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Health symptoms in relation to temperature, humidity, and self-reported perceptions of climate in New York City residential environments

Abstract

Little monitoring has been conducted of temperature and humidity inside homes despite the fact that these conditions may be relevant to health outcomes. Previous studies have observed associations between self-reported perceptions of the indoor environment and health. Here, we investigate associations between measured temperature and humidity, perceptions of indoor environmental conditions, and health symptoms in a sample of New York City apartments. We measured temperature and humidity in 40 New York City apartments during summer and winter seasons and collected survey data from the households’ residents. Health outcomes of interest were (1) sleep quality, (2) symptoms of heat illness (summer season), and (3) symptoms of respiratory viral infection (winter season). Using mixed-effects logistic regression models, we investigated associations between the perceptions, symptoms, and measured conditions in each season. Perceptions of indoor temperature were significantly associated with measured temperature in both the summer and the winter, with a stronger association in the summer season. Sleep quality was inversely related to measured and perceived indoor temperature in the summer season only. Heat illness symptoms were associated with perceived, but not measured, temperature in the summer season. We did not find an association between any measured or perceived condition and cases of respiratory infection in the winter season. Although limited in size, the results of this study reveal that indoor temperature may impact sleep quality, and that thermal perceptions of the indoor environment may indicate vulnerability to heat illness. These are both important avenues for further investigation.

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References

  1. Anderson M, Carmichael C, Murray V, Dengel A, Swainson M (2013) Defining indoor heat thresholds for health in the UK. Perspect Public Health 133:158–164

    Article  Google Scholar 

  2. Arena L, Mantha P, Steven Winter Associates, Inc., Karagiozis AN, Oak Ridge National Laboratory. (2010). Monitoring of internal moisture loads in residential buildings

  3. Bonnefoy X, Braubach M, Krapavickaite D, Ormand D, Zurlyte I (2003) Housing conditions and self-reported health status: a study in panel block buildings in three cities of Eastern Europe. J Housing Built Environ 18:329–352. doi:10.1023/B:JOHO.0000005757.37088.a9

    Article  Google Scholar 

  4. Bouchama A, Knochel JP (2002) Heat stroke. N Engl J Med 346:1978–1988. doi:10.1056/NEJMra011089

    CAS  Article  Google Scholar 

  5. Brauer C, Budtz-Jørgensen E, Mikkelsen S (2008) Structural equation analysis of the causal relationship between health and perceived indoor environment. Int Arch Occup Environ Health 81:769–776. doi:10.1007/s00420-007-0244-6

    Article  Google Scholar 

  6. Christensen RHB (2015) A tutorial on fitting cumulative link mixed models with clmm2 from the ordinal package. http://cran.r-project.org/web/packages/ordinal/vignettes/clmm2_tutorial.pdf

  7. Davis RE, McGregor GR, Enfield KB (2016) Humidity: a review and primer on atmospheric moisture and human health. Environ Res 144:106–116. doi:10.1016/j.envres.2015.10.014

    CAS  Article  Google Scholar 

  8. Fouillet A, Rey G, Laurent F, Pavillon G, Bellec S, Guihenneuc-Jouyaux C et al (2006) Excess mortality related to the August 2003 heat wave in France. Int Arch Occup Environ Health 80:16–24. doi:10.1007/s00420-006-0089-4

    CAS  Article  Google Scholar 

  9. Franck U, Krueger M, Schwarz N, Grossmann K, Roeder S, Schlink U (2013) Heat stress in urban areas: indoor and outdoor temperatures in different urban structure types and subjectively reported well-being during a heat wave in the city of Leipzig. Meteorol Z 22:167–177. doi:10.1127/0941-2948/2013/0384

    Article  Google Scholar 

  10. Gronlund CJ (2014) Racial and socioeconomic disparities in heat-related health effects and their mechanisms: a review. Curr Epidemiol Rep 1:165–173. doi:10.1007/s40471-014-0014-4

    Article  Google Scholar 

  11. Grün G, Trimmel M, Holm A (2012) Low humidity in the aircraft cabin environment and its impact on well-being—results from a laboratory study. Build Environ 47:23–31. doi:10.1016/j.buildenv.2011.05.004

