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PubMedDate not supplied

Salmonella enterica serotype enteritidis in table egg layer house environments and in mice in U.S. layer houses and associated risk factors.

Prevalence was estimated for Salmonella enterica serotype eneritidis (SE) in layer house environments (n = 200 layer houses) and house mice (n = 129 layer houses) in 15 states throughout the United States. Environmental swabs were collected from manure, egg belts, elevators, and walkways. Live-catch rodent traps were placed for 4-7 days. Swabs and house mice were submitted to the laboratory for bacterial culture. Overall, 7.1% of layer houses and 3.7% of mice were culture positive for SE. The highest prevalence was in the Great Lakes region of the United States, and no SE was recovered from houses or mice in the southeast region. Presence of SE in layer houses was associated with age/molting, floor reared pullets, and number of rodents trapped. Cleaning and disinfecting houses between flocks was associated with a reduced risk. The prevalence of SE in mice from environmentally positive houses was nearly four times that of mice from environmentally negative houses.

Animal Husbandry↗
PubMed2000

Reactivity to intradermal injection of extracts of Dermatophagoides farinae, Dermatophagoides pteronyssinus, house dust mite mix, and house dust in dogs suspected to have atopic dermatitis: 115 cases (1996-1998).

OBJECTIVE: To compare reactivities to intradermal injection of extracts of Dermatophagoides farinae, Dermatophagoides pteronyssinus, house dust mite mix, and house dust in dogs suspected to have atopic dermatitis. DESIGN: Retrospective study. ANIMALS: 115 dogs. PROCEDURES: Records of all dogs suspected to have atopic dermatitis that underwent intradermal testing between October 1996 and July 1998 were reviewed. Reactivities to intradermal injection of crude mixed house dust mite (1:25,000 wt/vol) and crude house dust (25 PNU/ml) extracts were compared with reactivities to intradermal injection of individual extracts of D farinae and D pteronyssinus (1:50,000 wt/vol). RESULTS: Ninety dogs were confirmed to have atopic dermatitis including 61 of the 69 dogs with positive reactions to either or both of the individual house dust mite extracts. Intradermal testing with the mixed house dust mite extract had sensitivity of 75%, specificity of 96%, and accuracy of 83%. Intradermal testing with the house dust extract had sensitivity of 30%, specificity of 93%, and accuracy of 56%. CONCLUSIONS AND CLINICAL RELEVANCE: Results suggest that use of crude mixed house dust mite and crude house dust extracts for intradermal testing in dogs is not as accurate a method of determining house dust mite hypersensitivity as is the use of individual D farinae and D pteronyssinus extracts mainly because of the high percentage of false-negative results. Extracts of individual house dust mites are recommended for intradermal testing of dogs suspected to have atopic dermatitis.

Allergens↗
PubMed2002

Supported housing for people with severe mental disorders.

