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1.
An important proportion of respiratory illness is considered attributable to residential dampness or mold (D/M). Developing health‐protective D/M guidelines has been challenging, in part because unhealthy levels of indoor D/M cannot be defined using available microbiological measurements. This review paper explores reported multilevel, observation‐based (eg visual or olfactory) D/M metrics for potential in defining unhealthy levels of residential D/M. For many of the 33 multilevel residential D/M metrics identified, health risks generally increased as observed D/M increased. Although some metrics seemed too complex for practical use, simple metrics had among the strongest associations with health outcomes. Available findings suggest the feasibility of setting observation‐based D/M thresholds to trigger remedial action, using further improved D/M metrics without microbiological measurements (at least until the actual dampness‐related agents that cause illness are better quantified). Additional data would allow setting health‐protective D/M thresholds more precisely. Also, metrics could better reflect hidden D/M by more strongly emphasizing mold odor, which has demonstrated strong associations with health effects. 相似文献
2.
In the Swedish Building Energy, Technical Status and Indoor environment study, a total of 1160 adults from 605 single‐family houses answered a questionnaire on respiratory health. Building inspectors investigated the homes and measured temperature, air humidity, air exchange rate, and wood moisture content (in attic and crawl space). Moisture load was calculated as the difference between indoor and outdoor absolute humidity. Totally, 7.3% were smokers, 8.7% had doctor’ diagnosed asthma, 11.2% current wheeze, and 9.5% current asthma symptoms. Totally, 50.3% had respiratory infections and 26.0% rhinitis. The mean air exchange rate was 0.36/h, and the mean moisture load 1.70 g/m3. Damp foundation (OR=1.79, 95% CI 1.16‐2.78) was positively associated while floor constructions with crawl space (OR=0.49, 95% CI 0.29‐0.84) was negatively associated with wheeze. Concrete slabs with overlying insulation (OR=2.21, 95% CI 1.24‐3.92) and brick façade (OR=1.71, 95% CI 1.07‐2.73) were associated with rhinitis. Moisture load was associated with respiratory infections (OR=1.21 per 1 g/m3, 95% CI 1.04‐1.40) and rhinitis (OR=1.36 per 1 g/m3, 95% CI 1.02‐1.83). Air exchange rate was associated with current asthma symptoms (OR=0.85 per 0.1/h, 95% CI 0.73‐0.99). Living in homes with damp foundation, concrete slabs with overlying insulation, brick façade, low ventilation flow, and high moisture load are risk factors for asthma, rhinitis, and respiratory infections. 相似文献
3.
L. Casas A. Espinosa J. Pekkanen A. Asikainen A. Borràs‐Santos J. Jacobs E. J. M. Krop M. Täubel A. Hyvärinen D. Heederik J.‐P. Zock 《Indoor air》2017,27(2):303-310
We investigated the effect of weekends and school holidays on the daily frequency and severity of respiratory and other symptoms among children attending schools with (index) or without (reference) moisture damage in Spain, the Netherlands, and Finland. Throughout 1 year, parents of 419 children with a respiratory condition attending index (n=15) or reference (n=10) primary schools completed three symptom diaries. We assessed associations between lower respiratory tract, upper respiratory tract or allergy, and other symptom scores and school day, weekend, or summer holiday using mixed regression models stratified by country and moisture damage. We evaluated interactions between moisture damage and type of day. We combined country‐specific estimates (incidence rate ratios [IRRs] and 95% confidence interval [CI]) in meta‐analyses. Symptom scores were lower during weekends and holiday. Lower respiratory tract symptoms were statistically significantly less common during holiday with strongest effect in index schools (IRR=0.7; CI=0.6–0.8). Reporting of other symptoms was more reduced during holiday in index (IRR=0.6; CI=0.4–0.9) than in reference (IRR=0.95; CI=0.8–1.2) schools (interaction P<.01). In conclusion, symptoms were less frequent and/or severe during summer holiday and weekends. This pattern was stronger among children attending moisture‐damaged schools, suggesting potential improvement in moisture damage‐related symptoms during school breaks. 相似文献
4.
