Next Article in Journal
How Do Street Physical Environments Shape Pedestrian Safety Perception? Evidence from Street-View Imagery, Machine Learning, and Multiscale Geographically Weighted Regression
Previous Article in Journal
Uniaxial Dynamic Compressive Mechanical Properties of Alkali-Activated Recycled Aggregate Concrete Modified by Single and Combined Incorporation of CNTs/GO
 
 
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

User Preferences on Toilet Features and Layout: Observations from a Homogeneous Sample of Users in a University Building

1
Department of Architecture and Arts, Iuav University of Venice, Santa Croce 191, Tolentini, 30135 Venice, Italy
2
Department of Psychology, University of Bologna, Viale Berti Pichat, 5, 40127 Bologna, Italy
*
Author to whom correspondence should be addressed.
Buildings 2026, 16(5), 919; https://doi.org/10.3390/buildings16050919
Submission received: 16 January 2026 / Revised: 9 February 2026 / Accepted: 11 February 2026 / Published: 26 February 2026

Abstract

This paper presents an analysis of user preferences regarding the use and design of toilets in densely populated buildings. Toilets are a necessary utility in all buildings, but little is known about users’ preferences, which often leaves building designers relying on the simple application of design codes or manufacturers’ instructions. The opportunity for this research was offered by the renovation of the sanitary facilities taking place in a large university building at the Iuav University of Venice. When the research was carried out, only half of the toilets of the building had been renovated, offering a unique opportunity to compare the preferences of users between the refurbished and the old toilets. Students enrolled in the undergraduate architecture program hosted in the building were surveyed with a questionnaire to monitor their preferences for using the toilets, comparing the old and new layouts and technical characteristics of the bathrooms. Simultaneously, on-site observations were conducted to measure the occupation of toilet blocks and compare the performance of the new versus the old layout. The results offer novel and detailed information on the use of bathrooms by a homogeneous group of users and their preferences concerning the design features of lavatory spaces, highlighting user-centered design priorities. The results contradict some commonplaces, for instance about the longer time spent in public restrooms by females. Also, results highlight the limited usage of urinals by males but evidence how the minority of males that do use them create an advantage for the whole male population.