BACKGROUND: There has been a significant reduction in the number of people with severe mental illness who spend extended periods in long-stay hospitals. Psychiatric and social services, both statutory and voluntary, aim to assist these people to stay in their local community. District health authorities, local authorities, housing associations and voluntary organisations are jointly expected to provide support for people with severe mental disorder/s. This 'support' may well involve some sort of special housing. OBJECTIVES: To determine the effects of supported housing schemes compared with outreach support schemes or 'standard care' for people with severe mental disorder/s living in the community. SEARCH STRATEGY: Cochrane Schizophrenia Group's Register of trials (February 2001) and the Cochrane Library (Issue 1, 2001) were searched using relevant phrases. These databases are compiled by methodical searches of BIOSIS, CINAHL, Dissertation abstracts, EMBASE, LILACS, MEDLINE, PSYNDEX, PsycINFO, RUSSMED, Sociofile, supplemented with hand searching of relevant journals and numerous conference proceedings. Reference list screening of relevant papers was performed. SELECTION CRITERIA: Relevant randomised, or quasi-randomised, trials dealing with people with 'severe mental disorder/s' allocated to supported housing, outreach support schemes or standard care focusing on outcomes of service utilisation, mental state, satisfaction with care, social functioning, quality of life, and economic data, were sought. DATA COLLECTION AND ANALYSIS: Studies were reliably selected, quality rated and data extracted. For dichotomous data, relative risks (RR) would have been estimated, with the 95% confidence intervals (CI). Where possible, the number needed to treat statistic (NNT) was to have been calculated. Analysis would have been by intention-to-treat. Normal continuous data were to have been summated using the weighted mean difference (WMD). Scale data were to have been presented for only those tools that had attained pre-specified levels of quality. Tests of heterogeneity and for publication bias were to have been undertaken. MAIN RESULTS: No studies met the inclusion criteria although 139 citations were acquired from the searches. REVIEWER'S CONCLUSIONS: Dedicated schemes whereby people with severe mental illness are located within one site or building with assistance from professional workers have potential for great benefit as they provide a 'safe haven' for people in need of stability and support. This, however, may be at the risk of increasing dependence on professionals and prolonging exclusion from the community. Whether or not the benefits outweigh the risks can only be a matter of opinion in the absence of reliable evidence. There is an urgent need to investigate the effects of supported housing on people with severe mental illness within a randomised trial.

Group Homes↗
PubMed1995

Evaluation of house-to-house versus fixed-site oral poliovirus vaccine delivery strategies in a mass immunization campaign in Egypt.

Among poliomyelitis eradication activities recommended by WHO are national immunization days. Most campaigns have delivered oral poliovirus vaccine (OPV) from fixed sites, reaching 80-90% of target populations. Although house-to-house vaccination provides nearly universal coverage, countries have been reluctant to use this approach because it is considered more costly and logistically difficult. To quantify the cost-effectiveness of both these strategies, we compared the vaccine coverage and vaccination costs per child for house-to-house and fixed-site delivery (38% and 13% higher, respectively), the costs per child vaccinated were similar. This was due primarily to the high coverage levels achieved in house-to-house delivery (100% versus 86%) and the reduced vaccine wastage. Vaccinating children at highest risk of infection was only 25-50% as expensive on a per child basis using house-to-house delivery, since such children were less likely to visit fixed sites. These findings may not be generalizable to other countries where labour costs are higher and the population density lower; however, house-to-house delivery may prove to be the most cost-effective eradication strategy by ensuring universal access to immunization.

Child Health Services↗
PubMed2005

Changes in accessibility and usability in housing: an exploration of the housing adaptation process.

The purpose of a housing adaptation is to enhance daily activities and to improve housing accessibility and usability by removing physical barriers in the home. The aim of this study was to investigate longitudinal changes in housing accessibility among clients receiving grants for housing adaptations. Baseline assessments were administered one month before the housing adaptation, with the first follow-up after two to three months, and the second follow-up after eight to nine months. The Housing Enabler and the Usability in My Home instruments were used to collect data from 131 consecutively enrolled clients living in general housing. Accessibility and usability improved significantly, the number of physical environmental barriers decreased and dependence on mobility devices increased, but at different times along the process. The results indicate the complexity of the housing adaptation process and the need to consider person-environment interactions over time. The methodology seems useful for quality development of assessment, intervention and evaluation processes in housing adaptations performed by occupational therapists.

Activities of Daily Living↗
PubMed1998

Indoor factors associated with concentrations of house dust mite allergen, Der p 1, in a random sample of houses in Norwich, UK.