Public health and economic impact of dampness and mold 总被引:1,自引:0,他引:1
The public health risk and economic impact of dampness and mold exposures was assessed using current asthma as a health endpoint. Individual risk of current asthma from exposure to dampness and mold in homes from W.J. Fisk, Q. Lei-Gomez & M.J. Mendell [(2007) Indoor Air, [corrected] 17, 284-296], and [corrected] asthma risks calculated from additional studies that reported the prevalence of dampness and mold in homes were used to estimate the proportion of US current asthma cases that are attributable to dampness and mold exposure at 21% (95% confidence internal 12-29%). An examination of the literature covering dampness and mold in schools, offices, and institutional buildings, which is summarized in the Appendix, suggests that risks from exposure in these buildings are similar to risks from exposures in homes. Of the 21.8 million people reported to have asthma in the USA, approximately 4.6 (2.7-6.3) million cases are estimated to be attributable to dampness and mold exposure in the home. Estimates of the national cost of asthma from two prior studies were updated to 2004 and used to estimate the economic impact of dampness and mold exposures. By applying the attributable fraction to the updated national annual cost of asthma, the national annual cost of asthma that is attributable to dampness and mold exposure in the home is estimated to be $3.5 billion ($2.1-4.8 billion). Analysis indicates that exposure to dampness and mold in buildings poses significant public health and economic risks in the USA. These findings are compatible with public policies and programs that help control moisture and mold in buildings. PRACTICAL IMPLICATIONS: There is a need to control moisture in both new and existing construction because of the significant health consequences that can result from dampness and mold. This paper demonstrates that dampness and mold in buildings is a significant public health problem with substantial economic impact. 相似文献
5.
This paper provides meta‐analyses of the published findings relating the respiratory health of occupants of schools with visible dampness, water damage, visible mold, and/or mold odor. Random effects models were used to develop central estimates and confidence limits for the associations of respiratory health effects with school dampness and mold. Eleven studies, all with cross‐sectional designs, were included in the meta‐analyses; however, analyses for some health outcomes were based on as few as four studies. Analyses were performed using data from adults and children combined, using only data from children, and using data from adults and children after excluding two studies. The central estimates of odds ratios from the meta‐analyses were consistently above unity. The evidence of adverse health effects was strongest for cough and wheeze, which had confidence limits excluding unity in some or all analyses. The odds ratios of 1.32 for cough and 1.68 for wheeze suggest moderate increases in health risk. Studies not included in the meta‐analyses provide additional evidence that dampness and mold in schools are associated with adverse health outcomes. These meta‐analyses and the published literature not included in the meta‐analyses suggest that dampness and mold in schools are associated with adverse respiratory health effects. 相似文献
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7.
Justine McNamara Rebecca Cassells Philippa Wicks Yogi Vidyattama 《Housing Studies》2010,25(5):625-646
The importance of suitable, affordable housing in promoting the well-being of children is widely acknowledged. However, despite growing interest in geographic differences in child well-being, little is known about the spatial distribution of characteristics associated with housing disadvantage for Australian children. This paper seeks to develop knowledge in this area by creating a headline indicator of child housing disadvantage. It uses spatially disaggregated Census data from the Australian Bureau of Statistics (ABS) Census of Population and Housing 2006 capturing overcrowding, public housing tenure and dwelling type, and creates synthetic estimates of housing stress using spatial microsimulation techniques. These variables are then combined into a single index of housing disadvantage. Next, the spatial microsimulation techniques and index creation methodology are described, and the results of the validation process, including sensitivity analysis of alternative index creation approaches, are presented. 相似文献
8.
近年来,随着建筑行业的迅速发展,施工工艺的不断革新,其中装配式建筑与铝合金模板技术的结合显著地提升了施工的质量和效率。文章以山东省聊城市某装配式建筑铝模集成化施工项目为例,从前期深化设计、节点部位加强及工艺优化等方面对施工要点进行了研究。研究结果显示,在装配式建筑中应用铝模集成化施工技术,不仅能够显著提升施工效率,还能够确保施工质量。 相似文献
9.