1. Introduction and Background

The issue of public restrooms, understood as a response to users’ physiological needs when they are not at home, has become in recent years the subject of numerous interdisciplinary investigations, involving a broad range of competencies and methodological approaches.
Urban planning and architectural disciplines are tasked with identifying the most appropriate locations within cities and with designing public restroom facilities [1], as their presence is essential to achieving sustainable, accessible, and inclusive cities [2,3,4,5]. However, there are significant differences related to the geographical context: in some parts of the world, especially in developing economies, large portions of the population do not have access to private toilets, and public restrooms represent the only means of accessing essential services for hygiene and health [6]; in other regions, instead, public restrooms primarily facilitate public and social life [7], offering a fundamental service for everyone while shopping, visiting tourist or public areas, or attending social events.
Today, the design of public restrooms does not merely involve creating a functional and accessible space, including people with disabilities, but also requires consideration of a wide range of social factors and recent societal changes [8]. Research has examined how the presence or absence of these facilities affects individuals’ physical and psychological health [9], the importance of addressing gender-related aspects in users’ choices—also to ensure safety [10]—and how the provision of adequately designed and numerically appropriate facilities can improve business performance [11].
These issues are not fully addressed by technical regulations, which usually only define dimensional and technological criteria. Despite their importance, they are no longer sufficient to meet users’ needs. Instead, scientific literature and the research that underpins it provide both potential solutions and critical reflections that are valuable for design practice [12]. Kira discusses the aspects related to the design and social role of both private and public toilets in a seminal study [13] detailing the design aspects of many cleansing activities and elimination related to the biometrics of the human body.
When focusing on the design and operation of restrooms in buildings open to the public, several specific issues emerge. These include:
  • the number of sanitary fixtures required to adequately serve users—a matter closely related to the different amounts of time spent in restrooms by men and women;
  • gender-related concerns, aimed at responding to the needs of trans and non-binary people and anyone who does not identify with a gender binary;
  • the proper management of spaces to guarantee privacy;
  • the proper articulation of spaces to maximize hygiene and avoid contamination.
Hygienic management is, in fact, fundamental in public places, as argued by Margolin and Poggiali [14] with reference to libraries, where restrooms should convey “a message of respect and dignity,” since they are expected to reflect the same ideals embodied by collections, services, and study spaces.
Empirical observation in buildings with an equal share of females and males can show longer queues in front of female toilets. This is the consequence of a combination of three factors, according to a study by Ghent University [15]:
  • The presence of more fixtures for males (while female restrooms only have water closets, male restrooms usually present a mix of water closets and urinals, thus allowing more fixtures to be installed within the same surface);
  • a longer time spent by females in restrooms (due to more layered/difficult clothes and the opening and closing of individual cabin doors);
  • overall restroom activity when intensely used by a large number of users.
The conclusion reached by the Belgian researchers is that the most effective way to eliminate queues in women’s restrooms is to remove the underlying cause by opting for mixed-gender restrooms, which are more efficient than segregated facilities.
If gender-neutral restrooms are not adopted, women’s facilities should include twice as many WC cubicles as the number of urinals provided in men’s restrooms. While this proportion does not fully resolve the issue of waiting times, it does lead to some improvement. By eliminating urinals altogether and opting for layouts consisting solely of cubicles, the average waiting time for women becomes equivalent to that of men.
The quantitative provision of restroom facilities can therefore become highly discriminatory against women, as highlighted by writer and activist Caroline Criado Perez [16] in a popular science book and blog that had an impact on public opinion. The way public toilets are designed creates a male advantage: despite an ostensibly equal 50/50 allocation of floor space to both genders, men are afforded more opportunities to relieve themselves, since male restrooms typically include both cubicles and urinals. However, even increasing the number of cubicles in women’s restrooms does not fully resolve the issue.
This is because, on average, women require two to three times as much time than men to use restrooms, for both biological and social reasons: due to menstruation [17] or pregnancy; because they are more often responsible for accompanying children; and because they constitute a large proportion of the elderly and disabled populations—groups that generally require more time to use restroom facilities.
Previous research shows a general negative attitude toward using public restrooms due to sanitary and accessibility concerns [14,18,19]. Many people, despite having to urinate, tend to delay using the restroom when they are away from home [18,19], a behavior that is considered unhealthy and that can ultimately lead to urinary dysfunction [19,20]. In certain individuals public toilets trigger feelings of aversion [21] and, in extreme cases, this aversion could become pathological [22,23], resulting in the development of paruresis, a social anxiety disorder where a person struggles to urinate in the real or imagined presence of others, due to fear of judgment, and leading to significant distress, avoidance of public restrooms, and life disruptions when working or travelling.
The generalized negative attitude toward using public restrooms is also explained by psychological motivations rooted in human evolutionary history. One of the functions of disgust as emotion is in fact pathogen avoidance, and aversion to urine, feces, and spoiled food is distinctively rooted in the human mind and universally present [24,25].
Harvey et al. [26], using an interview focus group, found that the decision to void was determined by integrating multiple factors aside from the simple sensation of bladder filling, such as planning ahead, alternative locations, managing sounds, cleanliness and safety concerns. The Prevention of Lower Urinary Tract Symptoms Research Consortium conducted 44 focus groups with a total of 360 participants to identify factors influencing perceptions, beliefs, and behaviors concerning women’s toilet access [27]. Similarly, Palmer et al. [28] performed a focus group including 24 women to better understand women’s knowledge about bladder health and urination needs. Common themes influencing urination needs were cues/triggers (internal and external), cleanliness of facilities, the nuisance of toileting, and situational awareness. Similar results were obtained by Hartigan et al. [29] examining open-ended questions about limitations to restroom use. Corradi, Garcia-Garzon and Barrada [30] have developed the Public Bathroom Perception Scale, a 14-item scale aimed at assessing privacy, ease of use and cleanliness of public toilets. Applying this scale, they found that individuals with bowel illness or other urinary afflictions valued privacy and cleanliness more than healthy individuals. Furthermore, they found a strong gender effect on the scale with female participants scoring higher in every of the three domains.
Limitations in using public restrooms could be mitigated with an improved design [31] that includes an easily accessible placement and the inclusion of a “help” button for emergency situations. Barcan [32] underlined the importance of soundproof walls and doors that help to decrease embarrassment surrounding restroom use at work by reducing noises heard by others. Concerns related to risk of assault and safety can be decreased by well-lit hallways, security cameras, and emergency call buttons.
Regulations and guidance on the design of restrooms vary from country to country. Alongside general provisions—often linked to the specific functional uses for which restrooms are intended—these regulations are typically complemented by specific codes addressing the needs of people with disabilities.
In the United States, for example, the two main regulatory references are the International Plumbing Code [33] and the Uniform Plumbing Code [34]. The International Plumbing Code is the most widely adopted code in the U.S. These codes do not prescribe a fixed ratio between male and female facilities; rather, they define the minimum number of fixtures required for men’s and women’s restrooms, specifying how many water closets and how many urinals must be provided according to building typology and function.
Several countries, states, and cities have developed dedicated guidelines and manuals. Singapore, for instance, has published A Guide to Better Public Toilet Design and Maintenance, now in its fifth edition, which offers recommendations and practical design examples. Even the relatively small Indian state of Uttarakhand has produced the Guidelines and Standards to Create Inclusive Aspirational Public Toilets, aimed at improving public health outcomes.
In Italy, by contrast, such detailed regulations are lacking. Limited guidance is provided in national law on workplace health and safety [35] and in municipal hygiene and building regulations, which consequently vary from city to city.
A more comprehensive and articulated regulatory framework exists in relation to Universal Design. Within this context, specific legislation addresses accessibility for people with disabilities, including the regulation that establishes rules for eliminating architectural barriers in buildings, public spaces, and services [36], as well as standards promoting inclusive design for all users. Two European standards are particularly relevant in this regard: EN 17210:2021 [37], accessibility and usability of the built environment—functional requirements, and CEN/TR 17621:2021 [38], accessibility and usability of the built environment—technical performance. Although non-mandatory, these documents provide an important technical and conceptual reference framework.
Urinals, on the other hand, are almost entirely neglected in the Italian regulatory context. These fixtures are commonly installed in high-occupancy buildings, such as sports facilities and airports, and also play a significant role in terms of water conservation. Nevertheless, they are often designed and implemented without adequate dimensional criteria or consideration for privacy, unlike those found in codes and guidelines from other countries (e.g., 2010 ADA Standards for Accessible Design; CEUD, Building for Everyone: A Universal Design Approach, Booklet 5).
The objective of the research presented in this paper is to assess user preferences in a university building comparing two different and simultaneously available layouts of toilet facilities, with the aim of verifying, in a specific condition, the validity of the assumptions above.
The methodology of the paper is defined so as to answer the following questions:
  • Does the design of the restroom space have an impact on its usage?
  • Is there a difference in the way males and females perceive the restroom space?
  • What factors contribute to a feeling of privacy in public restrooms?

