Health Benefits of Green Public Housing: Associations With Asthma Morbidity and Building-Related Symptoms
Health Benefits of Green Public Housing: Associations With Asthma Morbidity and Building-Related Symptoms
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DOI：
10.2105/ajph.2015.302793
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发表时间：
2015-12-01
影响因子：
12.7
通讯作者：
Adamkiewicz, Gary
中科院分区：
文献类型：
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作者：
Colton, Meryl D.;Laurent, Jose Guillermo Cedeno;Adamkiewicz, Gary
目标。我们研究了几种健康结果与绿色和传统低收入住房的关联，这些住房的发病率和环境污染物的患病率较高。方法。我们使用问卷调查和目视检查来比较 2012 年 3 月至 2013 年 5 月期间马萨诸塞州波士顿多户公寓居民的病态建筑综合症 (SBS) 症状和哮喘相关发病率。随访时间约为 1 年后。结果。居住在绿色单位的成年人报告的 SBS 症状比居住在传统（对照）家庭的成年人少 1.35（95% 置信区间 [CI] = 0.66, 2.05）（P < .001）。此外，生活在绿色家庭中的哮喘儿童出现哮喘症状（比值比 [OR] = 0.34；95% CI = 0.12, 1.00）、哮喘发作（OR = 0.31；95% CI = 0.11, 0.88）、医院就诊（OR = 0.24；95% CI = 0.06, 0.88）和哮喘相关缺课的风险显着降低（OR = 0.21；95% CI = 0.06，0.74）高于居住在传统公共住房中的儿童。结论。居住在绿色家园的参与者的健康状况有所改善，并且在研究期间保持一致。绿色住房可以在资源匮乏的环境中提供显着的价值，在这些环境中，绿色建筑或翻新可以同时减少有害的室内暴露，促进居民健康并降低运营成本。
Objectives. We examined associations of several health outcomes with green and conventional low-income housing, where the prevalence of morbidities and environmental pollutants is elevated.Methods. We used questionnaires and a visual inspection to compare sick building syndrome (SBS) symptoms and asthma-related morbidity among residents in multifamily units in Boston, Massachusetts, between March 2012 and May 2013. Follow-up was approximately 1 year later.Results. Adults living in green units reported 1.35 (95% confidence interval [CI] = 0.66, 2.05) fewer SBS symptoms than those living in conventional (control) homes (P < .001). Furthermore, asthmatic children living in green homes experienced substantially lower risk of asthma symptoms (odds ratio [OR] = 0.34; 95% CI = 0.12, 1.00), asthma attacks (OR = 0.31; 95% CI = 0.11, 0.88), hospital visits (OR = 0.24; 95% CI = 0.06, 0.88), and asthma-related school absences (OR = 0.21; 95% CI = 0.06, 0.74) than children living in conventional public housing.Conclusions. Participants living in green homes had improved health outcomes, which remained consistent over the study period. Green housing may provide a significant value in resource-poor settings where green construction or renovation could simultaneously reduce harmful indoor exposures, promote resident health, and reduce operational costs.