Search

Universal Design aims to ensure that as many people as possible can participate equally in society, with equal access to housing, education, workplaces, institutions, and public spaces. In the construction field, many of our existing guidelines still need to catch up regarding the diversity of user needs and preferences. Recent developments in low vision rehabilitation have underscored the pivotal role of domestic lighting in fostering independent living and enhancing the quality of life for people with visual impairments. Moreover, several stakeholder organizations and associations in the field of low-vision rehabilitation have published lighting guidelines for this target group. A direct comparison of the different guidelines is difficult, as their focus, vocabulary, and level of abstraction differ: the rehabilitation process focuses on optimizing lighting to support and aid the individual's abilities in the existing environment. It is not directly related to the design- or construction process. Yet, how do the guidelines for lighting fit the actual settings and conditions in Danish homes of people with incipient vision loss or visual impairment today? In this paper, a selection of these guidelines is assessed and analyzed in relation to three lighting categories: illuminance, luminance, and the visual system. The guidelines are also compared to the initial findings of an ongoing field study. This field study, a crucial component of the research, investigates the role of lighting for individuals experiencing incipient vision loss. This comprehensive approach, which includes both theoretical guidelines and real-world observations, ensures the reliability and relevance of the research, providing a solid foundation for the findings. The practical implications of this research are significant, as it provides valuable insights for architects, researchers, and individuals with visual impairment. Through observations and walk-along interviews in their home environment, we get their personal narratives and observe their lived everyday environments. 37 walk-along interviews were conducted from October 2023 - March 2024 during dark hours. The preliminary findings of the field observations, including observations and measurements, are compared to the guidelines of both the context of building design and -construction and the context of low-vision rehabilitation and stakeholder organizations.

In the coming decades, population ageing will shape our cities and communities. In Finland, and in the other Nordic countries, the cohort of population 75 years old and older is increasing fastest in the urban areas. This demographic development will have impact on design of urban environment and housing, as well as on local services and transport. The WHO has recognized this challenge and launched the global network of Age Friendly Cities and Communities. The WHO proposes eight factors supporting older population that are interlinked. This paper focus on the three of the eight factors of age-friendliness directly related to the built environment: housing, access to outdoor environments and transport. The objective is to assess through case studies how has the Age-friendly cities framework promoted inclusive design of the cities. The research question is: How have the qualitative factors for age-friendliness been implemented in the urban environment? and How does the Age-friendly Cities framework shape the urban environment in the case study cities? The project uses qualitative case study methods involving users. The assessment of the quality of the environment is carried out with mixed methods: through city age-friendly policies, observations on site, and user participation. The analyses are based on Universal Design principals and the WHO framework. The objective is to provide further information on the practical measures to enhance age-friendliness through urban design and universally designed living environments. The overall aim is to promote sustainable and age-friendly urban environments through user knowledge and best practice examples.

Anthropomorphism describes the tendency to endow objects with human characteristics, with some individuals being more inclined to do this than others. In an ambiguous environment, this phenomenon can offer guidance. This study investigates the relationship between self-reported attribution and evoked anthropomorphism when viewing house facades. Data was collected from three countries (Germany, Denmark, Canada; N = 305). Implicit house anthropomorphism was measured using the Global Vectors for Word Representation method. Explicit anthropomorphism was assessed using the Individual Differences in Anthropomorphism Questionnaire (IDAQ) and a specific House Anthropomorphism Score (EHAS). No significant relationship was found between implicit and explicit house anthropomorphism. Individual IDAQ scores were significantly associated with EHAS across all participants, regardless of country. Additionally, a high degree of agreement in explicit ratings between countries suggests that cultural differences are rather negligible. When objects are given human personality traits and people interact with them because emotions are triggered, it is important to understand which aspects elicit positive and reactive behaviors. In particular, houses, which have high psychological significance as objects of self-expression, might contribute to well-being, so research in this area can provide important knowledge for urban design and architecture., Competing Interests: Declarations Competing interests The authors declare no competing interests., (© 2024. The Author(s).)

Researchers and policymakers have used a four-pillar framework- condition, consistency, context, and cost-to describe the characteristics of housing that are important for health equity. We propose adding a fifth pillar: care and connection. Housing for care and connection refers to the housing design, institutional policies, and housing programs that strengthen social connections, caregiving relationships, access to resources, and a sense of self in community. Attending to these needs in housing is especially important for people who are in transition in and out of homelessness, living in poverty, are very young or very old, or living with a disability or activity limitation., Competing Interests: Declaration of competing interest None., (Copyright © 2024. Published by Elsevier Ltd.)

Background: Refugees are exposed to various risk factors in shared accommodations in Germany where they are housed after their arrival. Due to their often traumatic experiences before, during, and after their flight and socio-structural post-migration stressors, refugees are potentially vulnerable to hazardous substance use. They form a structurally disadvantaged group for substance use prevention and intervention. Various barriers make it difficult for them to access the healthcare system and to get health information. Therefore, a participatory multi-component prevention concept for refugees in shared accommodations was developed. The aim of the trial is to evaluate the efficacy of this concept regarding the increase in knowledge about substance use among refugees living in shared accommodations., Methods: Based on a randomized controlled stepped-wedge design, the study will be conducted in a multicenter setting in nine shared accommodations and will aim to include refugees living in shared accommodations as well as social workers and psychologists working there., Discussion: This trial will be one of the first to generate evidence about effective participatory prevention concepts for refugees in shared accommodations. Evidence-based concepts for refugees can improve access to health care and might be helpful for the multidisciplinary workforce in shared accommodations., Trial Registration: OSF Registry: osf.io/ebnj3. Registered on May 24, 2024. Registration DOI: https://doi.org/10.17605/OSF.IO/EBNJ3., Competing Interests: Declarations Ethics approval and consent to participate {24} The Alice Salomon University Ethics Committee in Berlin (file reference: 01-2024/62) provided ethical approval for this study. Written, informed consent to participate will be obtained from all participants (refugees and workforce in shared accommodations). The study will be accompanied by a psychological background service to deal with emergency situations. Consent for publication {32} See supplemental files for the model consent form in English. This document will also be available in German, French, Farsi, Arabic, Russian, and Turkish. Additionally, there will be multilingual flyers in easy language. Competing interests {28} The authors declare that they have no competing interests., (© 2024. The Author(s).)

This article reviews the role of Medicaid Waivers in homeless policy, and their emerging role as a mechanism to address homelessness. We evaluate the political development of Waivers in housing and homeless policy over the past thirty years, and investigate the status of current and approved Waivers targeting homelessness. We then consider how Waivers may shape homeless policy governance going forward, including the success of existing systems, and ethical questions related to the role of healthcare payers in solutions to homelessness. We find that the scope of Medicaid Waivers to address homelessness has always been present, but significantly expanded post Affordable Care Act (ACA) and more notably following the COVID-19 pandemic. These expansions brought new opportunities for states to fund responses to homelessness through Medicaid social determinants of health (SDoH) provisions providing wrap-around medical services for populations at-risk of or experiencing homelessness, and now through time-limited direct housing costs paired with essential medical services. Over one third of states have an 1115 Waiver specifically targeting homelessness, with nearly one in five states including provisions that cover direct housing costs (e.g., rent). Going forward, Medicaid's involvement in homeless policy has the potential to reshape state and local responses to homelessness., (Copyright © 2024 by Duke University Press.)