Xin Zhang Dan Norbck Qiannan Fan Xu Bai Tian Li Yinping Zhang Baizhan Li Zhuohui Zhao Chen Huang Qihong Deng Chan Lu Hua Qian Yang Xu Yuexia Sun Jan Sundell Juan Wang 《Indoor air》2019,29(1):30-42
We studied dampness and mold in China in relation to rhinitis, ocular, throat and dermal symptoms, headache and fatigue. A questionnaire study was performed in six cities including 36 541 randomized parents of young children. Seven self‐reported signs of dampness were evaluated. Multilevel logistic regression models were used to calculate odds ratios (ORs). Totally, 3.1% had weekly rhinitis, 2.8% eye, 4.1% throat and 4.8% skin symptoms, 3.0% headache and 13.9% fatigue. Overall, 6.3% of the homes had mold, 11.1% damp stains, 35.3% damp bed clothing, 12.8% water damage, 45.4% window pane condensation, 11.1% mold odor, and 37.5% humid air. All dampness signs were associated with symptoms (ORs from 1.2 to 4.6; P < 0.001), including rhinitis (ORs from 1.4 to 3.2; P < 0.001), and ORs increased by number of dampness signs. The strongest associations were for mold odor (ORs from 2.3 to 4.6) and humid air (ORs from 2.8 to 4.8). Associations were stronger among men and stronger in Beijing as compared to south China. In conclusion, dampness and mold are common in Chinese homes and associated with rhinitis and ocular, throat and dermal symptoms, headache and fatigue. Men can be more sensitive to dampness and health effects of dampness can be stronger in northern China. 相似文献
10.
Kristin Natalier 《Housing Studies》2012,27(2):174-188
In Australia, as in other jurisdictions, recent legislation and policy addressing child support was introduced as a response to child poverty in single-parent families. However, there has been very little research conducted on the question of how child support money is used by sole parents. This paper extends current knowledge by exploring how— and indeed, if—child support money is a useful resource in meeting the housing needs of the children of separated parents. The study reports on the findings arising out of in-depth, semi-structured interviews with 33 parents who received child support money. The impact of child support is often limited by three factors: the amounts paid, the circumstances of its payment (and in particular, unreliable payments), and the values guiding its allocation. The paper argues that ultimately, the benefits of child support are constrained because it is a privatised response to gendered, structural inequalities in housing, care and income following separation and divorce. 相似文献
11.
A. M. Karvonen C. Tischer P. V. Kirjavainen M. Roponen A. Hyvärinen S. Illi K. Mustonen P. I. Pfefferle H. Renz S. Remes B. Schaub E. von Mutius J. Pekkanen 《Indoor air》2018,28(3):450-458
Cross‐sectional studies have shown that exposure to indoor moisture damage and mold may be associated with subclinical inflammation. Our aim was to determine whether early age exposure to moisture damage or mold is prospectively associated with subclinical systemic inflammation or with immune responsiveness in later childhood. Home inspections were performed in children's homes in the first year of life. At age 6 years, subclinical systemic inflammation was measured by serum C‐reactive protein (CRP) and blood leukocytes and immune responsiveness by ex vivo production of interleukin 1‐beta (IL‐1β), IL‐6, and tumor necrosis factor alpha (TNF‐α) in whole blood cultures without stimulation or after 24 hours stimulation with phorbol 12‐myristate 13‐acetate and ionomycin (PI), lipopolysaccharide (LPS), or peptidoglycan (PPG) in 251‐270 children. Moisture damage in child's main living areas in infancy was not significantly associated with elevated levels of CRP or leukocytes at 6 years. In contrast, there was some suggestion for an effect on immune responsiveness, as moisture damage with visible mold was positively associated with LPS‐stimulated production of TNF‐α and minor moisture damage was inversely associated with PI‐stimulated IL‐1β. While early life exposure to mold damage may have some influence on later immune responsiveness, it does not seem to increase subclinical systemic inflammation in later life. 相似文献
12.
