The relationship of housing and population health: a 30-year retrospective analysis.
The relationship of housing and population health: a 30-year retrospective analysis.
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DOI：
10.1289/ehp.0800086
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发表时间：
2009-04
影响因子：
10.4
通讯作者：
Evens A
中科院分区：
文献类型：
--
作者：
Jacobs DE;Wilson J;Dixon SL;Smith J;Evens A
我们分析了健康状况与住房质量之间的关系。我们结合了两项具有全国代表性的美国人口及其住房纵向调查的数据，分别是国家健康和营养检查调查和美国住房调查。我们确定了大约1970年至2000年的住房和健康趋势，排除了那些数据缺失或我们没有发现合理关联或趋势变化的趋势。住房的变化包括建筑类型、出租与自有住房的比例、年龄、密度、大小、湿度、虫害、窗户破损、通风和空调以及漏水。健康措施的变化包括哮喘、呼吸道疾病、肥胖和糖尿病以及铅中毒等。结果表明，儿童铅中毒的生态趋势遵循住房年龄，漏水和通风;哮喘遵循通风，窗户和年龄;超重趋势遵循通风;血压趋势遵循社区措施;健康差异没有很大变化。随着时间的推移，住房趋势与某些健康趋势一致。未来的国家纵向调查应将健康、住房和社区指标纳入单一的综合设计，而不是单独的调查，以制定可靠的指标，说明住房变化如何影响人口健康，以及如何最好地利用资源。在减少弱势群体的健康和住房差距方面几乎没有取得进展，但因接触含铅油漆危险而导致儿童铅中毒的情况是一个明显的例外。需要利用这些数据集和其他数据集来建立可靠的健康和住房质量综合指标。
We analyzed the relationship between health status and housing quality over time. We combined data from two nationally representative longitudinal surveys of the U.S. population and its housing, the National Health and Nutrition Examination Survey and the American Housing Survey, respectively. We identified housing and health trends from approximately 1970 to 2000, after excluding those trends for which data were missing or where we found no plausible association or change in trend. Changes in housing include construction type, proportion of rental versus home ownership, age, density, size, moisture, pests, broken windows, ventilation and air conditioning, and water leaks. Changes in health measures include asthma, respiratory illness, obesity and diabetes, and lead poisoning, among others. The results suggest ecologic trends in childhood lead poisoning follow housing age, water leaks, and ventilation; asthma follows ventilation, windows, and age; overweight trends follow ventilation; blood pressure trends follow community measures; and health disparities have not changed greatly. Housing trends are consistent with certain health trends over time. Future national longitudinal surveys should include health, housing, and community metrics within a single integrated design, instead of separate surveys, in order to develop reliable indicators of how housing changes affect population health and how to best target resources. Little progress has been made in reducing the health and housing disparities of disadvantaged groups, with the notable exception of childhood lead poisoning caused by exposure to lead-based paint hazards. Use of these and other data sets to create reliable integrated indicators of health and housing quality are needed.
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影响因子：
5.6
作者：
Galster, George C.
通讯作者：
Galster, George C.
影响因子：
5.8
作者：
Leech, JA;Raizenne, M;Gusdorf, J
通讯作者：
Gusdorf, J
影响因子：
12.7
作者：
Bonnefoy, XR;Braubach, M;Röbbel, N
通讯作者：
Röbbel, N
影响因子：
8.3
作者：
Jacobs, David E.;Nevin, Rick
通讯作者：
Nevin, Rick
影响因子：
10.4
作者：
Levin R;Brown MJ;Kashtock ME;Jacobs DE;Whelan EA;Rodman J;Schock MR;Padilla A;Sinks T
通讯作者：
Sinks T