In residential environment, NO 2 is an important air pollutant. Yet, the dynamics of indoor NO 2 and source contributions to human exposure are not well understood. Here, we conducted a continuous NO 2 measurement in and out of eight households in Guangzhou, China. Paired high time-resolution NO 2 data sets indoors (kitchen, living room) and outdoors (balcony) were obtained with NO 2 monitors. We summarized the indoor and outdoor NO 2 levels, identified temporal variation patterns, analyzed indoor-outdoor relationships, and quantified source contributions to indoor NO 2 exposure. Indoor NO 2 were overall higher than outdoor NO 2 , and in most cases, the highest NO 2 levels were observed in the kitchen. NO 2 in the kitchen was characterized by multiple spikes associated with use of gas stoves, while NO 2 in the living room was also elevated but the peaks were generally smaller. The indoor-outdoor correlations were stronger in winter than in summer, and were stronger in nighttime than daytime. The sources contributing to indoor NO 2 were separated with a conceptual model. Overall, the outdoor NO 2 source contributed 73%-76% of the NO 2 in the kitchen, and 76%-85% in the living room. The source pattern was quite different: outdoor NO 2 sources were present indoors all the time; by contrast, indoor NO 2 sources were present sporadically but with a very high contribution. This has important implication to the exposure assessment that indoor NO 2 sources lead to short-term high exposure, and deserves attention regarding acute health effects., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)

Accurate electricity consumption forecasting in residential buildings has a direct impact on energy efficiency and cost management, making it a critical component of sustainable energy practices. Decision tree-based ensemble learning techniques are particularly effective for this task due to their ability to process complex datasets with high accuracy. Furthermore, incorporating explainable artificial intelligence into these predictions provides clarity and interpretability, allowing energy managers and homeowners to make informed decisions that optimize usage and reduce costs. This study comparatively analyzes decision tree-ensemble learning techniques augmented with explainable artificial intelligence for transparency and interpretability in residential building energy consumption forecasting. This approach employs the University Residential Complex and Appliances Energy Prediction datasets, data preprocessing, and decision-tree bagging and boosting methods. The superior model is evaluated using the Shapley additive explanations method within the explainable artificial intelligence framework, explaining the influence of input variables and decision-making processes. The analysis reveals the significant influence of the temperature-humidity index and wind chill temperature on short-term load forecasting, transcending traditional parameters, such as temperature, humidity, and wind speed. The complete study and source code have been made available on our GitHub repository at https://github.com/sodayeong for the purpose of enhancing precision and interpretability in energy system management, thereby promoting transparency and enabling replication., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 Moon et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

Mitigating climate change requires us to rapidly improve the energy efficiency of our existing housing, a process known as 'retrofit'. However, this creates the risk of 'renoviction', whereby tenants are moved or evicted to allow these renovations to take place. Understanding the potential for renoviction to undermine the potential population health benefits of retrofit is an important new area for research., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.)

Background: Evidence has linked poor housing conditions to negative health outcomes. However, in urban contexts characterized by social vulnerability and population-level inequalities, the gender perspective is often overlooked, despite evidence showing that housing conditions impact men and women differently in terms of health. This study aimed to describe the association between housing conditions and the prevalence of COVID-19 among men and women in Barcelona, Spain., Methods: An observational cross-sectional study was conducted using the 2021 Barcelona Health Survey. The study population consisted of non-institutionalized residents over 14 years of age in Barcelona. The survey was administered to a sample of 3,545 participants during the COVID-19 pandemic, between February 2021 and February 2022. Crude and adjusted prevalence ratios of COVID-19 (aPR), along with 95% confidence intervals (95% CI), were estimated using multivariate Poisson regression models with robust variance. The analysis was stratified by gender., Results: A significant gradient was observed across age groups for both men and women, with higher COVID-19 prevalence in younger categories. The prevalence was notably higher among individuals born in low-income countries, particularly for women (aPR 1.62). We also identified a significant association between housing conditions, vulnerability factors, and COVID-19 prevalence in both men and women. Living with four or more cohabitants was associated with higher prevalence (aPR 1.96 for women and 1.89 for men), as was the presence of dampness in the home (aPR 1.34 for women and 1.27 for men). Additionally, energy poverty was significantly associated with higher COVID-19 prevalence in women (aPR 1.36), but not in men., Conclusion: This study highlights the association between housing conditions and COVID-19 in Barcelona, with a pronounced impact on young people, women from low-income countries, and women experiencing energy poverty., Competing Interests: Declarations Ethical approval and consent to Participate All participants in the Barcelona Health Survey (BHS) have signed the informed consent. For participants who are minors (under 16 years of age), informed consent was obtained from the mother and/or father or legal guardians. It is not considered necessary for the BHS to be reviewed and approved by an ethics committee because the information collected in the BHS is used for official statistics in accordance with the Organic Law on Data Protection and guarantee of digital rights and Regulation (EU) No. 2016/679 of the European Parliament and of the Council of April 27, 2016, on Data Protection (RGPD). Consent for publication All authors have read and approved the manuscript to be submitted and published. Competing interests The authors declare no competing interests., (© 2024. The Author(s).)

This study aimed to determine the annual effective dose resulting from radon and thoron progeny inhalation. The levels of radon, thoron, and progeny were assessed in residences situated in the Doi Lo region of Chiang Mai, Thailand. Indoor radon and thoron concentrations were detected using passive discriminative detectors. Using a progeny deposition rate detector, this study evaluates radon and thoron progeny [equilibrium-equivalent radon concentration (EERC) for radon and equilibrium-equivalent thoron concentration (EETC) for thoron]. Data were collected from 44 dwellings between March and May 2020. The results found that indoor radon concentrations ranged from 17 to 118 Bq m-3, while thoron concentrations ranged from 12 to 72 Bq m-3. The radon progeny (EERC) ranged from 4 to 173 Bq m-3, whereas thoron progeny (EETC) ranged from 1 to 15 Bq m-3. The total annual effective dose received from radon and thoron progeny inhalation varied from 0.5 to 5 mSv y-1., (© The Author(s) 2024. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.)

Passive radon monitors with CR-39s are widely used in major epidemiological surveys. However, the conventional CR-39 track density determining strategy makes it difficult to accurately estimate the concentration because of the heterogeneity of tracks on CR-39s. This study introduced a stochastic method, Latin hypercube sampling, to improve the track density determining strategy and provide the probability distribution of 222Rn concentration and equilibrium equivalent thoron concentration. The first 222Rn and 220Rn discriminated survey was conducted in Wuhan, China, in 2018 using RADUET® and deposition-based passive 220Rn progeny monitors and applying the stochastic method to the measurement. The results indicate that the stochastic method could decrease the effects of the track heterogeneity on the CR-39s and provide reliable results. The 220Rn progeny contributed more than 40% of the total inhalation dose in the survey, which cannot be ignored in urban family dwellings., (© The Author(s) 2024. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.)

Objectives: Our Health Counts (OHC) Toronto, an Indigenous population database which addresses gaps in urban health information, was used to measure Thistle's (2017) 12 dimensions of Indigenous homelessness. Using this framework, we examine the sociodemographic characteristics of First Nations, Inuit, and Metis (FNIM) adults living in Toronto, the 12 dimensions as experienced by this population, and the distinctions between FNIM adults who were and those who were not experiencing physical homelessness., Methods: Respondent-driven sampling (RDS)-II proportions and 95% confidence intervals were produced from the database (n = 915 FNIM adults) to describe key sociodemographic characteristics of the population and to estimate the proportion and number of dimensions of Indigenous homelessness experienced by FNIM adults. Results were compared between those who were and those who were not living physically homeless., Results: This study shows that 27.3% of FNIM adults in Toronto were living physically homeless. The proportion of homelessness was significantly higher among males, adults aged 26 to 54, and unemployed individuals. Using the OHC database, 7 of the 12 dimensions were measurable. Almost all FNIM adults had experienced one or more of the 7 measurable dimensions. The most common were cultural disintegration and loss, mental disruption and balance, contemporary geographic separation, and relocation and mobility. These dimensions were significantly more common among FNIM adults experiencing physical homelessness., Conclusion: Results show that FNIM adults living physically homeless are more likely to experience other dimensions of homelessness. Using existing data, 5 of the 12 dimensions were not measurable. This points to a critical need to develop new survey tools to fully understand the historical, environmental, social, political, spiritual, and emotional factors that influence pathways into homelessness among FNIM populations., Competing Interests: Declarations Ethics approval Seventh Generation Midwives Toronto, the OHC Toronto data owners, and community partners have reviewed and approved this manuscript. This research project has been approved by St. Michael’s Hospital Research Ethics Board (OHC Toronto REB no. 14–083). Consent to participate Informed consent was obtained from all individual participants in the study. Consent for publication N/A. Conflict of interest The authors declare no competing interests., (© 2024. The Author(s).)