    Article  Google Scholar 

  12. Heffernan R, Mostashari F, Das D, Karpati A, Kulldorff M, Weiss D (2004) Syndromic surveillance in public health practice, New York City. Emerg Infect Dis 10. doi:10.3201/eid1005.030646

  13. Hess JJ, Saha S, Luber G (2014) Summertime acute heat illness in U.S. emergency departments from 2006 through 2010: analysis of a nationally representative sample. Environ Health Perspect 122:1209–1215. doi:10.1289/ehp.1306796

    Google Scholar 

  14. Jing S, Li B, Tan M, Liu H (2013) Impact of relative humidity on thermal comfort in a warm environment. Indoor Built Environ 22:598–607. doi:10.1177/1420326X12447614

    Article  Google Scholar 

  15. Klinenberg E (2002) Heat wave: a social autopsy of disaster in Chicago. University of Chicago Press, Chicago

    Book  Google Scholar 

  16. Koep TH, Enders FT, Pierret C, Ekker SC, Krageschmidt D, Neff KL et al (2013) Predictors of indoor absolute humidity and estimated effects on influenza virus survival in grade schools. BMC Infect Dis 13:1–8. doi:10.1186/1471-2334-13-71

    Article  Google Scholar 

  17. Levy JW, Suntarattiwong P, Simmerman JM, Jarman RG, Johnson K, Olsen SJ et al (2014) Increased hand washing reduces influenza virus surface contamination in Bangkok households, 2009-2010. Influenza Other Respir Viruses 8:13–16. doi:10.1111/irv.12204

    Article  Google Scholar 

  18. Madrigano J, Ito K, Johnson S, Kinney PL, Matte T (2015) A case-only study of vulnerability to heat wave-related mortality in New York City (2000-2011). Environ Health Perspect 123:672–678. doi:10.1289/ehp.1408178

    Google Scholar 

  19. Murphy VE, Powell H, Wark PAB, Gibson PG (2013) A prospective study of respiratory viral infection in pregnant women with and without asthma. CHEST J 144:420–427. doi:10.1378/chest.12-1956

    Article  Google Scholar 

  20. Nagda NL, Hodgson M (2001) Low relative humidity and aircraft cabin air quality. Indoor Air 11:200–214. doi:10.1034/j.1600-0668.2001.011003200.x

    CAS  Article  Google Scholar 

  21. Nguyen JL, Schwartz J, Dockery DW (2013) The relationship between indoor and outdoor temperature, apparent temperature, relative humidity, and absolute humidity. Indoor Air n/a–n/a. doi:10.1111/ina.12052

    Google Scholar 

  22. NWS Office of Climate, Water, and Weather Services. Weather Fatalities, (2012). Available: http://www.nws.noaa.gov/om/hazstats.shtml [accessed 31 Dec. 2013]

  23. NYCEM. (2016). NYCEM - Plan for hazards - Extreme Heat. Available: http://www1.nyc.gov/site/em/ready/extreme-heat.page [accessed 20 March 2016]

  24. Okamoto-Mizuno K, Tsuzuki K (2010) Effects of season on sleep and skin temperature in the elderly. Int J Biometeorol 54:401–409. doi:10.1007/s00484-009-0291-7

    Article  Google Scholar 

  25. Ormandy D, Ezratty V (2012) Health and thermal comfort: from WHO guidance to housing strategies. Energy Policy 49:116–121. doi:10.1016/j.enpol.2011.09.003

    Article  Google Scholar 

  26. Orosa JA, Oliveira AC (2012) An indoor air perception method to detect fungi growth in flats. Expert Syst Appl 39:3740–3746. doi:10.1016/j.eswa.2011.09.072

    Article  Google Scholar 

  27. Osman LM, Ayres JG, Garden C, Reglitz K, Lyon J, Douglas JG (2008) Home warmth and health status of COPD patients. Eur J Pub Health 18:399–405. doi:10.1093/eurpub/ckn015

    Article  Google Scholar 

  28. Powell H, Smart J, Wood LG, Grissell T, Shafren DR, Hensley MJ et al (2008) Validity of the common cold questionnaire (CCQ) in asthma exacerbations. PLoS One 3:e1802. doi:10.1371/journal.pone.0001802

