Self-reported health outcomes associated with green-renovated public housing among primarily elderly residents. Breysse, J., Dixon, S. L., Jacobs, D. E., Lopez, J., & Weber, W. J Public Health Manag Pract, 21(4):355–67, July, 2015.
Self-reported health outcomes associated with green-renovated public housing among primarily elderly residents [link]Paper  doi  abstract   bibtex   
OBJECTIVES: Assess the benefits of green renovation on self-reported health of primarily elderly residents of a low-income public housing apartment building. DESIGN AND SETTING: Using questions from the Medicare Health Outcomes Survey, we interviewed residents at baseline and 1 year after green renovation of their 101-unit building in Mankato, Minnesota, comparing self-reported mental and physical health outcomes of 2 sets of residents (all-ages: median, 66 years, n = 40; elder: median, 72 years, n = 22) with outcomes for 2 same-aged low-income Minnesota comparison groups taken from Medicare Health Outcomes Survey participants (n = 40 and 572, respectively). PARTICIPANTS: STUDY GROUP: Mankato apartment building residents. INTERVENTIONS: Green renovation including building envelope restoration; new heating, electrical, and ventilation systems; air sealing; new insulation and exterior cladding; window replacement; Energy-Star fixtures and appliances; asbestos and mold abatement; apartment gut retrofits; low volatile organic chemical and moisture-resistant materials; exercise enhancements; and indoor no-smoking policy. MAIN OUTCOME MEASURES: Self-reported health status including Activities of Daily Living and Veteran's Rand 12 (VR-12) survey results; housing condition visual assessment; indoor environmental sampling; and building performance testing. RESULTS: The all-ages study group's mental health improved significantly more than the comparison group's mental health on the basis of mean number of good mental health days in the past month (P = .026) and mean VR-12 mental component score (P = .023). Sixteen percent fewer all-ages study group people versus 8% more comparison group people reported falls (P = .055). The elder study group's 9% improvement in general physical health was not statistically significantly better than the elder comparison group's decline (6%) (P = 0.094). Significantly fewer people in the all-ages group reported smoke in their apartments because of tobacco products (20% vs 0%, P = .005), likely reflecting the new no-smoking policy. CONCLUSIONS: Green healthy housing renovation may result in improved mental and general physical health, prevented falls, and reduced exposure to tobacco smoke.
@article{breysse_self-reported_2015,
	title = {Self-reported health outcomes associated with green-renovated public housing among primarily elderly residents},
	volume = {21},
	issn = {1550-5022 (Electronic) 1078-4659 (Linking)},
	url = {https://www.ncbi.nlm.nih.gov/pubmed/25679773},
	doi = {10.1097/PHH.0000000000000199},
	abstract = {OBJECTIVES: Assess the benefits of green renovation on self-reported health of primarily elderly residents of a low-income public housing apartment building. DESIGN AND SETTING: Using questions from the Medicare Health Outcomes Survey, we interviewed residents at baseline and 1 year after green renovation of their 101-unit building in Mankato, Minnesota, comparing self-reported mental and physical health outcomes of 2 sets of residents (all-ages: median, 66 years, n = 40; elder: median, 72 years, n = 22) with outcomes for 2 same-aged low-income Minnesota comparison groups taken from Medicare Health Outcomes Survey participants (n = 40 and 572, respectively). PARTICIPANTS: STUDY GROUP: Mankato apartment building residents. INTERVENTIONS: Green renovation including building envelope restoration; new heating, electrical, and ventilation systems; air sealing; new insulation and exterior cladding; window replacement; Energy-Star fixtures and appliances; asbestos and mold abatement; apartment gut retrofits; low volatile organic chemical and moisture-resistant materials; exercise enhancements; and indoor no-smoking policy. MAIN OUTCOME MEASURES: Self-reported health status including Activities of Daily Living and Veteran's Rand 12 (VR-12) survey results; housing condition visual assessment; indoor environmental sampling; and building performance testing. RESULTS: The all-ages study group's mental health improved significantly more than the comparison group's mental health on the basis of mean number of good mental health days in the past month (P = .026) and mean VR-12 mental component score (P = .023). Sixteen percent fewer all-ages study group people versus 8\% more comparison group people reported falls (P = .055). The elder study group's 9\% improvement in general physical health was not statistically significantly better than the elder comparison group's decline (6\%) (P = 0.094). Significantly fewer people in the all-ages group reported smoke in their apartments because of tobacco products (20\% vs 0\%, P = .005), likely reflecting the new no-smoking policy. CONCLUSIONS: Green healthy housing renovation may result in improved mental and general physical health, prevented falls, and reduced exposure to tobacco smoke.},
	number = {4},
	journal = {J Public Health Manag Pract},
	author = {Breysse, J. and Dixon, S. L. and Jacobs, D. E. and Lopez, J. and Weber, W.},
	month = jul,
	year = {2015},
	keywords = {*Health Status, *Self Report, Aged, Aged, 80 and over, Conservation of Energy Resources/*trends, Female, Health Impact Assessment, Humans, Male, Medline, Mental Health/standards/statistics \& numerical data, Middle Aged, Minnesota, Outcome Assessment, Health Care, Poverty/statistics \& numerical data, Public Housing/*standards/statistics \& numerical data, Surveys and Questionnaires},
	pages = {355--67},
}
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