Background: Increased risk of asthma and other respiratory diseases is associated with exposures to microbial communities growing in damp and moldy indoor environments. The exact causal mechanisms remain unknown, and occupant health effects have not been consistently associated with any species-based mold measurement methods. We need new quantitative methods to identify homes with potentially harmful fungal growth that are not dependent upon species. The goal of this study was to identify genes consistently associated with fungal growth and associated function under damp conditions for use as potential indicators of mold in homes regardless of fungal species present. A de novo metatranscriptomic analysis was performed using house dust from across the US, incubated at 50%, 85%, or 100% equilibrium relative humidity (ERH) for 1 week., Results: Gene expression was a function of moisture (adonis2 p < 0.001), with fungal metabolic activity increasing with an increase in moisture condition (Kruskal-Wallis p = 0.003). Genes associated with fungal growth such as sporulation (n = 264), hyphal growth (n = 62), and secondary metabolism (n = 124) were significantly upregulated at elevated ERH conditions when compared to the low 50% ERH (FDR-adjusted p ≤ 0.001, log2FC ≥ 2), indicating that fungal function is influenced by damp conditions. A total of 67 genes were identified as consistently associated with the elevated 85% or 100% ERH conditions and included fungal developmental regulators and secondary metabolite genes such as brlA (log2FC = 7.39, upregulated at 100% compared to 85%) and stcC (log2FC = 8.78, upregulated at 85% compared to 50%)., Conclusions: Our results demonstrate that moisture conditions more strongly influence gene expression of indoor fungal communities compared to species presence. Identifying genes indicative of microbial growth under damp conditions will help develop robust monitoring techniques for indoor microbial exposures and improve understanding of how dampness and mold are linked to disease. Video Abstract., (© 2024. The Author(s).)

Background: Having a home is the foundation of most people's lives. People with co-occurring substance use and mental health problems may experience challenges in acquiring and keeping housing. Many also have major health challenges. Supported housing is the subject of increasing interest, but there seems to be a lack of studies exploring supported housing's potential for facilitating recovery and health promotion. Therefore, a scoping review was performed to answer our review question: What is known in the literature about the experiences of persons with co-occurring substance use and mental health problems with supported housing, including experiences of recovery and health promotion?, Methods: Systematic searches were conducted in the Ovid MEDLINE, Embase, PsycInfo, CINAHL, Social Services Abstracts, Web of Science, Scopus, and Oria, and Idunn.no databases. The search terms were derived from the population, concepts, and context. The search for grey literature was conducted in various Norwegian sources., Results: Forty studies were included: 7 with quantitative design, 28 with qualitative design and 5 with mixed methods design. The studies were from Canada, Ireland, Norway, Scotland, and the USA. The review identified four themes related to tenants' experiences with supported housing: 1)The importance of a permanent and safe home; 2) Housing's importance for physical health; 3) A shoulder to lean on - the importance of relationships and support; 4) the value of choice and independence. Factors that may influence physical health were poorly represented., Conclusions: Long-term housing and safety are prerequisites for recovery for people with co-occurring problems. Programmes such as Housing First and Assertive Community Teams, especially, were experienced to support recovery. Autonomy was valued, including access to individual and respectful support from service providers when needed. Supported housing may be a health-promoting arena, especially in relation to mental health. More attention should be given to how service providers can support tenants to protect their physical health, especially related to nutrition, meals and communal cooking. Further research is needed to tailor optimal services and support for people with co-occurring problems, including balancing support and autonomy with the aim of promoting health and recovery. Peer specialists' contributions to supported housing are scarce and need further development., (© 2024. The Author(s).)

The rise in antibiotic-resistant genes (ARGs) has recently become a pressing issue, with livestock manure identified as a significant source of these genes. Yet, the distribution of fertilizers derived from livestock manure sold online, potentially containing high levels of ARGs and antibiotic-resistant bacteria (ARB), is often not considered. Our study involved a random survey of commercial organic fertilizers available on online marketplaces, focusing on 13 common ARGs and 2 integrons (intI1, intI2). We found significant ARGs linked to sulfonamides, macrolides, and tetracycline in the 20 fertilizer samples we tested. The gene copy numbers for ermC, sul2, and tetL were exceptionally high, reaching up to 10 11 copies per gram of fertilizer in specific samples. Additionally, 18 out of 20 samples contained the critical β-lactam resistance genes blaTEM and blaKPC, with gene copy numbers up to 10 10 copies/g. Integrons, intI1, and intI2 were present in all samples, with abundances ranging from 10 3 to 10 10  copies/g. We categorized the 20 samples into three types for further analysis: poultry manure, livestock manure, and earthworm manure. Our findings indicated a high presence of ARGs in poultry manure compared to a lower occurrence in earthworm manure. The study also showed a strong correlation between integrons and specific ARGs. This research underscores the potential risk of commercial organic fertilizers as a pathway for spreading ARGs from the animal breeding environment to human settings through express transportation., (© 2024. The Author(s), under exclusive licence to Springer Nature B.V.)

Supportive public policies are suggested as ways to lessen gentrification's impact for older adults. While explicit policies designed to help older adults with gentrification are rare, literature on age-friendly cities is a close proxy. We utilized three North American cases undergoing gentrification: New York City, NY, and Denver, CO, in the United States and Hamilton, in Ontario, Canada, to present existing neighbourhood-based policies as social determinants of health in housing, resource access, healthcare, transportation, and communal places. Age-friendly policy application gap examples and COVID-19's impact were included. Using a qualitative comparative case study method, we found policies were not specifically designed to address older adults' gentrification needs. With the call for age-friendly designations, the role of gentrification in neighbourhoods with older populations must be included. We call for gentrification-specific policies for older adults to provide greater safeguards especially when events such as COVID-19 compete for existing, over-stretched resources.

Indoor volatile organic compounds (VOCs) pose considerable health hazards. However, research on hazardous VOCs in Chinese residences has been conducted on a limited spectrum. This study used Monte Carlo simulations with data from Beijing, Shanghai, and Shenzhen to assess VOC health risks in Chinese homes. We identified high-risk VOCs and analyzed the impact of geographic location, age group, activity duration, and inhalation rate on VOC exposure, including lifetime risks. Formaldehyde, acrolein, naphthalene, and benzene posed the highest risks. Notably, acrolein made the leading contribution to non-cancer risks across all megacities. Naphthalene had elevated cancer and non-cancer risks in Shenzhen. This study highlights the need to investigate acrolein and naphthalene, which are currently unregulated but pose substantial health risks. The cumulative cancer risk (TCR) decreases from adults to children, while the cumulative non-cancer risk (HI) is higher for children. In all cities, the average TCR for adults exceeds the tolerable threshold of 10 -4 , and the average HI values surpass the safety threshold of 1. Nearly 100 % of the population faces a lifetime cancer risk above 10 -4 , and over 71 % face a non-cancer risk exceeding 10 (tenfold the benchmark). This study underscores the critical need for developing control strategies tailored to VOCs., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier B.V. All rights reserved.)

Housing insecurity has been shown to be associated with worse mental health. However, previous studies mostly examined one aspect of housing insecurity (e.g., affordability), and few focused on older adults. This study examined the relationship between perceived housing problems and depressive symptoms among middle-aged and older Americans. Data from the Health and Retirement Study between 2006 and 2018 were used. A total of 7,119 respondents (aged 50+ at baseline in 2006) were followed up every 4 years. Respondents self-reported the status, severity, and duration of their housing problems. Depressive symptoms were assessed by the Center for Epidemiological Studies-Depression Scale. Mixed-effect models examined the association between perceived housing problems and depressive symptoms. Results show about 5%-7% of respondents had housing problems during every study visit and 5.73% of them experienced persistent housing problems over 12 years. Having housing problems was associated with a higher risk of depressive symptoms (incidence risk ratio = 1.29, 95% CI = 1.23, 1.36). A dose-response relationship was observed in the severity and duration of housing problems, with a greater increase of depressive symptoms risk among those experiencing more severe or prolonged housing problems. The dose-response pattern highlighted the importance of early intervention and persistent assistance to those experiencing housing problems.