Restroom Layouts in the Tested Facility

The toilets considered in this analysis are located inside the “Ex-Cotonificio” building of the Iuav University of Venice, located in the historic city of Venice, Italy. The building is a former cotton mill built in 1883 that was transformed into a university building in 1986. The building hosts most of the teaching activities of the Iuav University, with up to 3000 students simultaneously present during peak conditions. Classrooms (with a seating capacity ranging from 50 to 150 seats) are organized on two floors on the right of the entry hall, as illustrated in the attached floorplans (Figure 1). A few additional classrooms and smaller meeting rooms are located in a shorter wing on the left of the entrance.
The measurements and questionnaires that form the methodology of the present paper—described later—were conducted during a specific occasion, while renovation works of the toilets were underway. This specific circumstance allowed the researchers to compare the usage behavior and preferences of the building users (students) on two alternative situations simultaneously: the old toilet layout—mostly unchanged since the building transformation of the 1980s—and the new, refreshed “look” of the bathroom blocks after the renovation works.
The old toilet blocks have a clear distinction between male and female blocks. Both are 2.72 by 4.90 m. Each restroom block for females contains two cubicles, each one with a toilet bowl and a sink, and two additional sinks in the vestibule; by contrast, the blocks with male toilets contain two small cubicles (with just the toilet bowl), two urinals, and two washbasins in the vestibule as per the drawings in Figure 2.
The urinals in the male bathrooms are separated from the area with the washbasins by a wall. The space for the two urinals is very limited: the limiting walls are just 109 cm apart and the center-to-center distance of the urinals is just 48 cm, making their use by two simultaneous customers very uncomfortable due to the complete lack of privacy and insufficient space for the shoulders (as visible in Figure 3). Consequently, the two urinals are very rarely used simultaneously, reducing the availability of fixtures in male toilets. Still, even considering only one urinal being used at any time, the original design of the male restrooms has three fixtures, while the female ones only have two.
When the cotton mill was transformed in the 1980s, females represented just about 28% of Iuav’s student population, very similar to Italy’s average of 31% of women in architecture and urban studies [39]. The provision of more male toilets in the building hence reflected a higher percentage of males.
The refurbished toilets shown in Figure 4 keep the perimeter walls of the old toilet blocks but introduce significant internal changes. Male and female toilets are now identical but mirrored along the separating wall. Each block features a vestibule with just one washbasin, a toilet for users on a wheelchair complying with the Italian DPR 503/1996 and the Ministerial Decree 236/1989 (a toilet bowl and a washbasin that allow the lateral approach of the wheelchair and a wheelchair maneuvering space free of obstacles with a diameter of 150 cm) and an additional cubicle with a toilet bowl and a washbasin. Hence, the refurbished restrooms now feature two fixtures for both female and male users.
However, this number does not reflect the shift in the student population that has occurred over the last decade, when the share of female students increased significantly, representing today about 60% of the total. Hence, the equal number of restrooms for males and females does not reflect the consolidated prevalence of females but it also contradicts the objective of the Iuav University to increase the total number of students.
Due to space constraints, all the toilets of the left wing of the university building can be considered as gender-neutral facilities, for the fact that doors have signs showing pictograms of both a female and a male.
The research was conducted at the precise moment when all the restrooms of the ground floor (four male and four female blocks in total) had already been renovated, while those on the upper floor still presented the original layout with two cubicles and urinals for males and just two cubicles for females.
This circumstance allows verification of the impact that the different number of fixtures available in male and female lavatory areas has on multiple user-related aspects, and to understand various user preferences in comparable conditions.

2. Materials and Methods

2.1. Uniqueness of the Sample

The research presented in this paper targeted the preferences for toilet design by investigating a very specific group of users, i.e., students of the bachelor’s degree in architecture of the Iuav University of Venice. The students involved in the research belong to a very homogeneous age group (mean age for males = 21.36 years—SD = 2.60, mean age for females 21.05 years—SD = 2.52). At the time of the research, the students were attending the “Wave”, an intensive design studio requiring their presence within the university premises for three consecutive weeks, Monday through Friday, between 9 am and 5 pm (participants declared staying in the university building an average of 35.21 h per week—SD = 11.22). Students were working collaboratively on projects, spending most of the time in the same classroom throughout the entire duration of the studios. Another important aspect that adds significance to the research results is the fact that all the surveyed users are students of architecture, and they are thus more inclined to observe the impact of the built environment on building occupants and on their behavior.
The research methodology consisted of a questionnaire and on-the-field measurements.
The questionnaire was created to investigate the preferences of the building users for the two alternative layouts of restrooms simultaneously present in the building, and to acquire qualitative and quantitative data on general aspects regarding the design of toilets in densely populated buildings.
The on-site measurements, on the other hand, were aimed at gathering data on the impact the two alternative layouts had on the amount of time spent inside the toilet block by the building users.

2.2. Scope and Methodology of the Questionnaire

The questionnaire had the scope of investigating both the user preferences on the two alternative restroom layouts available for both females and males in the surveyed building, and more general preferences regarding the use of toilets. The total number of respondents was 306 (176 females, 123 males, two preferred not to answer), representing about 10% of the 3025 students enrolled at Iuav’s undergraduate programs and circa one-third of students enrolled in the “Wave” design studios. The female-to-male ratio is about three females to two males, both in the total sample and in the questionnaire responders (61.0% and 57.5% respectively).
The questions were prepared by the research team using a mix of Likert-scale, open-ended and yes/no answering possibilities, and were hosted on a proprietary online platform of the University of Bologna to ensure the complete anonymity of the gathered information.
During the same day of the on-site measurements described later, one member of the research team visited all the classrooms of the university, asking the course instructor to gather the attention of the entire classroom. A very short introduction to the scope of the survey was given by the research team member in each class, focusing on:
  • the unique circumstance (described in the section Restroom Layouts in the Tested Facility) that inspired the research;
  • the request to respond to the questionnaire in their dual position of building users and future architects (thus considering with special care the connection between the built environment and the user behavior);
  • the complete anonymity of the questionnaire results.
The questionnaire was then answered by the responders on a voluntary basis, by scanning a QR code projected on the classroom screen with their personal smartphones. The mean duration for completing the questionnaire was 7′39″ and it was completed in its Italian version by 274 (89.54%) participants, and in its English version by 32 (10.45%) participants.

