Background rnMarble used in the sculpturing of statute and the construction of buildings and monuments isrnmetamorphic limestone. Persons employed in carving statues from stone and marble rock arernexposed to dust containing particles of calcium carbonate and silica. Marble has been commonlyrnused as a building material since ancient times. During the cutting process about 25-30%, thernoriginal marble mass is lost in the form of dust which is suspended in the air and then inhaled byrnthe workers. Dust particles that are inhaled are lodged in the lung and cause chronic respiratoryrndiseases. Therefore, the aim of this study was to assess the magnitude of chronic respiratoryrnsymptoms in marble factory workers in Addis Ababa, Ethiopia and to compare it with a controlrngroup of Awash Wine Factory workers who had low level of dust exposure. rnObjectives:rnThis study was designed to assess the prevalence of chronic respiratory symptoms and associatedrnfactors among marble factory workers in Addis Ababa, Ethiopia. rnMethods: rnA comparative cross sectional study was done in Addis Ababa, Ethiopia from 21 October 2020 uprnto 10 January 2021. The Marble factory, which has a high level of dust exposure, and the AwashrnWine Factory, which has a low level of dust exposure, were the subjects of a comparative crosssectionalrnrnstudy. The study enlisted 492 participants selected by systematic random samplingrnmethod and were interviewed using a modified British Medical Research Council respiratory andrnAmerican Thoracic Society and National Heart & Lung Institute Division of Lung DiseasernRespiratory Questionnaire. EPI DATA 3.1 software was used to enter data, and SPSS version 23rnwas used to analyze it. To determine the relationship between determinant factors and chronicrnrespiratory symptoms, descriptive statistics, bivariate logistic, and multivariate logistic regressionrnanalysis were used. rnrnResult:rnThe mean ages of the participants in the marble factory were 40.41(SDÂ± 9.1) and the mean age ofrnthe control group was 40.46 (SDÂ± 9.6). According to the study, the prevalence of chronicrnrespiratory problems was 42.1 percent in marble manufacturers and 16.2 percent in wine factories. rnIncome below 3000 birr, family history of chronic respiratory symptoms and current smokingrnhabits were variables with bivariate significance but multiple logistic regression analysis showedrnthat age greater than 40, previous respiratory disease confirmed by physician, personal protectivernequipment, past history of confirmed health problems, service years more than 10 years in thernfactory, and working hours greater than 48 per week were independent factors that determine therndevelopment of chronic respiratory symptoms.rnrnConclusion: rnThe present study concluded that workers in the marble industry had a higher chronic respiratoryrndisease compared to controls. To reduce the impact, it is recommended that the workers should,rnuse proper respiratory protective equipment, reduce exposure hours to dust, check health status forrnearly diagnosis and treatment