The current research effort is focused on improving the effective use of the multiple disparate sources of data available by proposing a novel maximum likelihood based probabilistic data fusion approach for modeling residential energy consumption. To demonstrate our data fusion algorithm, we consider energy usage by fuel type variables (for electricity and natural gas) in residential dwellings as our dependent variable of interest, drawn from residential energy consumption survey (RECS) data. The national household travel survey (NHTS) dataset was considered to incorporate additional variables that are not available in the RECS data. With a focus on improving the model for the residential energy use by fuel type, our proposed research provides a probabilistic mechanism for appropriately fusing records from the NHTS data with the RECS data. Specifically, instead of strictly matching records with only common attributes, we propose a flexible differential weighting method (probabilistic) based on attribute similarity (or dissimilarity) across the common attributes for the two datasets. The fused dataset is employed to develop an updated model of residential energy use with additional independent variables contributed from the NHTS dataset. The newly estimated energy use model is compared with models estimated RECS data exclusively to see if there is any improvement offered by the newly fused variables. In our analysis, the model fit measures provide strong evidence for model improvement via fusion as well as weighted contribution estimation, thus highlighting the applicability of our proposed fusion algorithm. The analysis is further augmented through a validation exercise that provides evidence that the proposed algorithm offers enhanced explanatory power and predictive capability for the modeling energy use. Our proposed data fusion approach can be widely applied in various sectors including the use of location-based smartphone data to analyze mobility and ridehailing patterns that are likely to influence energy consumption with increasing electric vehicle (EV) adoption., Competing Interests: The authors have declared that no competing interests exist., (Copyright: © 2024 Bhowmik et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)

High and low daily ambient temperatures are associated with higher mortality in the general population. People experiencing homelessness (PEH) are thought to be particularly vulnerable, but there is almost no direct evidence available. We examined the temperature-mortality association among PEH in 2 populous, urban counties in hot-climate regions of the United States, focusing on heat effects. Study setting was Los Angeles County, CA, and Clark County, NV, which encompass the cities of Los Angeles and Las Vegas, respectively. Outcomes were 2015-2022 deaths among decedents categorized as homeless in county administrative records. We used quasi-Poisson distributed lag nonlinear models to estimate the association of mortality with daily temperatures and with 7-day lagged temperatures, adjusting for day of week, seasonality, and long-term trends. We estimated the minimum mortality temperature and fraction of mortality attributable to temperatures above and below minimum mortality temperature. The association between daily temperature and PEH mortality was skewed towards greater risk at higher temperatures, especially in Clark County. Temperature-attributable mortality equaled 50.1% of deaths in Clark County (95% CI, 29.0-62.8) and 7.0% in Los Angeles County (95% CI, 1.4-12.1). In both counties, most temperature-attributable deaths were attributable to heat rather than cold. In these hot-climate urban counties, our estimates of heat-attributable mortality among PEH were orders of magnitude greater than those reported in prior research on the general population. These results indicate that temperature vulnerability, particularly heat vulnerability, requires stronger public health and policy responses. This article is part of a Special Collection on Environmental Epidemiology., (© The Author(s) 2024. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.)

For pet chinchillas, limited data are available on husbandry and the human-animal relationship despite their impact on health, behavior, and welfare. We conducted an online survey with pet chinchilla caretakers ( n = 336), targeting husbandry practices, health, behavioral indicators of welfare, and human-chinchilla relationships. We further investigated associations between caretakers' perceptions of stress in their chinchillas and emotional closeness to their animals. Basic needs such as keeping with conspecifics, constant access to water and hay, or offering dust baths were mostly fulfilled. Potential welfare issues included individual keeping (14.3%), undersized cages/enclosures (reported by 27.6% of the Austrian respondents), and suffering from a disease (14.7%). Behavioral indicators of good welfare, such as playing and cuddling with conspecifics, were observed several times per day by 40.9% and 87.9% of the respondents, respectively. Repetitive and unwanted behaviors were less common (fur biting, for instance, occurred 'never' in 82.9%). Caretakers rated their animals as generally more stressed if the animal was ill and more often showed fearful behavior toward them. Caretakers feeling closer to their animals spent more time engaging with them. Correct identification of this kind of association could be used as guidance for recommendations to improve chinchilla welfare at home and in the veterinary setting.

Background: Being unhoused can increase vulnerability to adverse health effects due to air pollution. We aimed to quantify changes in emergency-department visits during and after exposure to wildfire-specific and non-wildfire particulate matter 2·5 μm or less in diameter (PM 2·5 ) in San Diego County (CA, USA) in people who were both unhoused and housed., Methods: For this time-stratified case-crossover study, we used data on exposure to wildfire-specific PM 2·5 in California and individual-level data for people admitted to the emergency departments of two hospitals (UC San Diego Health emergency departments at La Jolla and Hillcrest, San Diego) in San Diego County between July 1, 2012, and Dec 31, 2020. People with a postcode outside of San Diego County were excluded. Demographic information was age group, race or ethnicity, and transport to the emergency department. Wildfire-specific PM 2·5 concentration at the postcode level was previously estimated using an ensemble model that combined multiple machine-learning algorithms and explanatory variables obtained via data on 24-h mean PM 2·5 concentrations from the US Environmental Protection Agency Air Quality System. Conditional logistic regression models were applied, adjusting for specific humidity, wind velocity, and maximum temperature extracted from the US Gridded Surface Meteorological Dataset. Housing status was established by registration staff or triage nurses on arrival at the emergency department. For people who were unhoused, exposure was defined based on the weighted mean PM 2·5 concentration at the city level proportional to the number of people who were unhoused in each specific city across urban centres in San Diego County. For people who were housed, we used residence postcode to measure exposure. We assessed the association between PM 2·5 from wildfire and non-wildfire sources and emergency-department visits in people who were housed and unhoused., Findings: There were 587 562 emergency-department visits at the two hospitals, 76 407 (13·0%) of which were by people who were unhoused. People who were housed had a higher exposure to overall PM 2·5 (24-h mean over the study period of 9·904 mg/m 3 , SD 3·445) and non-wildfire PM 2·5 (9·663, 2·977) than people who were unhoused (9·863, 3·221; 9·557, 2·599). However, people who were unhoused had a higher exposure to wildfire-specific PM 2·5 (0·305, 1·797) than people who were housed (0·240, 1·690). Overall PM 2·5 exposure was associated with increased odds of emergency-department visits for both people who were housed (odds ratio 1·003, 95% CI 1·001-1·004 per 1 μg/m 3 PM 2·5 for 0-3 days after exposure) and people who were unhoused (1·004, 1·000-1·008 for 0-3 days after exposure). We found that non-wildfire PM 2·5 was associated with emergency-department visits among people who were housed (1·003, 1·002-1·005 for 0-3 days after exposure) and wildfire-specific PM 2·5 was associated with emergency-department visits in people who were unhoused (1·006, 1·001-1·011 for 0-3 days after exposure)., Interpretation: People who were unhoused in San Diego County were more likely to visit emergency departments after exposure to increased wildfire-specific PM 2·5 . As the intensity and frequency of wildfires increase, understanding risk factors for vulnerable populations, such as people who are unhoused, is crucial to develop effective adaptation strategies., Funding: US National Institutes of Health, National Institute on Aging., Competing Interests: Declaration of interests We declare no competing interests., (Copyright © 2024 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.)

Introduction: Housing discrimination as one of the main mechanisms for reinforcing racial segregation has persisted historically in the United States through a process known as "redlining." In recent years, researchers across different disciplines have utilized the iconic "residential security maps" created by the Home Owners' Loan Corporation (HOLC) in the 1930s to analyze the structural roots of racial disparities. HOLC maps designated grading of "best" to "still desirable" to "definitely declining" and "hazardous" to urban areas where percentage of African American and foreigners were among the reordered measures., Objective: Given that sales and marketing of tobacco products also present a historical connection to structural racism in the US, this study examines how historical redlining relates to current geographies of tobacco retailers in Wisconsin., Methods: Analyses were conducted for 4 cities in Wisconsin with available HOLC maps. We used negative binomial models to account for spatial heterogeneity and overdispersion of retailers, and we controlled for present-day sociodemographic characteristics., Results: Findings indicated that the hierarchy of HOLC grades are reflected in the present-day retailer density, and areas historically graded as "less desirable" have a higher present-day density of tobacco retailers. The result of the statistical model shows that poverty and percentage minority are also significant factors in distribution of tobacco retailers., Conclusions: These results highlight that to address the structural roots of health disparities, we need intervention strategies that employ a comprehensive look at the historical legacies of discrimination., (Copyright© Board of Regents of the University of Wisconsin System and The Medical College of Wisconsin, Inc.)