2.3. Scope and Methodology for the On-the-Field Measurements

The on-the-field measuring activity consisted of measuring the amount of time spent by each user inside the toilet block. This information is deemed important to verify whether the layout design had an impact on the time spent inside the toilet block on average, and to assess gender differences in the time spent in restrooms. On-the-field measurements were performed both on renovated and un-renovated restrooms. In highly frequented public spaces where the gender distribution is somehow equal (for instance, in an airport, a museum or a park) the formation of queues in front of female toilets can usually be observed. At first sight, one can speculate that females spend more time in the toilet due to a different physiology or behavioral reasons (more complex clothing, time for make-up) and the Ghent University study already referenced supports this. However, young students at the university dress very consistently. At the time of the monitoring activity (the end of June 2025) due to the very warm weather, the vast majority of students were wearing just a t-shirt and short/long trousers, regardless of their gender. The measurement of the time spent by the two genders and the two toilet layouts may instead show that the layout of the toilet itself plays a greater role in the formation of queues at female toilets. In fact, as mentioned earlier, the toilets of the ground floor have the same number of sanitary fixtures in both male and female configurations, while toilets on the first floor have more sanitaryware available in the male configuration.
On-site measurements were taken thanks to the help of two research assistants. Each of them was provided with a data sheet printed on paper and a pen and they were asked to station in the public corridor in front of the restrooms for 30 min intervals, in a position that allowed them to monitor the entrance of both the toilets marked with the pictogram of a male or of a female. During this time, they had to measure the amount of time each user spent inside the restroom by noting the entry and exit time from the main restroom door and which one (female or male) they used. As each restroom can be used simultaneously by multiple users, a recognition identifier (e.g., black shirt; red trousers, etc.) was adopted to momentarily identify each user, and uniquely measure the time spent inside the restroom. As this identification code has no use for the purpose of the research, it was immediately cancelled as soon as the recording for each user was terminated (e.g., as soon as the male with the red shirt exited from the toilet block).
After the start of the 30 min shift, the time spent inside the restrooms for each user was measured until the last user who entered within the 30 min timeframe exited the block. The duration of the measuring campaign and of each 30 min measuring session was established to complete the whole monitoring on the morning of the same day of the questionnaire, which took place in the afternoon. Each measuring session was thus at least 30 min long. At the end of the measuring session the research assistant moved to another area of the building to avoid being noticed by the students, influencing the measurement.

2.4. Privacy Issues

Due to the topic of this research and the fact that it involves university students, the execution of the research was preceded by a meticulous preparatory process with the Ethical Committee of the Iuav University of Venice and the Iuav Officer for the protection of personal data (EU Regulation 2016/679). Following such consultations, all questions aimed at collecting personal data were removed from the questionnaire, and it was decided that the questionnaire should be hosted on a web-based platform that did not collect any personal information, including login credentials from popular web service providers. Ethical approval was not required in accordance with regulation (EU) 2016/679 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, as the research methodology did not process personal data of the interested parties participating in the questionnaire or in the on-site monitoring activity.

3. Results and Discussion

3.1. Results of the Questionnaire

The questionnaire was based on a survey tool of the University of Bologna that ensures a complete level of privacy for the respondents, as it does not require any login or track the user with cookies. None of the questions of the questionnaire offered the possibility to track the respondent and personal data (age, gender identity, etc.) were collected and aggregated only for statistical purposes.

3.1.1. Preference for Renovated Restrooms

As it can be expected, the renovated restrooms were preferred by the majority of the sample, with a noticeable difference between females (90.44%) and males (79.83%). The appearance of renovated restrooms was evaluated as better than that of non-renovated restrooms by 82.5%. Positive ratings were also attributed to functionality (69.3%). The perceived level of cleanliness was rated as satisfactory or very satisfactory in 54.8% of cases in renovated restrooms and only in 5.5% of cases in non-renovated restrooms. The renovated toilets in fact have a fresh appearance and better illumination and, because they are new, vandalism (mostly spray or marker tags and stickers) has not yet occurred.
Interestingly, the respondents to the question “Thinking about the color choices (gray tiles) in the new restrooms, which statement best reflects your opinion?” are equally split between those who liked the newly installed grey tiles because they look minimal (44%) and those who disliked them because they look dull (44%).

3.1.2. Privacy Perception

The level of privacy was considerably increased in renovated restrooms, with 67.8% of positive responses (satisfied or very satisfied) as shown in Figure 5. The level of satisfaction with non-renovated restrooms was only 20%. This is largely due to the full-height wall enclosures that now separate each individual toilet cubicle from the communal space with the sinks. On average, the privacy perceived by female users increased less than the increase appreciated by males (+1.07 for females and 1.17 for males), probably as a consequence of the removal of urinals as discussed later.
The design of the space inside the restrooms is an important aspect to determine the level of privacy needed, which may vary significantly depending on the use and the type of occupancy of the building where the toilets are located. Crowded buildings occasionally used may offer a lower level of privacy in the toilets. The lack of full-height partitions and full-height doors that can be noticed in an airport terminal or a stadium may be tolerated, as toilet users have likely no familiarity with the other users. In these buildings, the noisy environment makes the lack of acoustic and visual compartmentation less important than other aspects, such as the security of the space (e.g., against terrorism in an airport). Also, the vertical partitions that do not touch the floor make it easier to clean and, consequently, may be associated with a higher level of hygiene than fully enclosed toilet stalls. On the contrary, quieter buildings or facilities where it is easy to meet at the toilet with a friend or colleague may enhance the privacy expectation. In the case of the tested building, where students have high levels of social connections among each other, some of the questions were meant to understand the perceived importance of fully enclosed toilet cubicles (like in the renovated bathrooms) versus partial-height partitions (like in the old bathrooms). This may also be influenced by cultural perception, with the tendency of southern European countries to require higher levels of privacy than other cultures: facilities such as those represented in Figure 6 would be highly disliked or not used if they were installed in Italy or Spain.
The level of sound isolation was evaluated as considerably better in renovated restrooms, with a percentage of positive ratings of 47.8%, whereas in non-renovated restrooms, the percentage of positive ratings was only 4.7%. Figure 7 shows the distribution of sound isolation ratings in the two conditions.
In general, the presence of a full-height partition between toilet stalls was rated as important or very important by 77% of participants. The importance of privacy is confirmed by the question of full-height doors in toilet stalls that is also rated as important and very important by a similar 78.1% of participants (Figure 8).
An additional item that improved the privacy level of the renovated toilets may also be the removal of urinals in the male blocks. The elimination of urinals in male restrooms was rated positively by 36.8%, negatively by 30.4%, and neutrally by 32.8% of male users. Despite these balanced replies, one of the survey questions was aimed at understanding, in general, the use of urinals by males in public buildings. Only 30.8% of the sample declared that they use them, while 62.2% declared to prefer a toilet in a separate stall. Participants who replied to use urinals reported as a motivation speed and hygiene, whereas users who stated their preference for separate toilet stalls reported privacy as the main reason. Consequently, the elimination of urinals resulted in an increase in perceived privacy by a majority of the sample. Interestingly, it can be speculated that the lower likelihood of queues that is usually observed in male restrooms is due to the relative minority of male users that prefer urinals over cubicles, thus making cubicles available for the majority that prefer the privacy that they allow, also reducing the overall service time for everybody

