The aim of this study was to gain a deeper understanding of work-related physical and psychosocial exposure and health symptoms of farm staff working in indoor loose-housing dairy systems in Sweden, and to examine possible associations between exposure and health symptoms of farm staff and disease incidence in their dairy herds. A sample of 41 farm owners or managers and 20 directly employed farm workers participated, each from a Swedish dairy farm with loose-housed cows. Mailed questionnaires comprising 29 questions were used to create four separate indices representing physical exposure, psychosocial exposure, physical symptoms, and psychosocial symptoms. Cow herd incidence rates of common veterinary-reported clinical diseases were calcul...