BACKGROUND: Studies of house dust mite allergen concentrations suggest large variations both within and between homes. It is likely that different household characteristics influence allergen levels in different locations within the house. OBJECTIVES: To investigate household characteristics associated with higher concentrations of house dust mite allergen in a random sample of houses. METHODS: Information on indoor environment was obtained from 158 adults aged 20-44. Dust samples were collected from their living room floor, bedroom floor and mattress. Concentrations of Der p 1, the major allergen from the house dust mite Dermatophagoides pteronyssinus, were measured by monoclonal antibody immunoassay. Associations between mite allergen concentrations and household characteristics were examined using censored-normal regression models. Factors that were related to Der p 1 (P </= 0.2) in univariate analyses were included in multivariable regression models. RESULTS: Der p 1 was not detected in any location in 10 (6.3%) houses. Geometric mean concentrations of Der p 1 were 1.9 microg/g in living room floor dust, 1.7 microg/g in bedroom floor dust and 2.0 microg/g in mattress dust. Approximately 25% of living room floor and mattress, and over 30% of bedroom floor samples had Der p 1 concentrations greater than 10 microg/g. Household characteristics associated with Der p 1 concentrations in both living room and bedroom were floor level, extractor fan in the kitchen, and age of carpet. Living room Der p 1 concentrations were also associated with gas oven/hob, window condensation, open fires, vacuum cleaner type, smokers in the house and age of house. Bedroom Der p 1 concentrations were also associated with use of blankets and wash temperature of bedding. Mattress Der p 1 concentrations were associated with window condensation, concrete bedroom floor and age of mattress. CONCLUSION: Different household characteristics were associated with high Der p 1 concentrations in different parts of the house. These findings are relevant to design of allergen avoidance regimes or formulation of policy recommendations for reduction of disease associated with allergen exposure.

Adult↗
PubMed2006

Housing conditions and Plasmodium falciparum infection: protective effect of iron-sheet roofed houses.

BACKGROUND: Identification and better understanding of potential risk factors for malaria are important for targeted and cost-effective health interventions. Housing conditions have been suggested as one of the potential risk factors. This study aims to further investigate this risk factor, and is focused on the effect of the type of roof on Plasmodium falciparum infection among children below five years in the North West of Burkina Faso. METHODS: In a cross-sectional study design, 661 children aged six to 60 months were randomly selected from three rural and one semi-urban site at the end of the rainy season (November 2003). The children were screened for fever and tested for Plasmodium falciparum infection. In addition, data on bed net use and house characteristics was collected from the household were each child lived. Using adjusted odds ratios, children living in house roofed with iron-sheet were compared with those in house with mud or grass roof. RESULTS: Overall P. falciparum infection prevalence was 22.8 % with a significant variation between (Chi-square, p < 0.0001). The prevalence in Cissé (33.3 %) and Goni (30.6 %) were twice times more than in Nouna (15.2 %) and Kodougou (13.2 %). After adjusting for age, sex, use of bed net and housing conditions, children living in houses with mud roofs had significantly higher risk of getting P. falciparum infection compared to those living in iron-sheet roofed houses (Odds Ratio 2.6; 95% Confidence Interval, 1.4-4.7). CONCLUSION: These results suggest that house characteristics should be taken into consideration when designing health intervention against P. falciparum infection and particular attention should be paid to children living in houses with mud roofs.

Animals↗
PubMed2004

The cost-effectiveness of independent housing for the chronically mentally ill: do housing and neighborhood features matter?