3.1.3. Gender-Neutral Restrooms

The renovated restrooms present, as mentioned, no built-in differences between the two genders, except for the pictogram represented on each door. One of the questions was thus aimed at exploring the appreciation of a young group of users for gender-neutral restrooms. As high as 79% of the respondents declared that “it is important to keep the differentiation between restrooms for males and females”, while only 21% declared that the “pictogram on the door should be eliminated to allow everyone to use all toilets”. A substantial homogeneity between the two sexes is evidenced by 17.6% of female and 22% of male responders declaring that the pictogram should be eliminated. The tepid acceptance of gender-neutral restrooms is confirmed by the evidence that just 1% of the respondents declare travelling on-purpose to the gender-neutral restrooms located in the left wing if they are not in that part of the building, while higher percentages of users move from the ground floor to the upper floor just to use the un-renovated restrooms (3%) or from the first floor to the renovated restrooms of the ground level (9%, confirming the general preference of the students for the renovated facilities). Interestingly, the two respondents who preferred not to declare their sex at the beginning of the questionnaire did not navigate on purpose to the gender-neutral restrooms located in the left wing of the building, but used the closest facility to their classroom. One of them also declared that it is important to keep the differentiation between male and female toilets.

3.1.4. Time of Use

As mentioned before, renovated toilets reduced the available stalls in male restrooms from three to two, the same number available in both renewed and unrenewed female ones.
The impact of the reduced number of fixtures was noticed by the student population with a higher percentage of males (28%) than females (10%) who reported an increase in the time of use in renovated restrooms compared to un-renovated restrooms. Mirroring the results of the previous question, a higher percentage of males (39.42%) than females (25.15%) reported a worsening of the queue in renovated toilets (Figure 9).

3.2. Results of the On-Site Monitoring

On-site observations had the scope to measure the amount of time spent by individuals inside the restroom area, and not inside each stall.
During the whole monitoring time, the restrooms were accessed by a total of 249 individuals. Females represented 56% of accesses, a share that is almost identical to the share of females among the questionnaire responders (57.5%) and among the total population of undergraduate students (61%). It results in that, according to the measured data, females and males use restrooms with the same frequency, partially contradicting more focused medical work [40].
During the monitoring campaign, 46 males used the un-renovated restroom on the upper floor of the building, spending 1′23″ on average (SD = 0′53″), while female toilets were used by 54 students for 1′50″ on average (SD = 1′20″). The small number of total users that accessed the restrooms, the total span of time (four periods of 30 min each per floor) and the total number of available fixtures (12 for males and 8 for females) would suggest that the anecdotal evidence that women spend more time than males at the toilet is confirmed. In fact, based on the entry and exit time of each person from the toilet door, the number of people simultaneously present in the restrooms can be monitored to verify the forming of a line, which is defined when there are more users than fixtures available. In the un-renovated female toilets (two fixtures in total), a line developed in just two occasions with up to two excess users forming a line. On the contrary, in the un-renovated male toilets (two cubicles and two urinals, equal to three fixtures simultaneously available) users never had to wait in line during the entire monitoring period. This suggests that queues have a negligible impact on the longer amount of time spent in the restroom by female users (item number three on the Ghent study), and the excess time relates to the other two aspects considered (less fixtures in a given surface area and more complicated clothes).
Renovated toilets at the ground floor experienced a higher number of users in the same duration of time: 86 females (+60%) and 63 male users (+36%), likely due to the presence of larger classrooms and the proximity to the entrance and the cafeteria. Here, male and female toilets are identical and symmetrical, both featuring two cubicles with toilet bowl and basin and an additional basin in the vestibule. An interesting observation is that when the two restrooms have the same number of fixtures, males spend more time than females. In fact, males spent 1′56″ (SD = 1′56″) in the restrooms vs. females spending 1′45″ (SD = 1′30″). Lines were formed in six instances in the female restrooms (with up to two people forming the line), and in three instances in the male ones, always with only one user waiting.
The result of the monitoring phase on the lower story evidences the importance of the number of fixtures in toilets. In fact, when male and female restrooms have the same number of fixtures and wear pretty much the same clothes (as mentioned, most of the students wore just a t-shirt and short/long trousers due to the warm summer weather) the time difference spent between the two sexes is reduced and, at least in the monitored case, inverted with women spending less time in the toilets
The higher number of female users causes a higher frequency of lines, but such number is probably still not enough to create the “congestion” of users described in the Ghent study that would probably affect in a similar way both types of users.

