two intensive cattle operations, and a third rural agricultural area without livestock operations that use liquid waste management systems. Trained interviewers obtained information about health symptoms and reduced quality oflife during the previous 6 months. We In contrast to the many studies of occupational exposures of swine confinement-house workers (9-25), only a few field studies have investigated the health effects of lower level environmental exposures. In a study of residents near hog facilities in North Carolina, Schiffman et al. (26) reported that persons exposed to odors from intensive hog operations experienced "more tension, more depression, more anger, more fatigue, and more confusion" than a group of unexposed persons. A study in Iowa (7) compared physical and mental health symptoms among people residing within a 2-mile radius of a 4,000-head swine operation and a control group in an area with no intensive livestock operation. Those who lived in the vicinity of the intensive hog operation reported higher frequencies of 14 of 18 physical health symptoms, especially respiratory symptoms. The Iowa study did not find an excess of mental health symptoms but, in contrast to the North Carolina study (26), it was not designed to evaluate symptoms at the time that odors were present.The present study addressed a number of issues raised by previous research. Unlike studies of volunteers, the sample was drawn systematically from defined populations. To increase the levels of participation and prevent exclusions based on literacy or the ability to participate in a longer study, we did not ask participants to keep a diary or respond to questions at the times that airborne emissions from livestock operations were noticeable. Instead, we asked questions about the number of times that participants experienced the symptoms of interest during the previous 6 months. Because mood disturbance and mental health effects may be acute responses to the presence of odors, we focused on physical health and quality of life rather than on short-term mood changes. We achieved high levels of participation in the study by establishing cooperative relationships with local community based organizations in planning and conducting the research.This study compared health symptoms in residents of three North Carolina communities, one in the vicinity of an intensive hog operation, one in the vicinity of two intensive cattle operations, and a third in a rural agricultural area where no livestock operations used liquid waste management systems. Although the primary motivation for the study came from an interest in airborne emissions from swine operations, the inclusion of people residing near cattle operations afforded an opportunity to examine possible health effects f...