OBJECTIVE: To determine the effects of housing and neighborhood features on residential instability and the costs of mental health services for individuals with chronic mental illness (CMI). DATA SOURCES: Medicaid and service provider data on the mental health service utilization of 670 individuals with CMI between 1988 and 1993 were combined with primary data on housing attributes and costs, as well as census data on neighborhood characteristics. Study participants were living in independent housing units developed under the Robert Wood Johnson Foundation Program on Chronic Mental Illness in four of nine demonstration cities between 1988 and 1993. STUDY DESIGN: Participants were assigned on a first-come, first-served basis to housing units as they became available for occupancy after renovation by the housing providers. Multivariate statistical models are used to examine the relationship between features of the residential environment and three outcomes that were measured during the participant's occupancy in a study property: residential instability, community-based service costs, and hospital-based service costs. To assess cost-effectiveness, the mental health care cost savings associated with some residential features are compared with the cost of providing housing with these features. DATA COLLECTION/EXTRACTION METHODS: Health service utilization data were obtained from Medicaid and from state and local departments of mental health. Non-mental-health services, substance abuse services, and pharmaceuticals were screened out. PRINCIPAL FINDINGS: Study participants living in newer and properly maintained buildings had lower mental health care costs and residential instability. Buildings with a richer set of amenity features, neighborhoods with no outward signs of physical deterioration, and neighborhoods with newer housing stock were also associated with reduced mental health care costs. Study participants were more residentially stable in buildings with fewer units and where a greater proportion of tenants were other individuals with CMI. Mental health care costs and residential instability tend to be reduced in neighborhoods with many nonresidential land uses and a higher proportion of renters. Mixed-race neighborhoods are associated with reduced probability of mental health hospitalization, but they also are associated with much higher hospitalization costs if hospitalized. The degree of income mixing in the neighborhood has no effect. CONCLUSIONS: Several of the key findings are consistent with theoretical expectations that higher-quality housing and neighborhoods lead to better mental health outcomes among individuals with CMI. The mental health care cost savings associated with these favorable features far outweigh the costs of developing and operating properties with them. Support for the hypothesis that "diverse-disorganized" neighborhoods are more accepting of individuals with CMI and, hence, associated with better mental health outcomes, is mixed.

Activities of Daily Living↗
PubMed1999

Effect of airflow on house fly (Diptera: Muscidae) distribution in poultry houses.

Numbers of fecal and vomit spots deposited by house flies, Musca domestica L., on spot cards were about twice as high on cards placed on the downwind sides as on the upwind sides of building support posts in caged-layer poultry houses with tunnel ventilation in Brooksville, FL. This trend was stronger at the ends of the houses where airflow is faster than in the relatively still-air center of the houses. A similar evaluation conducted in a pullet house (Zephyrhills, FL) with an evaporative cooling ventilation system revealed significantly higher fly counts on spot cards and sticky cards in downwind compared with upwind orientations. Flies in the pullet house were concentrated in both ends of the house and in the center, with comparatively fewer flies in the intermediate regions. There was a high degree of correlation between spot card and sticky card counts in the pullet house.

Air Movements↗
PubMedDate not supplied

Housing plus services: supporting vulnerable families in permanent housing.

The importance of integrating services with housing to help low-income families achieve stability is gaining recognition. The variations in types of existing housing and service initiatives have produced a complex language with multiple meanings and overlapping definitions. The National Low Income Housing Coalition proposes the umbrella term housing plus services to refer to these programs. Following a review of the literature on the relationship of housing to child well-being, the article discusses and illustrates the National Low Income Housing Coalition's principles for and typology of housing plus services.

Adult↗
PubMed2007

Housing choice and control, housing quality, and control over professional support as contributors to the subjective quality of life and community adaptation of people with severe mental illness.

This research examined two premises of supported housing: (a) that consumer choice/control over housing and support and the quality of housing are important contributors to the subjective quality of life and adaptation to community living of people with mental illness, and (b) that apartments provide mental health consumers with more choice/control over housing and support than group living arrangements. To test these two hypotheses, we collected data from participants with mental illness housed through a government initiative in Ontario, Canada. A total of 130 participants completed a baseline interview, and 91 of those participants also completed a follow-up interview 9-months later. Support was found for both hypotheses. The results were discussed in terms of the paradigm of supported housing, previous research, and implications for housing policy and program development in the community mental health sector.

Adult↗
PubMed2002

Housing and inequalities in health: a study of socioeconomic dimensions of housing and self reported health from a survey of Vancouver residents.