4. Conclusions

The paper investigated the preferences of a group of university students on some design aspects of restrooms and monitored aspects pertaining to their actual use inside a university facility.
The findings of the paper contradict some commonplaces regarding the time spent inside toilets by males and females: when the same circumstances apply, males and females spend almost the same amount of time inside restrooms, with males actually spending a little bit longer than females (11 s longer, on average). Empirical observation in high-usage facilities such as airports or museums shows lines forming in front of female restrooms, suggesting a longer time spent for physiological functions or behavior by females. In the surveyed facilities this is verified in the un-renovated restrooms, where within the same floor area males benefit from more stalls available than female users. On the contrary, renovated restrooms have the same number of stalls for both genders, cancelling this known issue of potty imparity. Also, the group of students that was monitored presented a quite homogeneous outfit (mostly pants and a t-shirt) voiding the effect of more complicated clothes used by women in other contexts. The problem known as potty imparity may be true in many contexts where males and females are not given the same conditions in terms of space or in terms of dress codes.
Regarding the male population of students, an interesting outcome of the monitoring activity and the questionnaire is that a significant percentage of them dislike urinals, preferring the use of cubicles, even when using restrooms in other densely populated buildings. This probably reflects a generalized behavior that may also apply to a more generic crowd of users. Linking this to the results on the time of use, it can be concluded that the potty advantage of males in many facilities exists thanks to the relative minority of males using urinals instead of cubicles. With a higher density per floor area and a quicker use of urinals, urinal users release cubicles to the majority of males who enjoy the higher privacy offered by urinating in an enclosed space.
Another interesting finding is connected with the high expectation in terms of privacy, even considering the young age of the sample considered. All the answers received by the questions on privacy clearly pointed at a very conservative attitude, which may represent a more general feeling among the population. Students rated the renovated restrooms higher in privacy, both in terms of visual and acoustic comfort, thanks to completely enclosed cubicles. Similarly, they showed a clear preference for those design solutions that enhance the level of privacy.
The paper evidences the importance of accurate toilet design in densely occupied buildings and provides interesting findings for the specific age class here considered. The findings can be adopted by other universities and similar facilities to design or refurbish their toilets and by the Iuav University itself to complete the renovation works on the upper floor of the building.
Male toilets in highly occupied buildings should keep urinals, as these seem to have an important role in decreasing the average time of use for males, even if they are used only by a minority of users.
As evidenced by the other literature sources, potty imparity is caused by many factors, but the specific conditions of the tested facility evidence the importance of the number of facilities available for the two sexes. Toilet design should allow more space for females, in order to attain the same number of facilities in private cubicles as those available for males as a combination of cubicles and urinals, at least in equally occupied buildings. Ideally, the availability of toilets should reflect the actual occupancy of each facility, considering that the monitoring phase evidenced an almost identical frequency of use in the two genders. This requires a flexible design approach, with the possibility to allocate the restroom with more fixtures to the predominant population of the building, switching them when the population of the building changes: this can happen over a long time, like in the university building here described, or every day, for instance in a sports/concert hall where different events may attract a very different audience. However, this conflicts with the presence of urinals that clearly denote the use of a restroom by a specific gender. From this point of view, the ideal solution in terms of efficiency of use may be represented by a unique space that includes both genderless cubicles with a dedicated area for urinals. Extensive and conflicting literature exists on the acceptance and suitability of such a configuration from other points of view, including privacy, sense of security, and social acceptance that are beyond the scope of this paper.
The most important limitation of the study mirrors one of its main points of strength: the extreme homogeneity of the sample users monitored by the on-site activity and by the questionnaire. This, which was an inherent part of the methodology, makes the results extremely specific and likely not applicable in other contexts, where different or mixed age classes coexist or in buildings located in different cultures or hosting different functions. Still, the paper evidences some results that may be applicable to a wider context, though a similar monitoring campaign would be needed to confirm these assumptions. An additional limitation is provided by the fact that during the entire monitoring period the availability of toilets was enough to cope with the demand and lines developed in just a few occasions with a small number of users. Should a more crowded occasion be encountered, the forming of lines could have exacerbated some of the findings.
Consequently, the paper offers an important point of view on the preferences of users in a university context, with a population of students in their early 20s. As a consequence, it can offer valuable information for designers of buildings for a similar target but the findings of this should not be automatically applied to a wider, general public where differences in age, behavior, habits and other variables may lead to very different results.

Future Research Opportunities

The specific sample of users considered in this study represents, as mentioned, a strength but also a weakness of the present paper. A different sample of users may lead to significantly different results. On the basis of the experience gained and what is evidenced by the literature review carried out for this paper, a similar methodology could be applied in different contexts, notably:
-
a homogeneous crowd formed by a different age sample;
-
a mixed-age sample to increase the fuzziness and variability of the modes of use.

Author Contributions

The article is the result of a collective process that involved all the authors. More specifically, each author was involved in the following phases: Conceptualization, D.T., V.T. and M.C.; methodology, D.T.; software, M.C.; formal analysis, D.T., M.C. and V.T.; investigation, D.T.; data curation, D.T.; writing—original draft preparation, D.T., M.C. and V.T.; writing—review and editing, D.T. and M.C.; visualization, M.C.; supervision, D.T.; project administration, D.T. All authors have read and agreed to the published version of the manuscript.

Funding

This research received no external funding.

Institutional Review Board Statement

After confirming with the Ethical Committee of the Iuav University of Venice and the Iuav Officer, ethical approval was not required in accordance with Regulation (EU) 2016/679 on the protection of natural persons with regard to the processing of personal data and on the free movement of such data, as the research methodology does not process personal data of the interested parties participating in the questionnaire or in the on-site monitoring activity.

Informed Consent Statement

Informed consent was not required as the study did not collect or process identifiable personal data, in accordance with Regulation (EU) 2016/679.

Data Availability Statement

The anonymized data collected with the questionnaire and during the on-site monitoring phase can be obtained upon request via mail at the corresponding author: trabucco@iuav.it.

Conflicts of Interest

The authors declare no conflicts of interest.