Housing is a critical social determinant of children's health. While individual pathways between housing and health are well evidenced, there has been less attention on the co-occurrence of housing disadvantages. We aim to identify typologies of children's housing disadvantage and describe the health inequities they generate. A cross-sectional latent class analysis (LCA) was conducted on 4355 Australian children aged 4 to 5 years who participated in the Longitudinal Study of Australian Children. Nine binary indicators-dwelling tenure, external condition, affordability, stability, crowding, cleanliness, fuel poverty, and noise exposure-were used to generate latent housing typologies. Generalized linear models with robust standard errors described disparities in quality of life, injury, disability, and health service use across these housing typologies. Four distinct housing typologies were identified in this cohort: "good condition, affordable, and secure" (60%); "insecure" (11%); "crowded" (24%); and "unsuitable" (5%). Unsuitable housing, characterized by crowding, poor external conditions, and noise exposure, was more likely to be occupied by single-parent families, low-income households, and be headed by parents with low levels of education. Children in unsuitable housing lagged on quality of life indicators at preschool age (e.g., by 8.0 points on emotional functioning, 95% CI - 10.6, - 5.5), and underutilized primary healthcare services (e.g., prevalence ratio 0.76 for GP services, 95% CI 0.67, 0.87), compared to children in good quality housing. This finding supports the case for early intervention strategies that account for children's housing circumstances., (© 2024. The Author(s).)

Congregate homeless shelters are disproportionately affected by infectious disease outbreaks. We describe enterovirus epidemiology across 23 adult and family shelters in King County, Washington, USA, during October 2019-May 2021, by using repeated cross-sectional respiratory illness and environmental surveillance and viral genome sequencing. Among 3,281 participants >3 months of age, we identified coxsackievirus A21 (CVA21) in 39 adult residents (3.0% [95% CI 1.9%-4.8%] detection) across 7 shelters during October 2019-February 2020. We identified enterovirus D68 (EV-D68) in 5 adult residents in 2 shelters during October-November 2019. Of 812 environmental samples, 1 was EV-D68-positive and 5 were CVA21-positive. Other enteroviruses detected among residents, but not in environmental samples, included coxsackievirus A6/A4 in 3 children. No enteroviruses were detected during April 2020-May 2021. Phylogenetically clustered CVA21 and EV-D68 cases occurred in some shelters. Some shelters also hosted multiple CVA21 lineages.

The urbanized area of Rome is largely built over volcanic deposits, characterized by a significant radionuclides content and consequently a high radon emanation potential. An accurate monitoring of workplaces and residential dwellings constitutes a first step towards mitigating the indoor radon exposure. Since radon diffusion dynamics involves complex interactions among many environmental parameters on different time scales, a proper assessment of radon concentration variations can be better achieved by means of active monitoring approaches. We present here the results of 1 year of continuous measurements conducted in six premises (five apartments and a basement) at different floors of the same building in the Esquilino district, in the historical center of Rome. Collecting annual series of radon concentration enables us to identify fluctuations over a seasonal scale, with radon generally decreasing in the warm season. The simultaneous tracking of different floors should cancel the influence of geogenic radon and of building characteristics like age, typology, and construction materials. While the basement shows the highest radon concentration, indicating a major contribution from the ground, we observe indoor radon levels comparable at all the upper floors, questioning the common belief that high-risk exposure be limited to the lowest storeys. The use of active devices makes it possible to discriminate between average indoor radon measured during the day and overnight, when residents are more likely to be at home. Our analysis provides the characterization of the dynamics of the gas emanation and transport inside the buildings and of its temporal fluctuations, in relation to the environmental and meteorological conditions. Since the experiment was performed in the Roman urban contest, we cannot ignore the specificity of the retrieved data, affected not only by endogenous factors like life habits relative to ventilation and conditioning of the apartments, but also by exogenous factors, among which the warmer microclimate compared to the surrounding suburban and rural areas, due to the effects of urbanization (urban heat island effect)., (© 2024. The Author(s).)

Environmental benchmarks are a means to stimulate lowering environmental impacts of buildings. These benchmarks may be based on a bottom-up or top-down approach. While bottom-up benchmarks are derived from the analysis of reference buildings and represent current building practice, staying within the Earth's carrying capacity requires top-down benchmarks representing long-term environmental goals. Top-down benchmarks are derived by allocating a share of the global carrying capacity to objects, e.g. buildings, using so-called sharing principles. Various sharing principles exist, which significantly influence benchmark values. This study applies a wide range of sharing principles, including novel principles, to define top-down benchmark values for Belgian residential buildings based on global carrying capacities. An environmental budget was first allocated to Belgium, then to households and finally to the housing function. In each step, multiple sharing principles were applied, resulting in 32 combinations of sharing principles. For a single-person household, the minimum and maximum budget resulting from the combinations differ by a factor 42. Based on data availability and quality as well as ethical considerations, the authors of this paper give preference to "right to development" for the allocation to Belgium; "household composition" for the allocation to households and "final consumption expenditures" for the allocation to the housing function. The comparison of the top-down benchmark values with bottom-up benchmarks reveals that various measures are required to remain within the Earth's carrying capacity. The top-down benchmark values presented in this paper can hence guide policymakers in establishing environmental targets and related roadmaps for residential buildings in Belgium., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier Ltd. All rights reserved.)

The equitable evolution of neighborhood environments is closely linked to housing economics. However, the lack of quantitative and longitudinal evaluation methods makes it challenging to assess residents' neighborhood perceptions and achieve social inclusiveness goals. Using long-time series street view imagery, we quantified Shenzhen residents' multidimensional neighborhood perceptions before and after micro-renovations, including visual and soundscape dimensions, and revealed the association between perceptual evolution and the housing value. We identified inequitable results during neighborhood renewal: Neighborhoods with high soundscape scores are accompanied by low visual perception scores, and vice versa. The spatial inequality is reflected in the perceptual differentiation prevalent between urban and suburbs. Visual aspects showed a stable but weak relationship with housing value fluctuations, while soundscape aspects had a strong but more dynamic impact. The inequitable spatial evolution is facilitated by changes in residents' perceptions: expectations for positive audio-visual perceptions are increasing, but sensitivity for negative soundscape is decreasing. Meanwhile, residents are increasingly seeking diverse and rich visual neighborhood landscapes and atmospheres filled with human voices. This study provides quantitative support for the equitable evolution of neighborhoods and the economics of neighborhood landscapes. It offers a novel method for measuring multidimensional perceptions that can be applied to settlements worldwide., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)

Background: According to the U.S. Centers for Disease Control and Prevention, approximately 10.2 % of fatal overdoses in 2022 were among people experiencing homelessness or housing instability. In the United States, the majority of all drug overdoses now involve stimulants., Methods: We linked stimulant-involved fatal overdose records occurring between 2017 and 2021 from Kentucky's Drug Overdose Fatality Surveillance System to the electronic health records (EHR) of the state's largest safety-net hospital network. We used State Unintentional Drug Overdose Reporting System (SUDORS) definitions of homelessness or housing instability to establish baseline estimates before linking decedents to medical records. After linkage, we augmented SUDORS data with structured administrative billing codes, semi-structured address data, and unstructured clinical notes identifying homelessness from the EHR., Results: There were 313 individuals with stimulant-involved fatal overdoses linked to at least one medical encounter in the EHR (2017-2021). Thirty-three individuals (10.5 %) were identified as having unstable housing according to SUDORS. After linkage, 130 individuals (41.5 %) had evidence of housing instability. For this period, these 313 individuals represent 8.0 % of stimulant-involved overdoses in KY or 38.5 % of stimulant-involved overdoses from residents of the primary and secondary catchment area of our healthcare network., Conclusions: The single-site increase in observed housing instability in stimulant-involved fatal overdoses suggests that increased data linkage between state medicolegal death investigation system and EHRs would significantly improve the public health surveillance of overdoses., Competing Interests: Declaration of Competing Interest None., (Copyright © 2024. Published by Elsevier B.V.)

