Colton Meryl D, Laurent Jose Guillermo Cedeno, MacNaughton Piers, Kane John, Bennett-Fripp Mae, Spengler John, Adamkiewicz Gary
Meryl D. Colton, Jose Guillermo Cedeno Laurent, Piers MacNaughton, John Spengler, and Gary Adamkiewicz are with the Department of Environmental Health, Harvard T. H. Chan School of Public Health, Harvard University, Boston, MA. John Kane is with the Boston Housing Authority. Mae Bennett-Fripp is with the Committee for Boston Public Housing.
Am J Public Health. 2015 Dec;105(12):2482-9. doi: 10.2105/AJPH.2015.302793. Epub 2015 Oct 15.
We examined associations of several health outcomes with green and conventional low-income housing, where the prevalence of morbidities and environmental pollutants is elevated.
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.
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.
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.
我们研究了几种健康结果与绿色及传统低收入住房之间的关联,在这些住房中,发病率和环境污染物的患病率较高。
在2012年3月至2013年5月期间,我们使用问卷和目视检查来比较马萨诸塞州波士顿多家庭单元居民中的病态建筑综合征(SBS)症状和哮喘相关发病率。随访大约在1年后进行。
居住在绿色单元的成年人报告的SBS症状比居住在传统(对照)房屋中的成年人少1.35(95%置信区间[CI]=0.66,2.05)(P<0.001)。此外,与居住在传统公共住房中的儿童相比,居住在绿色房屋中的哮喘儿童出现哮喘症状(优势比[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)以及与哮喘相关的学校缺勤(OR=0.21;95%CI=0.06,0.74)的风险显著更低。
居住在绿色房屋中的参与者健康结果有所改善,在研究期间保持一致。在资源匮乏的环境中,绿色住房可能具有重要价值,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。