Environmental conditions in low-income urban housing: clustering and associations with self-reported health.
Environmental conditions in low-income urban housing: clustering and associations with self-reported health.
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DOI：
10.2105/ajph.2013.301253
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发表时间：
2014-09
影响因子：
12.7
通讯作者：
Sorensen G
中科院分区：
文献类型：
--
作者：
Adamkiewicz G;Spengler JD;Harley AE;Stoddard A;Yang M;Alvarez-Reeves M;Sorensen G
We explored prevalence and clustering of key environmental conditions in low-income housing and associations with self-reported health. The Health in Common Study, conducted between 2005 and 2009, recruited participants (n = 828) from 20 low-income housing developments in the Boston area. We interviewed 1 participant per household and conducted a brief inspection of the unit (apartment). We created binary indexes and a summed index for household exposures: mold, combustion by-products, secondhand smoke, chemicals, pests, and inadequate ventilation. We used multivariable logistic regression to examine the associations between each index and household characteristics and between each index and self-reported health. Environmental problems were common; more than half of homes had 3 or more exposure-related problems (median summed index = 3). After adjustment for household-level demographics, we found clustering of problems in site (P < .01) for pests, combustion byproducts, mold, and ventilation. Higher summed index values were associated with higher adjusted odds of reporting fair–poor health (odds ratio = 2.7 for highest category; P < .008 for trend). We found evidence that indoor environmental conditions in multifamily housing cluster by site and that cumulative exposures may be associated with poor health.
