A measure for quantifying the impact of housing quality on respiratory health: a cross-sectional study.

Environmental Health : a Global Access Science Source
Michael KeallMalcolm Cunningham

Abstract

Damp and mould in homes have been established as risk factors for respiratory health. There is a need for a relatively straightforward assessment of the home that quantifies this risk. Using data from 891 New Zealand houses, the utility of a Respiratory Hazard Index quantifying key attributes related to damp and mould was tested by studying its associations with self-reported respiratory symptoms. A dose-response relationship was found whereby each unit increase in the Respiratory Hazard Index was associated with an 11% increase in the odds of at least one episode of wheezing/whistling in the chest over the last 12 months (relative odds of 1.11 with a 95% CI 1.04%-1.20%). An 11% increase in the odds of an asthma attack over the last 12 months was estimated (relative odds of 1.11 with a 95% CI 1.01%-1.22%). These estimates were adjusted for household crowding levels, age, sex and smoking status. There was suggestive evidence of more steeply increasing odds of respiratory symptoms with increasing levels of the Respiratory Hazard Index for children aged under 7. In the worst performing houses according to the Index, a 33% reduction in the number of people experiencing respiratory symptoms (relative risk 0.67 with 95% CI 0.53 to 0....Continue Reading

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Citations

Nov 20, 2013·Current Allergy and Asthma Reports·Kevin Kennedy, Carl Grimes
Aug 30, 2013·International Journal of Circumpolar Health·Dana BrudenThomas W Hennessy
Mar 31, 2016·Australian and New Zealand Journal of Public Health·Julie BennettMichael G Baker
Sep 14, 2013·The Journal of Allergy and Clinical Immunology·Maritta S JaakkolaJouni J K Jaakkola
Dec 25, 2019·Annual Review of Public Health·James R Dunn
Jan 27, 2019·International Journal of Environmental Research and Public Health·Pamela Zúñiga-BelloUrinda Alamo-Hernández
Apr 20, 2019·SAGE Open Medicine·Lucy Telfar-BarnardPhilippa Howden-Chapman
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Jun 3, 2021·International Journal of Environmental Research and Public Health·Antonio Millán-JiménezMiguel Torres-García
Nov 10, 2021·Reviews on Environmental Health·Sara Alidoust, Wei Huang

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