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. 2019 Jun 1;41(2):e121-e132.
doi: 10.1093/pubmed/fdy138.

The relationship between buildings and health: a systematic review

Janet Ige  1 , Paul Pilkington  1 , Judy Orme  1 , Ben Williams  2 , Emily Prestwood  2 , D Black  3 , Laurence Carmichael  4 , Gabriel Scally  4
Affiliations

The relationship between buildings and health: a systematic review

Janet Ige et al. J Public Health (Oxf). .

Abstract

Background: The built environment exerts one of the strongest directly measurable effects on physical and mental health, yet the evidence base underpinning the design of healthy urban planning is not fully developed.

Method: This study provides a systematic review of quantitative studies assessing the impact of buildings on health. In total, 7127 studies were identified from a structured search of eight databases combined with manual searching for grey literature. Only quantitative studies conducted between January 2000 and November 2016 were eligible for inclusion. Studies were assessed using the quality assessment tool for quantitative studies.

Results: In total, 39 studies were included in this review. Findings showed consistently that housing refurbishment and modifications, provision of adequate heating, improvements to ventilation and water supply were associated with improved respiratory outcomes, quality of life and mental health. Prioritization of housing for vulnerable groups led to improved wellbeing. However, the quality of the underpinning evidence and lack of methodological rigour in most of the studies makes it difficult to draw causal links.

Conclusion: This review identified evidence to demonstrate the strong association between certain features of housing and wellbeing such as adequate heating and ventilation. Our findings highlight the need for strengthening of the evidence base in order for meaningful conclusions to be drawn.

Keywords: buildings; health; housing.

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Figures

Fig. 1
Fig. 1
Study selection process.
Fig. 2
Fig. 2
Key themes emerging from included studies.
See this image and copyright information in PMC

Comment in

References

    1. Bonnefoy X. ‘Inadequate housing and health: an overview’. Int J Environ Pollut 2007;Vol. 30(Nos. 3/4):411–29.
    1. Perera TM, Jayasinghe C, Perera SAS, et al. (2013). Indoor air quality and human activities in buildings.
    1. Department for Communities and Local Government (2017). English Housing Survey: Headline Report 2015–2016 London. https://www.gov.uk/government/uploads/system/uploads/attachment_data/fil...
    1. Allen JG, MacNaughton P, Laurent JGC et al. . Green buildings and health. Curr Environ Health Rep 2015;2(3):250–8. - PMC - PubMed
    1. Scottish Government Good places better health for Scotland’s children In: Childhood Asthma Evidence Assessment. Edinburgh: Scottish Government, 2011.

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