References

  1. Yue, D.; Wang, L.; Xu, Z.; Liu, M. How far and discernible are public toilets? A city-scale study using spatial analytics and deep learning in Nanjing, China. J. Urban Manag. 2025, 14, 735–752. [Google Scholar] [CrossRef] [Scilit]
  2. Greed, C. The role of the public toilet: Pathogen transmitter or health facilitator. Build. Serv. Eng. Res. Technol. 2006, 27, 127–139. [Google Scholar] [CrossRef] [Scilit]
  3. Royal Society for Public Health (RSPH). Taking the P***: The decline of the Great British Public Toilet; RSPH Report, Online Publication; Royal Society for Public Health (RSPH): London, UK, 2019. [Google Scholar]
  4. Bichard, J.-A.; Ramster, G. Designing Inclusive Public Toilets: Wee the People; Bloomsbury Academic: London, UK, 2025. [Google Scholar]
  5. Bichard, J.-A.; Ramster, G. To go or not to go: The challenges of UK public toilet provision. Health Place 2025, 96, 103545. [Google Scholar] [CrossRef] [Scilit]
  6. Purkayastha, D.; Raheja, G. Inclusive public toilets: A universal design enquiry for Indian context. Stud. Health Technol. Inform. 2024, 320, 42–49. [Google Scholar]
  7. Greed, C. Inclusive Urban Design: Public Toilets; Architectural Press: London, UK, 2003. [Google Scholar]
  8. Moreira, F.D.; Rezende, S.; Passos, F. On-street toilets for sanitation access in urban public spaces: A systematic review. Util. Policy 2021, 70, 101186. [Google Scholar] [CrossRef] [Scilit]
  9. Kelly, A.M. Public toilets and their potential impact on an individual’s health. Br. J. Nurs. 2024, 33, 538–544. [Google Scholar] [CrossRef] [Scilit]
  10. Lewkowitz, S.; Gilliland, J. A feminist critical analysis of public toilets and gender: A systematic review. Urban Aff. Rev. 2024, 61, 282–309. [Google Scholar] [CrossRef] [Scilit]
  11. Huh, W.T.; Lee, J.; Park, H.; Park, K.S. The potty parity problem: Towards gender equality at restrooms in business facilities. Socio-Econ. Plan. Sci. 2019, 68, 100666. [Google Scholar] [CrossRef] [Scilit]
  12. Slater, T.; Jones, C. Around the Toilet: A Research Project Report about What Makes a Safe and Accessible Toilet Space; Sheffield Hallam University Report; Sheffield Hallam University: Sheffield, UK, 2018. [Google Scholar]
  13. Kira, A. The Bathroom; The Viking Press: New York, NY, USA, 1976. [Google Scholar]
  14. Margolin, S.; Poggiali, J. “Where are the bathrooms?” Academic library restrooms and student needs. J. Libr. Adm. 2017, 57, 481–499. [Google Scholar] [CrossRef] [Scilit]
  15. Ghent University. No More Queueing at the Ladies’ Room: How Transgender-Friendliness May Help in Battling Female-Unfriendly Toilet Culture; ScienceDaily: Encinitas, CA, USA, 2017. [Google Scholar]
  16. Criado-Perez, C. Gender neutral with urinals. In Invisible Women: Exposing Data Bias in a World Designed for Men; Abrams Press: New York, NY, USA, 2019. [Google Scholar]
  17. Greed, C. Taking women’s bodily functions into account in urban planning and policy: Public toilets and menstruation. Town Plan. Rev. 2016, 87, 505–524. [Google Scholar] [CrossRef] [Scilit]
  18. Reynolds, W.S.; Kowalik, C.; Kaufman, M.R.; Dmochowski, R.R.; Fowke, J.H. Women’s Perceptions of Public Restrooms and the Relationships with Toileting Behaviors and Bladder Symptoms: A Cross-Sectional Study. J. Urol. 2020, 204, 310–315. [Google Scholar] [CrossRef] [Scilit]
  19. Kowalik, C.G. Toileting Behaviors of Women—What Is Healthy? J. Urol. 2019, 201, 129–134. [Google Scholar] [CrossRef] [Scilit]
  20. Reynolds, W.S. Toileting Behaviors and Bladder Symptoms in Women Who Limit Restroom Use at Work: A Cross-Sectional Study. J. Urol. 2019, 202, 1008–1014. [Google Scholar] [CrossRef] [Scilit]
  21. Newell, P.B. A Systems Model of Privacy. J. Environ. Psychol. 1994, 14, 65–78. [Google Scholar] [CrossRef] [Scilit]
  22. Kuoch, K.L.J.; Meyer, D.; Austin, D.W.; Knowels, S.R. A Systematic Review of Paruresis: Clinical Implications and Future Directions. J. Psychosom. Res. 2017, 98, 122–129. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  23. Knowles, S.R.; Skues, J. Development and Validation of the Shy Bladder and Bowel Scale (SBBS). Cogn. Behav. Ther. 2016, 45, 324–338. [Google Scholar] [CrossRef] [Scilit] [PubMed]
  24. Curtis, V.; Biran, A. Dirt, disgust, and disease: Is hygiene in our genes? Perspect. Biol. Med. 2001, 44, 17–31. [Google Scholar] [CrossRef] [Scilit]
  25. Tybur, J.M.; Lieberman, D.; Kurzban, R.; DeScioli, P. Disgust: Evolved function and structure. Psychol. Rev. 2013, 120, 65–84. [Google Scholar] [CrossRef] [Scilit]
  26. Harvey, J.; Finney, S.; Stewart, L.; Gillespie, J. The Relationship between Cognition and Sensation in Determining When and Where to Void: The Concept of Cognitive Voiding. BJU Int. 2012, 110, 1756–1761. [Google Scholar] [CrossRef] [Scilit]
  27. Camenga, D.R.; Brady, S.S.; Hardacker, C.T.; Williams, B.R.; Hebert-Beirne, J.; James, A.S.; Burgio, K.; Nodora, J.; Wyman, J.F.; Berry, A.; et al. U.S. Adolescent and Adult Women’s Experiences Accessing and Using Toilets in Schools, Workplaces, and Public Spaces: A Multi-Site Focus Group Study to Inform Future Research in Bladder Health. Int. J. Environ. Res. Public Health 2019, 16, 3338. [Google Scholar]
  28. Palmer, M.H.; Willis-Gray, M.G.; Zhou, F.; Newman, D.K.; Wu, J.M. Self-Reported Toileting Behaviors in Employed Women: Are They Associated with Lower Urinary Tract Symptoms? Neurourol. Urodyn. 2018, 37, 735–743. [Google Scholar] [PubMed]
  29. Hartigan, S.M.; Bonnet, K.; Chisholm, L.; Kowalik, C.; Dmochowski, R.R.; Schlundt, D.; Reynolds, W.S. Why Do Women Not Use the Bathroom? Women’s Attitudes and Beliefs on Using Public Restrooms. Int. J. Environ. Res. Public Health 2020, 17, 2053. [Google Scholar] [CrossRef] [Scilit]
  30. Corradi, G.; Garcia-Garzzon, E.; Barrada, J.R. The Development of a Public Bathroom Perception Scale. Int. J. Environ. Res. Public Health 2020, 17, 7817. [Google Scholar] [CrossRef] [Scilit]
  31. Sanders, J. Stalled! Transforming Public Restrooms. Footprint 2017, 11, 109–118. [Google Scholar] [CrossRef] [Scilit]
  32. Barcan, R. Dirty Spaces: Separation, Concealment, and Shame in the Public Toilet. In Toilet: Public Restrooms and the Politics of Sharing; New York University Press: New York, NY, USA, 2010; pp. 25–42. [Google Scholar]
  33. International Code Council. International Plumbing Code; International Code Council: Washington, DC, USA, 2021. [Google Scholar]