STUDY OBJECTIVE: To investigate the relation between housing, socioeconomic status, and self reported general and mental health. This study is an empirical investigation of social and economic dimensions of housing, specifically, demand, control, and material (affordability, dwelling type) and meaningful (pride in dwelling, home as a refuge) dimensions of everyday life as they occur in the domestic environment. DESIGN: A cross sectional telephone survey was administered to a random sample of households. Survey items included measures of demand, control, and meaningfulness of the domestic environment, as well as standard measures of socioeconomic status and social support. Main outcome measures were self reported health (excellent, very good, good, fair, poor) and self reported frequency of feeling "downhearted and blue" in the two weeks before interview (from the Rand Mental Health Index). SETTING: Households (n=650) from 12 neighbourhood areas in the city of Vancouver, Canada. PARTICIPANTS: One randomly selected adult from each of 650 households completed the interview and constitute the sample for this study. MAIN RESULTS: In bivariate analyses, measures of housing demand, control and meaningfulness exhibited strong and significantly graded relations with self reported health and somewhat less strong relations with mental health. In logistic regression analyses housing demand and control variables made significant contributions to health both general and mental health. Respondents were more likely to report fair/poor health if they: reported that they couldn't stand to be at home sometimes (OR=2.29, p<0.05); rated their domestic housework as somewhat or quite a strain (OR=5.71, p<0.001); were somewhat or very dissatisfied with their social activities (OR=3.41, p<0.001); and reported that they were constantly under stress a good bit of the time or more (OR=3.56, p<0.05). In terms of mental health, respondents were more likely to report poorer mental health if they: lived longer in their neighbourhood (OR=1.05, p<0.05); reported their housework duties to be somewhat or quite a strain (OR=5.55, p<0.001); reported that they did not have somebody that could help them if they needed it (OR=9.28, p<0.001); and reported that they were constantly under stress a good bit of the time or more in the two weeks before the interview (OR=5.26, p<0.001). One of the main hypotheses investigated-that meaningful dimensions of housing are associated with health status-found support in bivariate analyses without controls, but did not contribute to multivariable models. CONCLUSIONS: The influence of housing demand and control variables superseded a well known correlate of health status, educational attainment, attesting to their importance. The findings of this paper lend support to the hypothesis that features of the domestic environment, especially as they pertain to the exercise of control and the experience of demand, are significant predictors of self reported general and mental health status. Housing is a concrete manifestation of socioeconomic status, which has an important part to play in the development of explanations of the social production of health inequalities.

Adolescent↗
PubMed1993

Housing for people with mental illnesses: a comparison of models and an examination of the growth of alternative housing in Canada.

The decrease over the past three decades in institutional care for people with mental illness has not been matched by the adequate development of specialized housing in the community. Broadly speaking, two major models of housing have emerged in the past 30 years: custodial and alternative. Large custodial settings, including boarding houses, nursing homes and special care homes, are typically not associated with residents' satisfaction or a positive outcome. Alternative housing refers to a range of models, including halfway houses, group homes, co-ops and supported housing. It is associated with better residents' outcomes. This paper briefly compares the two models and examines key issues in alternative housing and its development in Canada.

Canada↗
PubMed1995

Elderly housing needs: an examination of the American Housing Survey.

The graying of the population will have a profound impact on the nation's ability to provide safe, quality, affordable housing to its elderly citizens. Meeting the housing challenge in the twenty-first century requires determining the nature and condition of the housing stock as well as the needs and concerns of the elderly. For example, one economic challenge is based on tenure. There is a tremendous disparity in housing costs between renters and homeowners. Almost 70 percent of renters pay 25 percent or more of their income for shelter while only 30 percent of homeowners are in the same category. The U.S. Department of Housing and Urban Development's American Housing Survey is a valuable tool which can help gerontologists and planners address a broad range of housing and related issues.

Aged↗
PubMed2000

The effect of group housing on feeding patterns and social behaviour of previously individually housed growing pigs.