Chenqiu Du Baizhan Li Wei Yu Jiao Cai Lexiang Wang Xinyi Li Yinghui Yao Bicheng Li 《Indoor air》2021,31(2):541-556
Despite concerns about building dampness and children’ health, few studies have examined the effects of building energy efficiency standards. This study explored the connections between self-reported household dampness and children’ adverse health outcomes across buildings corresponding to construction periods (pre-2001, 2001-2010, post-2010). Significant differences of dampness-related indicators were found between buildings; the prevalence was remarkable in pre-2001 buildings. The prevalence of lifetime-ever doctor-diagnosed diseases for children was significantly associated with building dampness (adjust odd ratios > 1), but was not affected by construction periods. The hygrothermal performance for a typical residence was simulated, varying in U-values of envelopes and air change rates. The simulated performance improvement increased indoor temperatures in 2001-2010 and post-2010 buildings. The frequency with higher indoor relative humidity was higher in pre-2001 buildings, leading to the highest values for maximum mold index (Mmax) on wall surface, especially in winter. Compared to buildings in 2001-2010, increased insulation and lower air change rate led to a relatively higher relative humidity in post-2010 buildings, adversely increasing the Mmax values. The findings addressed the positive and negative role of building standard development, which help suggesting appropriate environmental and design solutions to trade-off energy savings and dampness/mold risk in residences. 相似文献
13.
M. Vincent P. Percier S. De Prins K. Huygen G. Potemberg E. Muraille M. Romano O. Michel O. Denis 《Indoor air》2017,27(5):933-945
Most studies on molds focus on Alternaria alternata and Aspergillus fumigatus. Here, we report on inflammatory and allergenic properties of more typical indoor species Aspergillus versicolor, P. chrysogenum, C. cladosporioïdes, and C. sphaerospermum that were compared to A. alternata and A. fumigatus. In a mouse model, after intranasal instillation, A. alternaria, A. versicolor, and C. sphaerospermum induced the early recruitment of neutrophils and the strong expression of inflammatory markers in the bronchoalveolar lavages fluids. A. fumigatus also induced the early accumulation of neutrophils but with lower levels of inflammatory markers. Chronic treatment induced variable response according to species: P. chrysogenum and A. fumigatus appeared strong pro‐allergenic inducers compared to A. alternata and C. sphaerospermum while A. versicolor and C. cladosporioides induced a mixed pro‐allergenic/pro‐inflammatory response. In mold‐sensitized asthmatics, mold‐specific Immunoglobulin E (IgE) were detected with an in‐house dot‐blot assay. A. fumigatus and A. alternata were the most frequent sensitizers. Altogether, P. chrysogenum, P. brevicompactum, C. sphaerospermum, and C. cladosporïoides were the “major sensitizer” (defined as the strongest response against a single mold species) for almost 30% of the asthmatics. These results show that, not only A. alternata and A. fumigatus, but also indoor species have strong inflammatory and allergic properties and a harmful potency. 相似文献
14.
Improving children's living standards is a top priority for government policy makers. Whilst the presence of a link between bad housing and child outcomes has been acknowledged in a number of studies, there is little evidence on how long children live in bad housing for and whether the duration of living in bad housing is associated with other poor outcomes for children. This research uses five waves of data from the Families and Children Study, a representative longitudinal study of families with children in Britain, to show that the longer children live in bad housing the more vulnerable they are to a range of other poor outcomes included in the Government's Every Child Matters framework. The research implies that policy makers need to focus on reducing the substantial number of children who live in bad housing for long periods and that interventions in housing provision for families are likely to lead to improvements in many other aspects of children's lives. 相似文献
15.
Katrina Raynor 《Housing Studies》2018,33(8):1207-1226
AbstractAn increased focus on housing diversity in planning policy, international flows of capital and changing lifestyle preferences are resulting in increased higher density housing often marketed towards professional singles, couples without children and ‘empty nesters.’ Despite this, families with children currently dwell in higher density housing, either by choice or by necessity. This research identifies the social representations surrounding children in higher density housing in Australia’s third largest city, Brisbane. It does this by analysing newspaper media published between 2007 and 2014 and through 46 interviews with residents and built-form professionals from Brisbane. The research finds four key representations; that children belong in the suburbs; increasing support for wealthy families in higher density housing; an economic argument for the lack of family-appropriate apartments; and an increasing acceptance of medium-density housing for younger households. This research draws attention to the winners and losers in housing debates and the ‘common-sense’ assumptions that impact housing outcomes. 相似文献
16.