  34. International Association of Plumbing and Mechanical Officials. Uniform Plumbing Code. Available online: https://epubs.iapmo.org/2024/UPC/ (accessed on 16 January 2026).
  35. Decreto Legislativo. Decreto Legislativo 9 aprile 2008, n. 81: Tutela della salute e della sicurezza nei luoghi di lavoro. Gazzetta Ufficiale della Repubblica Italiana, 9 April 2008.
  36. Decreto del Presidente della Repubblica. Decreto del Presidente della Repubblica 24 luglio 1996, n. 503: Eliminazione delle barriere architettoniche negli edifici e servizi pubblici. Gazzetta Ufficiale della Repubblica Italiana, 24 July 1996.
  37. EN 17210:2021; Accessibility and Usability of the Built Environment—Functional Requirements. European Commission: Brussels, Belgium, 2021.
  38. CEN/TR 17621:2021; Accessibility and Usability of the Built Environment—Technical Performance Criteria and Specifications. European Commission: Brussels, Belgium, 2021.
  39. Istat. Indagine Speciale Sui Laureati–Sessione Estiva 1984; Istituto Nazionale di Statistica, Collana d’Informazione, n. 20; Istat: Rome, Italy, 1987. [Google Scholar]
  40. Mueller, E.; Latini, J.; Lux, M.; Stablein, U.; Brubaker, L.; Kreder, K.; Fitzgerald, M.P. Gender differences in 24-hour urinary diaries of asymptomatic North American adults. J. Urol. 2005, 173, 490–492. [Google Scholar] [CrossRef] [Scilit] [PubMed]
Figure 1. Floor plan of the “Ex-Cotonificio” building with the four renovated toilets considered in the study circled in red.
Figure 1. Floor plan of the “Ex-Cotonificio” building with the four renovated toilets considered in the study circled in red.
Buildings 16 00919 g001
Figure 2. Plans for the un-renovated restrooms and for the renovated restrooms. Both are divided into male restrooms and female restrooms. Un-renovated male restrooms feature two cubicles and two urinals. The urinals have been removed in the renovated version, creating enough space for a fully accessible water closet, but reducing the number of fixtures from 4 to 2.
Figure 2. Plans for the un-renovated restrooms and for the renovated restrooms. Both are divided into male restrooms and female restrooms. Un-renovated male restrooms feature two cubicles and two urinals. The urinals have been removed in the renovated version, creating enough space for a fully accessible water closet, but reducing the number of fixtures from 4 to 2.
Buildings 16 00919 g002
Figure 3. (left) The urinals available in the un-renovated restrooms are too close to each other, making their simultaneous use unpleasant from a privacy point of view and almost impossible from a physical point of view. (right) Un-renovated male restroom image from the entrance.
Figure 3. (left) The urinals available in the un-renovated restrooms are too close to each other, making their simultaneous use unpleasant from a privacy point of view and almost impossible from a physical point of view. (right) Un-renovated male restroom image from the entrance.
Buildings 16 00919 g003
Figure 4. Renovated toilets on the ground floor. They present two cubicles and only one washbasin in the vestibule.
Figure 4. Renovated toilets on the ground floor. They present two cubicles and only one washbasin in the vestibule.
Buildings 16 00919 g004
Figure 5. Distribution of answers related to the question “How do you rate the level of privacy?”.
Figure 5. Distribution of answers related to the question “How do you rate the level of privacy?”.
Buildings 16 00919 g005
Figure 6. Public portable urinal in London, photograph by LoopZilla-Creative Commons Attribution-Share Alike 1.0 Generic (left); Male restroom in a quiet corporate building, Chicago, photograph by Daniel Safarik (right).
Figure 6. Public portable urinal in London, photograph by LoopZilla-Creative Commons Attribution-Share Alike 1.0 Generic (left); Male restroom in a quiet corporate building, Chicago, photograph by Daniel Safarik (right).
Buildings 16 00919 g006
Figure 7. Distribution of answers related to the question “How do you rate the level of acoustic insulation?”.
Figure 7. Distribution of answers related to the question “How do you rate the level of acoustic insulation?”.
Buildings 16 00919 g007
Figure 8. Distribution of answers related to the questions “In general, how important do you consider it that the partition of the toilet stall is full-height and not partial?” and “In general, how important do you consider it that the door of the toilet stall is full-height and not partial?”.
Figure 8. Distribution of answers related to the questions “In general, how important do you consider it that the partition of the toilet stall is full-height and not partial?” and “In general, how important do you consider it that the door of the toilet stall is full-height and not partial?”.
Buildings 16 00919 g008
Figure 9. Distribution of answers related to the questions “Have you noticed a change in the amount of time spent using the new restrooms?” (left) and “How often do you have to wait in line?” (right).
Figure 9. Distribution of answers related to the questions “Have you noticed a change in the amount of time spent using the new restrooms?” (left) and “How often do you have to wait in line?” (right).
Buildings 16 00919 g009
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content.

Share and Cite

MDPI and ACS Style

Trabucco, D.; Costa, M.; Tatano, V. User Preferences on Toilet Features and Layout: Observations from a Homogeneous Sample of Users in a University Building. Buildings 2026, 16, 919. https://doi.org/10.3390/buildings16050919

AMA Style

Trabucco D, Costa M, Tatano V. User Preferences on Toilet Features and Layout: Observations from a Homogeneous Sample of Users in a University Building. Buildings. 2026; 16(5):919. https://doi.org/10.3390/buildings16050919

Chicago/Turabian Style

Trabucco, Dario, Marco Costa, and Valeria Tatano. 2026. "User Preferences on Toilet Features and Layout: Observations from a Homogeneous Sample of Users in a University Building" Buildings 16, no. 5: 919. https://doi.org/10.3390/buildings16050919

APA Style

Trabucco, D., Costa, M., & Tatano, V. (2026). User Preferences on Toilet Features and Layout: Observations from a Homogeneous Sample of Users in a University Building. Buildings, 16(5), 919. https://doi.org/10.3390/buildings16050919

Note that from the first issue of 2016, this journal uses article numbers instead of page numbers. See further details here.

Article Metrics

Back to TopTop