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潮湿和霉菌污染住房对心理健康影响的科学综述

A State-of-the-Science Review of the Effect of Damp- and Mold-Affected Housing on Mental Health.

机构信息

Centre for Health Policy, Melbourne School of Population and Global Health, Faculty of Medicine, Dentistry, and Health Sciences, The University of Melbourne, Parkville, Australia.

出版信息

Environ Health Perspect. 2024 Aug;132(8):86001. doi: 10.1289/EHP14341. Epub 2024 Aug 20.

DOI:10.1289/EHP14341
PMID:39162373
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11334706/
Abstract

BACKGROUND

While it is well-established that exposure to dampness or mold in homes negatively affects physical health, the association with mental health remains less well evidenced. As plausible psychosocial and biological pathways exist between dampness and mold exposure and poor mental health, a review of evidence is required.

OBJECTIVE

This State-of-the-Science review sought to assess what is known about the mental health effects of dampness or mold exposure and identify gaps in the literature and priorities for further research.

METHODS

A comprehensive search of electronic databases (MEDLINE, Embase, PsycInfo, Global Health, Web of Science, and Scopus) was conducted to identify relevant studies published from 2003 to 2023. Eligible studies included observational study designs such as cohort and cross-sectional studies. Target studies for review assessed the effect of dampness and/or mold on mental health outcomes.

RESULTS

Of the 1,169 records retrieved, 19 studies met the inclusion criteria. The available evidence described positive associations between residential dampness/mold exposure and poor mental health. In adults, associations were observed for outcomes such as depression, stress, and anxiety, while for children, associations were observed for emotional symptoms and emotional dysregulation.

DISCUSSION

Identified studies generally reported associations between exposure to dampness/mold in the home and poorer mental and emotional health. Given the methodological limitations present in the current evidence base, it is recommended that more research be conducted. https://doi.org/10.1289/EHP14341.

摘要

背景

虽然众所周知,家庭中潮湿或霉菌的暴露会对身体健康产生负面影响,但与心理健康之间的关联证据尚不充分。由于潮湿和霉菌暴露与心理健康状况不佳之间存在合理的心理社会和生物学途径,因此需要对证据进行审查。

目的

本科学研究旨在评估潮湿或霉菌暴露对心理健康的影响,并确定文献中的空白领域和进一步研究的优先事项。

方法

对电子数据库(MEDLINE、Embase、PsycInfo、全球健康、Web of Science 和 Scopus)进行了全面检索,以确定 2003 年至 2023 年期间发表的相关研究。合格的研究包括观察性研究设计,如队列研究和横断面研究。本综述的目标研究评估了潮湿和/或霉菌对心理健康结果的影响。

结果

在检索到的 1169 条记录中,有 19 项研究符合纳入标准。现有证据描述了住宅潮湿/霉菌暴露与心理健康不良之间存在正相关关系。在成年人中,观察到与抑郁、压力和焦虑等结果之间存在关联,而在儿童中,观察到与情绪症状和情绪失调之间存在关联。

讨论

已确定的研究通常报告了家庭中潮湿/霉菌暴露与较差的心理和情绪健康之间存在关联。鉴于当前证据基础中存在方法学限制,建议进行更多的研究。https://doi.org/10.1289/EHP14341.

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ee8/11334706/15e85a61fb0b/ehp14341_f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ee8/11334706/15e85a61fb0b/ehp14341_f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ee8/11334706/15e85a61fb0b/ehp14341_f1.jpg

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