Environmental Conditions in Low-Income Urban Housing: Clustering and Associations With Self-Reported Health

被引:73
作者
Adamkiewicz, Gary [1 ]
Spengler, John D. [1 ]
Harley, Amy E. [3 ]
Stoddard, Anne [4 ]
Yang, May [4 ]
Alvarez-Reeves, Marty [5 ]
Sorensen, Glorian [2 ]
机构
[1] Harvard Univ, Sch Publ Hlth, Dept Environm Hlth, Boston, MA 02215 USA
[2] Harvard Univ, Sch Publ Hlth, Dept Social & Behav Sci, Boston, MA 02215 USA
[3] Univ Wisconsin, Joseph J Zilber Sch Publ Hlth, Milwaukee, WI 53201 USA
[4] New England Res Inst, Watertown, MA 02172 USA
[5] Dana Farber Canc Inst, Ctr Community Based Res, Boston, MA 02115 USA
关键词
INTEGRATED PEST-MANAGEMENT; NEW-YORK-CITY; ALLERGEN CONCENTRATIONS; SOCIOECONOMIC-STATUS; COCKROACH ALLERGEN; RACIAL-DIFFERENCES; BUILT ENVIRONMENT; AIR-POLLUTION; MENTAL-HEALTH; UNITED-STATES;
D O I
10.2105/AJPH.2013.301253
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives. We explored prevalence and clustering of key environmental conditions in low-income housing and associations with self-reported health. Methods. The Health in Common Study, conducted between 2005 and 2009, recruited participants (n = 828) from 20 low-income housing developments in the Boston area. We interviewed 1 participant per household and conducted a brief inspection of the unit (apartment). We created binary indexes and a summed index for household exposures: mold, combustion by-products, secondhand smoke, chemicals, pests, and inadequate ventilation. We used multivariable logistic regression to examine the associations between each index and household characteristics and between each index and self-reported health. Results. Environmental problems were common; more than half of homes had 3 or more exposure-related problems (median summed index = 3). After adjustment for household-level demographics, we found clustering of problems in site (P < .01) for pests, combustion byproducts, mold, and ventilation. Higher summed index values were associated with higher adjusted odds of reporting fair-poor health (odds ratio = 2.7 for highest category; P < .008 for trend). Conclusions. We found evidence that indoor environmental conditions in multifamily housing cluster by site and that cumulative exposures may be associated with poor health.
引用
收藏
页码:1650 / 1656
页数:7
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