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Int. J. Environ. Res. Public Health 2019, 16(3), 295;

Healthy-Sustainable Housing Index: A Pilot Study to Link Architecture and Public Health in a Semi-Urban Community in Mexico

Environmental Health Department, Center for Population Health Research, National Institute of Public Health, Av. Universidad 655, Col. Santa Ma. Ahuacatitlán, Cuernavaca 62100, Mexico
Urbanism academy, Faculty of Architecture, Autonomous University of Morelos, Av. Universidad 1001, Col. Chamilpa, Cuernavaca 62209, Mexico
Author to whom correspondence should be addressed.
Received: 7 January 2019 / Accepted: 11 January 2019 / Published: 22 January 2019
(This article belongs to the Special Issue Improving Safety, Health, and Wellbeing in Construction)
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The aim of this pilot study was to evaluate the link between housing and children´s respiratory symptoms, through the construction of an index (HSHI) based on the definition of healthy-sustainable housing criteria, in a semi-urban community from Morelos, Mexico. A general and household questionnaire, and respiratory symptoms diary were applied in 60 households to gather information about schoolchildren, respiratory health, housing and lifestyle characteristics. HSHI was constructed using principal component analysis. The association between HSHI and the presence and duration of respiratory symptoms was assessed using logistic and Poisson regression models. HSHI had five components, which accounted for 63% of variance, and were classified into poor and sufficient quality. It was observed that schoolchildren who inhabit a sufficient-quality house, showed a reduction in nose irritation duration and in the allergic symptoms probability regarding component 1 (ventilation, lighting and cloth washing) and presented three times less duration of common cold by component 2 (construction material, painted walls inside the house and type of bathroom) compared to poor-quality house inhabitants. Our results suggest that living in a sufficient-quality house, as described by the HSHI, reduced the prevalence of wheezing episodes and the probability of ear pain, providing evidence about the positive association of a healthy-sustainable housing on the respiratory health of schoolchildren. View Full-Text
Keywords: healthy-sustainable housing index; respiratory symptoms; pilot study; Mexico healthy-sustainable housing index; respiratory symptoms; pilot study; Mexico

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Zúñiga-Bello, P.; Schilmann, A.; Félix-Arellano, E.; Gama-Hernández, G.; Alamo-Hernández, U. Healthy-Sustainable Housing Index: A Pilot Study to Link Architecture and Public Health in a Semi-Urban Community in Mexico. Int. J. Environ. Res. Public Health 2019, 16, 295.

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