Group housed pigs make less frequent feeder visits of longer duration, and eat at a faster rate than pigs housed individually. They also have lower growth rates which may be due to elevated stress levels resulting from changes in the concentrations of hormones, such as cortisol and adrenaline associated with aggression and social stress. The aim of this experiment was to investigate the effects of grouping on feeding pattern, time budgeting and the social behaviour of pigs kept as individuals from weaning until grouping. In total, 12 Large WhitexLandrace male pigs (four pigs per block) mean (+/-S.E.) start weight 22.5+/-0.7kg were housed individually for 3 weeks (Period 1) after which in two replicates (Blocks 1 and 3), pigs were combined into a group of four (Period 2) before being returned to individual housing for a further 3 weeks (Period 3). In Block 2, the four pigs remained as individuals across periods but were moved between pens at the end of Periods 1 and 2 to account for any pen effects. Feeding pattern and food intake were recorded throughout and pigs were weighed three times a week. Video recordings and live behavioural observations were made to record time budgets and social behaviour. Grouped pigs made less visits to the feeder in Period 2 than when they were housed individually in Periods 1 (P<0.001) and 3 (P<0.01). Visit duration was longer in Period 2 than in Periods 1 (P<0.01) and 3 (P<0.05). Food intake and weight gain were greater in Period 3 than in Periods 1 and 2 (P<0.001 and P<0.01, respectively). There were no significant effects of moving pigs between pens in Block 2 on feeding behaviour and timebudgets. In Period 2, grouped pigs slept more (P<0.01) and spent less time feeding (P<0.01) and rooting (P<0.01) than in Periods 1 and 3. The frequency of aggression decreased over time from mixing (P<0.001). Possible explanations for the changes in feeding behaviour when pigs are moved from individual to group housing are competition, group cohesion, or that the high frequency of feeder visits when the pigs are housed individually is a consequence of a lack of social stimulation. Of these different possibilities, the results suggest that group cohesion is most likely to have been causal in the observed changes in feeding behaviour.

Journal Article↗
PubMed2003

Recruitment of house staff into anesthesiology: a re-evaluation of factors responsible for house staff selecting anesthesiology as a career and individual training program.

STUDY OBJECTIVE: To reexamine, in a follow-up to our first study, those factors responsible for house staff (i.e., residents and clinical fellows) selecting anesthesiology as a career and a specific training program, as well as house staff satisfaction with various educational aspects of our training program, and their perceptions of the future for graduating anesthesiology trainees. DESIGN: Survey questionnaire of 77 house staff at the Mayo Clinic during the 2000 to 2001 academic year. SETTING: Academic medical center. MEASUREMENTS: A cross-sectional analysis was conducted using a questionnaire to survey 77 house staff enrolled in the anesthesiology training program at Mayo Clinic, Rochester, MN during the 2000 to 01 academic year. All responses were anonymous. Data were compared between time epochs using an f-exact test. A p-value <or=0.05 was considered statistically significant. MAIN RESULTS: Forty-five (58%) of those surveyed responded to the questionnaire. Responses were similar to those obtained in the original study that we conducted in 1995 to 96. The most frequently cited reasons for selecting anesthesiology as a career were: it is a "hands-on" specialty, it involves the clinical application of physiology and pharmacology, and there is adequate time off. The most frequently cited reasons for selecting our training program were: diversity of training experience, prestige associated with the institution, and house staff satisfaction (i.e., morale) observed at the time of interview. House staff continued to report a very high level of satisfaction with the training program (education, clinical practice, and research opportunities). Only 58% of respondents (vs. 92% in 1995-1996) felt that downsizing of anesthesiology training programs was a national trend, none (vs. 54% in 1995-1996) anticipated difficulty obtaining a job following training, and 91% (vs. 33% in 1995-1996) felt that they had future job security. Overall, 98% (vs. 98% in 1995-1996) were pleased with their career choice, and 93% (vs. 83% in 1995-1996) would choose anesthesiology as a career if they were now graduating from medical school. CONCLUSION: Data from one institution indicate that selection of an anesthesiology career and training program remain strongly associated with concerns regarding educational experiences and postgraduate employment opportunities. In contrast to our results from our 1995-1996 study, significantly fewer house staff had concerns about securing employment following training. Our observations-coupled with favorable National Resident Matching Program results during the past few years-bode well for the future recruitment of graduating American medical students into anesthesiology.