Two-Spirit, lesbian, gay, bisexual, transgender, queer, and other sexual minority (2S/LGBTQ+) youth between the ages of 14 and 29 experience inequities in homelessness and substance use. Research in this area has explored substance use as a determinant of homelessness and/or as a coping mechanism, yet far less attention has been directed to the potentially generative role of drugs in this marginalizing context. This community-based photovoice study leverages data from 61 semi-structured interviews with 32 2S/LGBTQ+ youth experiencing homelessness and unstable housing to examine how drugs shape their practices and contexts of homemaking. Analysis followed a reflexive thematic approach and was informed theoretically by perspectives on home- and place-making, a momentum-stagnation analytical frame, and a narcofeminist ethics of care. This framing centred attention on the possibilities of what drugs can do for 2S/LGBTQ+ youth in terms of shaping selves, homes, and worlds while homeless. We inductively derived three themes: (i) chasing comforts, (ii) striking down stagnation, and (iii) producing precarity. 2S/LGBTQ+ youth consumed substances in chasing comforts including warmth, relief, and a sense of clarity and being more at ease within the context of homelessness and social and material inequity. Their substance use was also a means for striking down stagnation and engendering momentum as they worked to carve out better homes and futures for themselves. Youth frequently drew attention to the temporality and limits of these benefits, however, cautioning that drugs could also turn to producing new forms of precarity that limited what they expected and experienced as possible with respect to their homemaking projects. Findings highlight the generative potential of drugs in the making of home/lessness and provide critical direction for policy and service delivery, including for supports to further consider and attend to the social contexts, meanings, and effects of 2S/LGBTQ+ youths' substance use in connection with homelessness., Competing Interests: Declaration of competing interest None., (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)

Background: The emergence of insecticide resistance and its spread through populations of malaria vectors has decreased the number of insecticides available for control. Insecticide resistance has been observed in vector populations across sub-Saharan Africa in malaria endemic areas. Therefore, new compounds with different modes of action are needed that can be used in the management of resistance. The current study assessed the bioefficacy of the new indoor residual spray formulation, VECTRON™ T500 against Klypson 500 WG and water against laboratory reared and wild populations of Anopheles gambiae s.l.. The comparative experimental hut trial was implemented between June 2022 and December 2022 to determine the efficacy of VECTRON™ T500, containing the active ingredient (ai) broflanilide as a 50 % wettable powder (WP). The efficacy of VECTRON™ T500 was compared with a positive control, Klypson 500 WG, a wettable granule (WG) formulation that contains 50 % clothianidin. Cement and mud walls were sprayed with VECTRON™ T500, Klypson 500 WG with water sprayed as a negative control. The two insecticides and negative control were evaluated monthly for six months against laboratory and the field-derived An. gambiae s.l. using the standard WHO cone bioassays. Each wall had two cones on each day of testing. VECTRON™ T500 was sprayed on both surface types at a rate of 100mg ai/m 2 whilst Klypson 500 WG was applied at a rate of 300 mg ai/m 2 . For both wall surface types, the vector from the laboratory-reared and the wild populations exhibited a low knockdown effect to both VECTRON™ T500 and Klypson 500 WG. A total of 3,840 mosquitoes were used of which 2,880 (75 %) were susceptible colony of An. gambiae s.s. and 960 (25 %) were wild An. gambiae s.l.. The VECTRON™ T500 induced a mortality of 97.8 %-98.1 % in the laboratory population and 83.2-95.0 % wild population mosquitoes on cement and mud-walled huts respectively while Klypson 500 WG ranged from 89.6-99.0 % for wild and 99.0-99.3 % for the laboratory population mosquitoes on cement and mud walls respectively. The knockdown due to VECTRON™ T500 was 7.08 % in the sixth month, while for Klypson 500 WG was 16.04-17.50 %. The monthly wall cone bioassay mortality with VECTRON™ T500 remained over 80 % for 6 months post-spraying for both laboratory and wild populations. The findings of this study have shown VECTRON™ T500 to have extended efficacy against malaria vector mosquitoes when applied to cement and mud walls. The evaluated new IRS formulation, VECTRON™ T500, performed equally with the positive control, Klypson 500 WG, regarding its impact on vector mortality., Competing Interests: Declaration of competing interest The authors declare to have no known competing interests., (Copyright © 2024. Published by Elsevier B.V.)

Culture-centered studies of health communication de-center the theorization of health as an individual behavior and reveal the structural conditions that shape inequalities in health outcomes. The present study examines the ways in which space and housing shape experiences of health in a low-income site in Auckland undergoing radical redevelopment. We draw from a culture-centered project undertaken in 2018-2021 predominantly among Māori and Pasifika peoples involving 60 initial in-depth interviews, seven focus groups, a series of filmed interviews, and 32 additional in-depth interviews conducted during the COVID-19 pandemic. The residents' narratives foregrounded the detrimental health impact of inadequate housing, financial constraints, transience, and displacement that severs ties to place and community. These findings reveal the relationship between housing challenges, economic marginalization, and neoliberal capitalism, highlighting the need for policy interventions to address housing as a fundamental determinant of health disparities among marginalized communities.

People with HIV face challenges securing housing and employment. Patient navigation is an effective intervention that can improve the receipt of these services, which have been linked to better health outcomes. The purpose of this study was to assess implementation of patient navigation in diverse delivery settings. We also evaluated the relationship between these services and health outcomes among participants. Twelve sites in the United States (N = 1,082) implemented navigation using single or multiple navigator interventions to improve housing, employment, viral suppression, and retention in care. Sites included health departments, health centers, and AIDS service organizations (ASO). Client-level data were used to model relationships of interest. Across the 12 sites, regardless of model, housing (odds ratio (OR) = 1.18, p < .001), employment (OR = 1.09, p < .001) and retention in care (OR 1.11, p = .007) improved significantly over time; however, viral suppression did not (OR = 1.04, p = .120). Regardless of model of care, patient navigation improved housing, employment, and retention in care. This study demonstrated that while navigation supports people with HIV in securing housing and employment, models using a more intensive format worked best in specific settings. While most studies focus on unimodal strategies, this study builds on the evidence by examining how navigation models can be delivered to reduce barriers to care., (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

Single State Agencies (SSAs) are responsible for managing the publicly funded alcohol and other drug prevention, treatment, and recovery service system. Recovery housing (RH) is an important recovery support service (RSS) for individuals experiencing substance use disorder (SUD). Despite its effectiveness, information on state utilization and support is limited. To assess state-level support for RH and its incorporation within the SSA-managed SUD service systems, we administered a survey with SSAs in the 50 United States and the District of Columbia. In total, 48 out of the 51 SSAs responded, yielding a 94% response rate. Findings indicate strong state-level support for RH in terms of it being an integral RSS (98%), part of state-level strategic plans (73%) and prioritized for funding (87.5%). States are making progress to formalize RH with 68% reporting RH had been defined formally or within their agency. However, activities around understanding the capacity and need for RH are limited, with 44% indicating a needs assessment had not been conducted. At the same time, states perceive RH as a priority RSS, with growing recognition of its positive impact on long-term SUD recovery. This research identifies the opportunities for stakeholders to further evolve and expand RH at the federal, state, and local levels.

Little empirical research informs understanding of the disparate active aging experiences among working older adults, especially in terms of the association with living circumstances and life satisfaction. To address this knowledge gap, this study used latent class analysis on data from the 2020 Health and Retirement Study (HRS) core interview and focused on 1,194 employed adults aged 50 and above. The results revealed four subtypes of the quality of working life in older workers. Notably, in contrast to the other identified classes, higher levels of housing satisfaction and feelings of neighborhood safety were significantly associated with an increased likelihood of being a member of the group of older adults with the highest work capacities and the healthy work-life balance. Furthermore, participation in the class characterized by the highest work capacity and a healthy work-life balance was related to the highest levels of overall life satisfaction., Competing Interests: Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Purpose: The purpose of this integrative review was to explore the beliefs and practices used to promote physical and mental health among youth ages 18-25 years, identifying as LGBTIQ+ experiencing housing insecurity., Method: The approach used strategies described by Whittemore and Knafl. Peer-reviewed, published research articles in English were identified using eight electronic databases. Eighteen research reports using qualitative, quantitative, and mixed methods were identified. Articles were evaluated for quality using the American Association of Critical Care Nurses Evidenced-Level Hierarchy evaluation tool. Data were analyzed and synthesized using Braun and Clarke's method., Findings: Four themes related to the purpose were extracted: pervasive experiences of stigma and discrimination, constantly attuned to navigating risks, inconsistent engagement in health information and care, and inner strength developed through personal and community experiences., Discussion: There are strong implications for future research, public health nursing practice, and health policy. Public health nurses should incorporate social determinants of health (addressing harmful social processes such as homophobia and racism) as well as a strength-based upstream approach in research, education, and health care practices. More research must also be done to assess engagement in physical and mental health information and care., (© 2024 Wiley Periodicals LLC.)

