The impact of residential winter HVAC usage behavior on arthritis in older adults: A PLS-SEM analysis

被引:0
作者
Zhang, Yan [1 ,2 ]
Yu, Wei [1 ,2 ]
Zhou, Haizhu [3 ]
Guo, Miao [1 ,2 ]
Wang, Chenyang [1 ,2 ]
Li, Baizhan [1 ,2 ]
Yang, Xiaojuan [4 ]
机构
[1] Chongqing Univ, Joint Int Res Lab Green Bldg & Built Environm, Minist Educ, Chongqing 400045, Peoples R China
[2] Chongqing Univ, Natl Ctr Int Res Low carbon & Green Bldg, Minist Sci & Technol, Chongqing 400045, Peoples R China
[3] China Acad Bldg Res Co, Beijing 100013, Peoples R China
[4] Chongqing Fourth Peoples Hosp, Rheumatol & Immunol Dept, Chongqing 400014, Peoples R China
来源
JOURNAL OF BUILDING ENGINEERING | 2024年 / 98卷
基金
中国国家自然科学基金;
关键词
HVAC; Arthritis; Elderly; PLS-SEM; Indoor environmental exposure; RHEUMATOID-ARTHRITIS; WEATHER CONDITIONS; AIR-POLLUTION; QUESTIONNAIRE SURVEY; PRESCHOOL-CHILDREN; DISEASE-ACTIVITY; JOINT PAIN; RISK; HOME; OSTEOARTHRITIS;
D O I
10.1016/j.jobe.2024.111137
中图分类号
TU [建筑科学];
学科分类号
0813 ;
摘要
Environmental factors like temperature and humidity have been shown to influence arthritis symptoms in older adults, and HVAC equipment can regulate indoor environmental parameters. This study aimed to explore the pathways and effectiveness of residential HVAC usage behavior during winter on arthritis conditions. Conducted across four major climate zones in China, this cross-sectional study involved 3579 older adults aged 60-74 years and collected data on demographics, residential environments, lifestyles, and health outcomes. Utilizing Partial Least Squares - Structural Equation Modeling (PLS-SEM), a complex structural equation model (SEM) and an HVAC-Health mediation model was developed to analyze the relationships among influencing factors and health outcomes. Results revealed that socio-economic status, building characteristics, lifestyles, HVAC usage behavior, and indoor environmental exposure significantly affect the frequency of arthritis flare-ups (p < 0.05). Specifically, lifestyles, indoor wet and cold exposures have strong direct effects on health outcomes, with path coefficients of 0.178, 0.155 and 0.143, respectively. Moreover, HVAC usage indirectly influences health through mediators, with cold exposure (beta = 0.045, p < 0.001), air pollution (beta = 0.025, p < 0.001), and wet exposure (beta = 0.012, p = 0.001) ranked in terms of their mediating effects. This research underscores the crucial role of HVAC systems in mitigating arthritis symptoms in older adults, advocating for enhanced implementation of HVAC technologies in senior housing to promote health and wellbeing. The originality of this study lies in employing the PLS-SEM method to elucidate how the indoor environment-particularly under the premise of HVAC usage-affect arthritis symptoms in older adults.
引用
收藏
页数:19
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共 102 条
[1]   Weather conditions may worsen symptoms in rheumatoid arthritis patients: The possible effect of temperature [J].
Abasolo, Lydia ;
Tobias, Aureio ;
Leon, Leticia ;
Carmona, Loreto ;
Luis Fernandez-Rueda, Jose ;
Belen Rodriguez, Ana ;
Fernandez-Gutierrez, Benjamin ;
Angel Jover, Juan .
REUMATOLOGIA CLINICA, 2013, 9 (04) :226-228
[2]   Global, regional, and national prevalence of, and risk factors for, chronic obstructive pulmonary disease (COPD) in 2019: a systematic review and modelling analysis [J].
Adeloye, Davies ;
Song, Peige ;
Zhu, Yajie ;
Campbell, Harry ;
Sheikh, Aziz ;
Rudan, Igor .
LANCET RESPIRATORY MEDICINE, 2022, 10 (05) :447-458
[3]  
[Anonymous], 2023, Osteoarthritis
[4]   The impact of climate change on health is an immediate danger [J].
Arasaradnam, Ramesh .
BMJ-BRITISH MEDICAL JOURNAL, 2023, 383
[5]   HVAC and indoor thermal conditions in hospital operating rooms [J].
Balaras, Constantinos A. ;
Dascalaki, Elena ;
Gaglia, Athina .
ENERGY AND BUILDINGS, 2007, 39 (04) :454-470
[6]   Association of body temperature with obesity. The CoLaus study [J].
Bastardot, Francois ;
Marques-Vidal, Pedro ;
Vollenweider, Peter .
INTERNATIONAL JOURNAL OF OBESITY, 2019, 43 (05) :1026-1033
[7]   Socioeconomic status and the risk of developing rheumatoid arthritis: results from the Swedish EIRA study [J].
Bengtsson, C ;
Nordmark, B ;
Klareskog, L ;
Lundberg, I ;
Alfredsson, L .
ANNALS OF THE RHEUMATIC DISEASES, 2005, 64 (11) :1588-1594
[8]   Ventilation, temperature, and HVAC characteristics in small and medium commercial buildings in California [J].
Bennett, D. H. ;
Fisk, W. ;
Apte, M. G. ;
Wu, X. ;
Trout, A. ;
Faulkner, D. ;
Sullivan, D. .
INDOOR AIR, 2012, 22 (04) :309-320
[9]   Fine particulate air pollution and systemic autoimmune rheumatic disease in two Canadian provinces [J].
Bernatsky, Sasha ;
Smargiassi, Audrey ;
Barnabe, Cheryl ;
Svenson, Lawrence W. ;
Brand, Allan ;
Martin, Randall V. ;
Hudson, Marie ;
Clarke, Ann E. ;
Fortin, Paul R. ;
van Donkelaar, Aaron ;
Edworthy, Steven ;
Belisle, Patrick ;
Joseph, Lawrence .
ENVIRONMENTAL RESEARCH, 2016, 146 :85-91
[10]   'Dampness' at home and its association with airway, nose, and skin symptoms among 10,851 preschool children in Sweden: a cross-sectional study [J].
Bornehag, CG ;
Sundell, J ;
Hagerhed-Engman, L ;
Sigsggard, T ;
Janson, S ;
Aberg, N .
INDOOR AIR, 2005, 15 :48-55