Abstract:
OBJECTIVE:To assess the short term health effects of improving housing. DESIGN:Randomised to waiting list. SETTING:119 council owned houses in south Devon, UK. PARTICIPANTS:About 480 residents of these houses. INTERVENTION:Upgrading houses (including central heating, ventilation, rewiring, insulation, and re-roofing) in two phases a year apart. MAIN OUTCOME MEASURES:All residents completed an annual health questionnaire: SF36 and GHQ12 (adults). Residents reporting respiratory illness or arthritis were interviewed using condition-specific questionnaires, the former also completing peak flow and symptom diaries (children) or spirometry (adults). Data on health service use and time lost from school were collected. RESULTS:Interventions improved energy efficiency. For those living in intervention houses, non-asthma-related chest problems (Mann-Whitney test, p = 0.005) and the combined asthma symptom score for adults (Mann-Whitney test, z = 2.7, p = 0.007) diminished significantly compared with control houses. No difference between intervention and control houses was seen for SF36 or GHQ12. CONCLUSIONS:Rigorous study designs for the evaluation of complex public health and community based interventions are possible. Quantitatively measured health benefits are small, but as health benefits were measured over a short time scale, there may have been insufficient time for measurable improvements in general and disease-specific health to become apparent.
journal_name
J Epidemiol Community Healthjournal_title
Journal of epidemiology and community healthauthors
Barton A,Basham M,Foy C,Buckingham K,Somerville M,Torbay Healthy Housing Group.doi
10.1136/jech.2006.048462subject
Has Abstractpub_date
2007-09-01 00:00:00pages
771-7issue
9eissn
0143-005Xissn
1470-2738pii
61/9/771journal_volume
61pub_type
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