The ubiquitous use of mosquito repellents in homes across Asia, Africa, and South America is related with human exposure to indoor volatile organic compounds (VOCs). There are three primary types of mosquito repellents: those in the form of coils, mats, and liquids. The repellent mechanisms of these products are distinct, resulting in the generation of varying types of VOCs during the repellent process. In this study, the emission characteristics of commercial coil-, mat-, and liquid-type mosquito repellents were observed in a laboratory chamber using real-time measurement. A previously developed personal passive sampler, ePTFE PS, was used to quantify personal exposure to indoor VOCs while 86 volunteers habitually used those three representative types for 3 h in their residence. Notable increase of indoor benzene was observed for coil- and mat-type mosquito repellents, while α-pinene concentration increased significantly following the use of liquid-type mosquito repellent. The average incremental cancer risks for benzene were 10 -6 to 10 -4 for adults following the use of coil- and mat-type mosquito repellents. The average non-cancer risks for all chemicals were <1 after the use of three types of mosquito repellents. Considering the potential human health risks associated with byproducts (e.g., particulate matter or carbon monoxide from incomplete combustion) emitted after mosquito coil use, further research on this topic is warranted., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier B.V. All rights reserved.)

Algorithms for guiding health care decisions have come under increasing scrutiny for being unfair to certain racial and ethnic groups. The authors describe their multistep process, using data from 3,465 individuals, to reduce racial and ethnic bias in an algorithm developed to identify state Medicaid beneficiaries experiencing homelessness and chronic health needs who were eligible for coordinated health care and housing supports. Through an iterative process of adjusting inputs, reviewing outputs with diverse stakeholders, and performing quality assurance, the authors developed an algorithm that achieved racial and ethnic parity in the selection of eligible Medicaid beneficiaries., Competing Interests: The authors report no financial relationships with commercial interests.

Indoor air quality is an important determinant for the health of children and youth, but the conditions within Indigenous communities are understudied. We collaborated with Kanehsatake First Nation in Quebec, Canada, to address this gap using a community-based participatory research approach. Levels of key indoor air indicators, including particulate matter (PM 2.5 ), CO 2 , and relative humidity, were measured in 31 randomly selected households between June 2021 and January 2022. Questionnaires were administered remotely to collect information on housing conditions. Excessive humidity was common, with 52% of households having a relative humidity above 55%. The mean PM 2.5 concentration was 21.0 (standard deviation 38.5) µg/m 3 , with higher mean levels observed in smoking compared to non-smoking households (36.1 µg/m 3 and 10.1 µg/m 3 , respectively). The mean CO 2 level in participating households was 881 ppm (standard deviation 256), with 30% (n = 9) of homes exceeding 1000 ppm. Flooding rates were high, with 55% of households reporting at least one past flood. One-third of houses were inadequately ventilated relative to occupancy, and over one-quarter reported needing major repairs. The results indicate the value and importance of characterizing the indoor environment in First Nations households and the viability of data collection through community-based participatory research in environmental health research., (© 2024. The Author(s).)

Is anti-Black discrimination concentrated among a discriminatory few, or widespread across many decision-makers? The handful of studies that have addressed this question have reached divergent conclusions, with some suggesting that discrimination follows the 80/20 rule (i.e., a Pareto distribution) and others suggesting that discrimination is normally distributed. This paper explores the distribution of discrimination in hiring, housing, and judicial decisions. Study 1 examined the distribution of anti-Black discrimination in judges' repeated sentencing decisions. The distribution of discrimination was more consistent with a normal distribution than a Pareto distribution. In Study 2, meta-analyses of hiring and housing field experiments revealed anti-Black discrimination in more than 80% of studies. Simulations of widespread discrimination using a normal distribution were more consistent with these experimental data than were simulations of concentrated discrimination using a Pareto distribution. These findings suggest that discrimination is not concentrated in the behaviors of a few highly biased individuals., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Aim: The aim of this study was to explore experiences of internationally educated nurses' first 2 years working and living in England in an age of contemporary migration., Design: Exploratory mixed method design., Methods: An online survey collected responses from August 2022 to October 2022. A mixed-methods approach was applied to gain a breadth of understanding through quantitative outcomes integrated with depth of qualitative analysis., Results: Data findings from 773 international nurses identified the recognition of prior professional skills and experiences, induction processes, career development systems and the role of line managers are integral to professional integration and could be improved. Communication barriers were frequently transient and time limited, and participants often had incomplete insight of human resource policies. Personal factors affecting life outside of work revealed compromise and sacrifice with accommodation choices, and participants were often not satisfied with their economic status, housing, cost of living in England, and social support. Mental well-being scores varied by country of origin and participants happier with decision to migrate to England had significantly higher mental well-being scores., Conclusion: International nurses have divergent professional and personal motivations for migration unique to individual circumstances. Recognition for transferable skills and experience, receipt of a comprehensive and warm welcome from organisations, safe and well-maintained suitable accommodation and living conveniently located to shops, work and transportation, improve experience. International nurses must have sufficient financial gains from salaries and opportunity to unite with children and families., Implications for the Profession And/or Patient Care: Progressing migration experience of international nurses can improve retention and augment improving patient care and outcomes., Patient or Public Contribution: No patient or members of public contributed to this research., (© 2024 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd.)

Rats were the first mammals to be domesticated for scientific research, and abundant physiological data are available on them. Rats are expected to continue to play an important role as experimental animals, especially with advancements such as CRISPR/Cas9 technology. Environmental enrichment aims to promote species-specific behaviors and psychological well-being. In the present study, we designed a double-decker (DD) cage, which utilizes two stacked plastic cages for rat enrichment, and investigated the influence of housing in the DD cage on rat mating behavior. The results indicated that mount frequency, total mount counts, and total ejaculation latency were significantly lower in the DD cages than in the single-decker (SD) cages. Notably, in the DD cages, the body weight loss of male rats after mating behavior was lower than that observed in the SD cage. Water consumption per day during mating behavior was also significantly lower in the DD cages, although no significant differences were observed in daily food intake during mating behavior. In addition, reproductive performance, including pregnancy rate and birth rate, did not change in the DD cages. In summary, our study demonstrated that DD cages reduce mount frequency and ejaculation latency during rat mating, resulting in decreased water consumption and weight loss in male rats. Therefore, housing in DD cages may serve as a beneficial enrichment for rats.

Serviced Housing for Older People (SHOP) is a community-based housing model in Japan that provides barrier-free apartments and support services for residents. Whether the SHOP model has positive effects on residents' health remains unclear. This follow-up study examines the association between living in SHOPs and functional decline. Using data from the Japan Gerontological Evaluation Study, we compared functional decline risks at one-year follow-up between older adults living in conventional housing ( n = 2202) and SHOP residents ( n = 160). Functional decline risk was assessed using the Kihon Checklist (KCL) and Care-Need Risk Assessment Scale (CNRAS). SHOPs residents had lower KCL and CNRAS scores than older adults living in conventional housing. In sensitivity analyses, these associations remained unchanged. The results, thus, showed that residing in SHOPs was associated with reduced functional decline; therefore, SHOPs designed to support residents' physical and social health could be important for supporting aging in place., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Katsunori Kondo received research funding from Nomura Real Estate Development Co., Ltd. and Nomura Real Estate Wellness Co., Ltd. The funding supported the evaluation of the effectiveness of services provided by these companies and provided them with feedback for service improvement, based on the study findings. The funding contract did not impose any limitations on the study’s design, analysis, interpretation, or written contents; however, it was obligatory to acquire prior consent from the funders for publication. No other authors have conflicts of interest to declare.