Linling Yu Bin Wang Man Cheng Meng Yang Shiming Gan Lieyang Fan Dongming Wang Weihong Chen 《Indoor air》2020,30(4):682-690
About 339 million people worldwide are suffering from asthma. We aimed to investigate whether exposure to formaldehyde (FA) is associated with asthma, which could provide clues for preventive and mitigation actions. This article provides a systematic review and meta-analysis of observational studies to assess the association between indoor FA exposure and the risk of asthma in children and adults. An electronic search of PubMed, Embase, and Web of Science was performed to collect all relevant studies published before January 1, 2020, and a total of 13 papers were included in this meta-analysis. A random-effect model was conducted to calculate the pooled odds ratio (OR) between FA exposure and asthma. We found that each 10 µg/m3 increase in FA exposure was significantly associated with a 10% increase in the risk of asthma in children (OR = 1.10, 95% confidence interval = 1.00-1.21). We sorted the FA concentrations reported in the selected articles and categorized exposure variables into low (FA ≤ 22.5 µg/m3) and high exposure (FA > 22.5 µg/m3) according to the median concentration of FA. In the high-exposure adult group, FA exposure may also be associated with an increased risk of asthma (OR = 1.81, 95% CI = 1.18-2.78). 相似文献
17.
Anne M. Riederer Jennifer E. Krenz Maria I. Tchong-French Elizabeth Torres Adriana Perez Lisa R. Younglove Karen L. Jansen David C. Hardie Stephanie A. Farquhar Paul D. Sampson Nervana Metwali Peter S. Thorne Catherine J. Karr 《Indoor air》2021,31(6):1926-1939
We conducted a randomized trial of portable HEPA air cleaners in the homes of children age 6–12 years with asthma in the Yakima Valley, Washington. All families received asthma education while intervention families also received two HEPA cleaners (child's bedroom, living room). We collected 14-day integrated samples of endotoxin in settled dust and PM10 and PM10-2.5 in the air of the children's bedrooms at baseline and one-year follow-up, and used linear regression to compare follow-up levels, adjusting for baseline. Seventy-one families (36 HEPA, 35 control) completed the study. Baseline geometric mean (GSD) endotoxin loadings were 1565 (6.3) EU/m2 and 2110 (4.9) EU/m2, respectively, in HEPA vs. control homes while PM10 and PM10-2.5 were 22.5 (1.9) μg/m3 and 9.5 (2.9) μg/m3, respectively, in HEPA homes, and 19.8 (1.8) μg/m3 and 7.7 (2.0) μg/m3, respectively, in control homes. At follow-up, HEPA families had 46% lower (95% CI, 31%–57%) PM10 on average than control families, consistent with prior studies. In the best-fit heterogeneous slopes model, HEPA families had 49% (95% CI, 6%–110%) and 89% lower (95% CI, 28%–177%) PM10-2.5 at follow-up, respectively, at 50th and 75th percentile baseline concentrations. Endotoxin loadings did not differ significantly at follow-up (4% lower, HEPA homes; 95% CI, −87% to 50%). 相似文献
18.
目的探讨广东省佛山市3~7岁支气管哮喘患儿与其气质的关系。方法对66例支气管哮喘患儿(哮喘组)和113例健康儿童(正常对照组)采用Carry 3~7岁儿童气质问卷(behavioral style questionnaire,BSQ)进行气质维度评分,并根据各气质维度的得分情况对2组进行气质类型测评。结果哮喘组在气质维度中的趋避性、适应性、反应强度、情绪本质、坚持性、注意分散度评分值与正常对照组比较差异均有统计学意义(均P〈0.05);哮喘组患儿ID型、D型、S型所占比例较高,IE型和E型所占比例较低,与正常对照组比较差异均有统计学意义(均P〈0.05)。结论支气管哮喘患儿的气质类型分布和气质部分维度与正常儿童有明显差异,治疗儿童支气管哮喘时应考虑其个体气质特征,并给予适当的干预。 相似文献
19.
通过系统的回顾我国住房制度改革的发展历史,以及对住房市场和住房保障两条发展路线的梳理,结合福利经济学的观点,提出住房保障是住房市场的必要补充,是对社会财富合理再分配的观点。提出了住房保障应当与住房市场相互协调,住房保障的规模要与经济发展水平、社会发展阶段相适应的相互发展关系。 相似文献