    Article  Google Scholar 

  29. Quinn A, Tamerius JD, Perzanowski M, Jacobson JS, Goldstein I, Acosta L et al (2014) Predicting indoor heat exposure risk during extreme heat events. Sci Total Environ 490C:686–693. doi:10.1016/j.scitotenv.2014.05.039

    Article  Google Scholar 

  30. Reinikainen LM, Jaakkola JJK (2003) Significance of humidity and temperature on skin and upper airway symptoms. Indoor Air 13:344–352

    CAS  Article  Google Scholar 

  31. Shaman J, Kohn M (2009) Absolute humidity modulates influenza survival, transmission, and seasonality. Proc Natl Acad Sci U S A 106:3243–3248. doi:10.1073/pnas.0806852106

    CAS  Article  Google Scholar 

  32. Shaman J, Pitzer VE, Viboud C, Grenfell BT, Lipsitch M (2010) Absolute humidity and the seasonal onset of influenza in the continental United States. PLoS Biol 8:e1000316. doi:10.1371/journal.pbio.1000316

    Article  Google Scholar 

  33. Siriwardena AN (2012) Increasing evidence that influenza is a trigger for cardiovascular disease. J Infect Dis jis598. doi:10.1093/infdis/jis598

    Google Scholar 

  34. te Beest DE, van Boven M, Hooiveld M, van den Dool C, Wallinga J (2013) Driving factors of influenza transmission in the Netherlands. Am J Epidemiol 178:1469–1477. doi:10.1093/aje/kwt132

    Article  Google Scholar 

  35. Tamerius JD, Perzanowski MS, Acosta LM, Jacobson JS, Goldstein IF, Quinn JW et al (2013) Socioeconomic and outdoor meteorological determinants of indoor temperature and humidity in New York City dwellings. Weather Clim Soc 5:168–179. doi:10.1175/WCAS-D-12-00030.1

    Article  Google Scholar 

  36. Thompson WW, Shay DK, Weintraub E, Brammer L, Cox N, Anderson LJ et al (2003) Mortality associated with influenza and respiratory syncytial virus in the United States. JAMA. J Am Med Assoc 289:179–186

    Article  Google Scholar 

  37. Toftum J, Fanger PO (1999) Air humidity requirements for human comfort. ASHRAE Trans 105:641

    Google Scholar 

  38. Uejio CK, Tamerius JD, Vredenburg J, Asaeda G, Isaacs DA, Braun J et al (2015) Summer indoor heat exposure and respiratory and cardiovascular distress calls in New York City, NY, U.S. Indoor Air. doi:10.1111/ina.12227

    Google Scholar 

  39. van Loenhout JAF, le Grand A, Duijm F, Greven F, Vink NM, Hoek G et al (2016) The effect of high indoor temperatures on self-perceived health of elderly persons. Environ Res 146:27–34. doi:10.1016/j.envres.2015.12.012

    Article  Google Scholar 

  40. Wallace JM, Hobbs PV (2006) Atmospheric science, second edition: an introductory survey. 2 edition. Academic Press, Amsterdam

    Google Scholar 

  41. Wheeler K, Lane K, Walters S, Matte T (2013) Heat illness and deaths—New York City, 2000-2011. (Cover story). MMWR Morb Mortal Wkly Rep 62:617–621

    Google Scholar 

  42. White-Newsome JL, Sánchez BN, Jolliet O, Zhang Z, Parker EA, Dvonch JT et al (2012) Climate change and health: indoor heat exposure in vulnerable populations. Environ Res 112:20–27. doi:10.1016/j.envres.2011.10.008

    CAS  Article  Google Scholar 

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Acknowledgements

AQ’s contributions to this work were supported by the US National Institute of Environmental Health Sciences, via the Interdisciplinary Training Grant in Climate And Health (Grant No. T32 ES023770) and the Center for Environmental Health in Northern Manhattan (Grant No. P30 ES009089). JS’s work was funded by the National Institute of General Medical Sciences (Grant No. GM100467).

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Correspondence to Ashlinn Quinn.

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Quinn, A., Shaman, J. Health symptoms in relation to temperature, humidity, and self-reported perceptions of climate in New York City residential environments. Int J Biometeorol 61, 1209–1220 (2017). https://doi.org/10.1007/s00484-016-1299-4

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Keywords

  • Sleep Quality
  • Winter Season
  • Summer Season
  • Indoor Environment
  • Outdoor Temperature