Academic Medical Centers↗
PubMed2001

Housing conditions and respiratory health in a Boston public housing community.

OBJECTIVES: To determine frequency of and possible associations between environmental housing factors and self-reported respiratory symptoms in public housing. METHODS: We used a community-participatory method in which trained residents conducted in-person interviews with a random sample of 53 households in one housing development in Boston, Massachusetts. RESULTS: Environmental factors suspected of affecting respiratory health that were reported by more than 30 percent of respondents included: Moisture (43 percent), mold (43 percent), cracks in walls, floors and ceilings (49 percent), sewage leaks (33 percent), unexplained odor (35 percent), use of air fresheners (91 percent), use of gas ovens for heating (38 percent), no vent for the oven (74 percent), stuffy air (66 percent), overheating at least part of the winter (73 percent), cockroaches (70 percent), rodents (40 percent), pets (39 percent), frequent renovations (40 percent), repeated requests for repairs (52 percent), dust from construction (45 percent), use of more than three hazardous household products (32 percent), vehicle traffic nearby (81 percent), and smoking in the household (57 percent). Forty percent of respondents reported having asthma. Respondents also reported that 56 percent of their children had asthma. Forty percent of respondents reported wheeze and 48 percent reported coughing or sneezing episodes in the preceding month. We found the following positive statistically significant associations, adjusted for age, sex, Black or Hispanic origin, and years lived in public housing: wheeze with moisture problems (OR = 4.8; CI = 1.2, 19.3), sewage leaks (OR = 6.3; CI = 1.3, 30.3), odor (OR = 7.5; CI = 1 .4, 39.0), cracks in walls,floors and ceilings (OR = 8.6; CI 1.9, 38.0), and frequency of renovations (OR = 9.8; CI = 1.8, 54.4); cough with moisture problems (OR = 5.3; CI = 1.3, 20.8), stuffy air (OR = 4.4; CI = 1.2, 16.7), cockroaches (OR = 5.4; CI = 1.2, 24.2), smoking (OR = 5.0; CI = 1.2, 20.5), odor (OR = 10.9; CI = 2.3, 53.0), cracks in walls, floors and ceilings (OR = 6.2; CI = 1.8, 22.3) and frequency of renovations (OR = 4.4; CI = 1.1, 17.5); and sneeze with cockroaches (OR = 5.2; CI = 1.1, 24.2), stuffy air (OR = 6.3; CI = 1.5, 26.5), cracks in walls, floors and ceilings (OR = 6.3; CI = 1.7, 23.1), repeated requests for repairs (OR = 5.6; CI = 1.4, 21.5), and construction dust (OR = 15.6; CI = 2.2, 112.3). CONCLUSIONS: Housing conditions that affect respiratory health were common in this public housing development. Self-reported rates of respiratory symptoms and asthma were extremely high. Statistical associations between housing conditions and respiratory symptoms in the preceding month were frequently positive and sometimes statistically significant. Engaging community residents strengthened the research process.

Journal Article↗
PubMed1999

[Housing policy and aging--staying as long as possible in personal housing?].

Housing elderly residents is a major concern in all European countries. The topic of this article is the development of a new preventive approach to housing older people in Denmark based on a comparative analysis of elderly people's needs and wishes to housing in old age carried out in 1996-97 for the Danish Council on Housing of the Elderly. The former well-established slogan "stay in your home as long as possible" will gradually be replaced by the new slogan "Move in time, while you can--and before others decide for you". About one-fifth of the present 60-year olds are looking for another living environment for ageing. This calls for a diversity in housing provision. A preventive policy should take into account a much needed mobility within the housing sector, the reduction of public expenditure by providing adequate housing suited for persons with disability and the rapid increase in the number of seniors who will in 15 years' time demand that their needs and wishes should be met.

Activities of Daily Living↗