The distribution and fate of per- and polyfluoroalkyl substances (PFAS) in homes are not well understood. To address this, we measured nine neutral PFAS in dust, airborne particles, dryer lint, and on heating and air conditioning (HAC) filters in 11 homes in North Carolina as part of the Indoor PFAS Assessment (IPA) Campaign and compared them with concurrently collected gas and cloth measurements. Fluorotelomer alcohols (FTOHs) contributed most (≥75%) to total (∑) measured neutral PFAS concentrations in dust, HAC filter, and dryer lint samples, with mean ∑(FTOH) concentrations of 207 ng/g, 549 ng/g, and 84 ng/g, respectively. In particles, perfluorooctane sulfonamidoethanols (FOSEs) dominated, with a mean ∑(FOSE) concentration of 0.28 ng/m 3 or 75,467 ng/g. For FTOHs and FOSEs, resulting mean dust-air, HAC filter-air, dryer lint-air and particle-air partition coefficients in units of log(m 3 /μg) ranged (across species) from -5.1 to -3.6, -4.9 to -3.5, -5.4 to -4.1, and -3.2 to -0.78, respectively. We estimate that cloth, gas phase, and HAC filters are the largest reservoirs for FTOHs, while cloth, HAC filters, and dust are the largest reservoirs for FOSEs. Release rates of neutral PFAS from homes to the outdoor environment are reported.

Background: The indoor home environment plays a crucial role in determining the outcome of respiratory diseases, including asthma. Researchers, clinicians, and patients would benefit from self-reported questionnaires to assess indoor home environmental exposures that may impact on respiratory health., Objective: To review self-reported instruments for assessing indoor home environmental exposures in asthma patients and to characterise their content, development, and psychometric properties., Design: A scoping review was conducted with content assessment., Methods: A literature search was conducted in Embase and PubMed using the key words housing quality, questionnaire and asthma and their index terms, covering articles published in English between January 2000 to July 2023. Articles in which questionnaires or single item questions were used to assess indoor home environmental exposures in asthma patients in middle- and high-income countries were included. We excluded articles in which the questionnaire required an interviewer or onsite observations and those conducted in low-income countries., Results: We screened 1584 articles to identify 44 studies containing self-reported questionnaires measuring indoor home environmental exposures. 36 studies (82%) were cross sectional, 35 (80%) had a sample size of greater than 1000 participants, and 29 (66%) were conducted in children. Most studies (86%, n = 38) had binary (yes/no) or multiple-choice responses. 25 studies (57%) included a recall period of 12 months. 32 studies (73%) had a response rate of greater than 50%. Dampness, biological exposures (e.g. mould), and second-hand tobacco smoke were the most assessed indoor home environmental exposures. Childhood asthma (54%, n = 24) and asthma symptoms (36%, n = 16) were the most examined asthma related outcomes. The exposure most associated with adverse asthma outcomes was exposure to damp (79%, n = 35). 13 studies (29%) had developed a self-reported instrument by adapting questions from previous studies and almost all instruments (n = 42 studies, 95%) had not been validated., Conclusions: The scoping review did not identify a comprehensive, validated self-reported questionnaire for assessing indoor home environmental exposures in patients with asthma. There is need to develop and validate a robust but pragmatic self-reported instrument, incorporating the findings from this review., (© 2024. The Author(s).)

Phthalate monoesters (mPAEs) possess biological activity that matches or even exceeds that of their parent compounds, phthalate esters (PAEs), negatively impacting humans. Indoor dust is the main carrier of indoor pollutants. In this study, indoor dust samples were collected from 46 households in Changchun City, Jilin Province, in May 2019, and particulate and flocculent fibrous dust was used as the research target to analyze the concentration and compositional characteristics of mPAEs, primary metabolites of five significant PAEs. The influence of factors such as architectural features and living habits in residential areas on exposure to mPAEs was explored. Ten suspected enzyme genes along with two metabolic pathways with the ability to degrade PAEs were screened using PICRUSt2. The results showed that the total concentrations of the five mPAEs in the indoor dust samples were particulate dust (11.49-78.69 μg/g) and flocculent fibrous dust (21.61-72.63 μg/g), respectively. The molar concentration ratio (R C ) of mPAEs to corresponding PAEs significantly differed among chemicals, with MMP/DMP and MEP/DEP sporting the highest R C values. Different bacterial types have shown distinct influences against mPAEs and PAEs. Enzyme function and metabolic pathway abundance had a significant effect on the concentration of some mPAEs, mPAEs are most likely derived from microbial degradation of PAEs., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 Elsevier B.V. All rights reserved.)

Worldwide, migrant agricultural workers face poor housing conditions and related health challenges. A growing body of research has documented the substandard housing often occupied by this largely racialized population. Yet limited health research has examined mechanisms of structural racism that determine this group's poor housing and health. Drawing on interviews with 151 migrant farmworkers in Ontario and British Columbia, Canada, we documented the housing experiences faced by migrant agricultural workers and examined the role of structural racism in determining housing and health inequities. Our analysis identified four overlapping mechanisms by which migrants' housing and health were determined by structural racism: (1) scarcity, (2) segregation, (3) sacrifice, and (4) stagnation. These mechanisms both reinforced and normalized housing hardships, making it difficult for migrants to escape unsafe or inadequate housing. Our findings point to the need for immediate action to improve housing conditions for this population and to interrogate the racist design that keeps migrant workers at the margins of society., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Background: Socioeconomic risk factors are known drivers of adverse birth outcomes. Housing is a key target for policy interventions., Objective: To estimate the associations of housing tenure (renting vs owning) and unaffordable housing with preterm birth and other adverse birth outcomes., Methods: We used 2014-2016 Canadian birth registration data linked with the 2016 long-form census and included singleton births among homeowners and renters. Unaffordable housing was defined at the family level as the proportion of pre-tax income spent on shelter, using a 30% cut-off. The primary outcome was preterm birth. Secondary outcomes were stillbirth and infant death. Log-binomial regression estimated the association of housing tenure and unaffordability with outcomes adjusting for sociodemographic risk factors and parity., Results: Among 162 700 live births and stillbirths (52 740 renters, 109 960 owners), 31% of renters and 17% of owners experienced unaffordable housing. Renting was associated with an increased risk of preterm birth (7.5% vs 6.1%; adjusted risk ratio (aRR) 1.13; 95% CI 1.08 to 1.17), stillbirth (9.5 vs 6.6 per 1000; aRR 1.33, 95% CI 1.14 to 1.56) and infant death (4.2 vs 3.0 per 1000; aRR 1.52, 95% CI 1.26 to 1.82). There was no association of housing unaffordability with preterm birth or other adverse birth outcomes among owners or renters., Conclusions: This nationally representative study in Canada found associations between renting versus owning and preterm birth, stillbirth and infant death, as well as a high burden of unaffordable housing, particularly among renters. This study suggests that home tenure itself is a social determinant of adverse birth outcomes., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Background: The City of Boston has faced unprecedented challenges with substance use amidst changes to the illicit drug supply and increased visibility of homelessness. Among its responses, Boston developed six low threshold harm reduction housing (HRH) sites geared towards supporting the housing needs of people who use drugs (PWUD) and addressing health and safety concerns around geographically concentrated tent encampments. HRH sites are transitional supportive housing that adhere to a "housing first" approach where abstinence is not required and harm reduction services and supports are co-located. Despite the importance of HRH, the specific characteristics and operations of these sites are not well understood. This study sought to address this gap by cataloging the common features of Boston's HRH sites to generate a comprehensive inventory tool for evaluating implementation of harm reduction strategies at transitional housing locations., Methods: We collected data between June and September 2023 and included semi-structured qualitative interviews with HRH staff (n = 19), ethnographic observations and photos at six HRH sites. Candidate inventory components were derived through triangulation of the data. Two expert medical staff unaffiliated with data collection reviewed a draft inventory measuring awareness and utility of HRH inventory components. We then pilot tested the inventory with 3 HRH residents across two sites for readability and reliability. Inventory performance was further tested in a survey of 106 residents., Results: HRH staff identified best practices, resources, and policies in HRH sites that were further contextualized with ethnographic field notes. Common to all were overdose prevention protocols, behavioral policies, security measures, and harm reduction supplies distribution. The initial 44-item inventory of services, policies and site best practices was further refined with expert and participant feedback and application, then finalized to generate a 32-item inventory. Residents identified and valued harm reduction services; medical supports were highly valued but less utilized., Conclusion: The HRH inventory comprehensively assesses harm reduction provision and residents' awareness and perceived helpfulness of HRH operational components. Characterizing the critical components of HRH through this tool will aid in standardizing the concept and practice of HRH for PWUD and may assist other cities in planning and implementing HRH., Competing Interests: Competing Interests The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.