Evidence map›Paper›PMID 25916488›Full record

ArticleBMJ open2015

Health effects of home energy efficiency interventions in England: a modelling study.

Ian Hamilton, James Milner, Zaid Chalabi, Payel Das, Benjamin Jones, Clive Shrubsole, Mike Davies, Paul Wilkinson

Erratum issuedAbstract read
In one paragraph

Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed.

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  10. Heatwave Mortality in Summer 2020 in England: An Observational Study.International journal of environmental research and public health · 2022
    Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Ian HamiltonUCL Energy Institute, University College London, London, UK.ORCID http://orcid.org/0000-0003-2582-2361
James MilnerDepartment of Social & Environmental Health Research, London School of Hygiene & Tropical Medicine, London, UK.
Zaid ChalabiDepartment of Social & Environmental Health Research, London School of Hygiene & Tropical Medicine, London, UK.
Payel DasUCL Institute for Environmental Design and Engineering, University College London, London, UK.
Benjamin JonesDepartment of Architecture and Built Environment, University of Nottingham, Nottingham, UK.
Clive ShrubsoleUCL Institute for Environmental Design and Engineering, University College London, London, UK.
Mike DaviesUCL Institute for Environmental Design and Engineering, University College London, London, UK.
Paul WilkinsonDepartment of Social & Environmental Health Research, London School of Hygiene & Tropical Medicine, London, UK.

Funding

Department of Health PHR/11/3005/31
6 · The paper itself

Abstract

objectiveTo assess potential public health impacts of changes to indoor air quality and temperature due to energy efficiency retrofits in English dwellings to meet 2030 carbon reduction targets.

designHealth impact modelling study.

settingEngland.

participantsEnglish household population.

interventionThree retrofit scenarios were modelled: (1) fabric and ventilation retrofits installed assuming building regulations are met; (2) as with scenario (1) but with additional ventilation for homes at risk of poor ventilation; (3) as with scenario (1) but with no additional ventilation to illustrate the potential risk of weak regulations and non-compliance. MAIN OUTCOME: Primary outcomes were changes in quality adjusted life years (QALYs) over 50 years from cardiorespiratory diseases, lung cancer, asthma and common mental disorders due to changes in indoor air pollutants, including secondhand tobacco smoke, PM2.5 from indoor and outdoor sources, radon, mould, and indoor winter temperatures.

resultsThe modelling study estimates showed that scenario (1) resulted in positive effects on net mortality and morbidity of 2241 (95% credible intervals (CI) 2085 to 2397) QALYs per 10,000 persons over 50 years follow-up due to improved temperatures and reduced exposure to indoor pollutants, despite an increase in exposure to outdoor-generated particulate matter with a diameter of 2.5 μm or less (PM₂.₅). Scenario (2) resulted in a negative impact of -728 (95% CI -864 to -592) QALYs per 10,000 persons over 50 years due to an overall increase in indoor pollutant exposures. Scenario (3) resulted in -539 (95% CI -678 to -399) QALYs per 10,000 persons over 50 years follow-up due to an increase in indoor exposures despite the targeting of pollutants.

conclusionsIf properly implemented alongside ventilation, energy efficiency retrofits in housing can improve health by reducing exposure to cold and air pollutants. Maximising the health benefits requires careful understanding of the balance of changes in pollutant exposures, highlighting the importance of ventilation to mitigate the risk of poor indoor air quality.

Indexed as

Public HealthAir PollutantsAir Pollution, IndoorCarcinogens, EnvironmentalEnglandEnvironmental ExposureEnvironmental MonitoringGovernment ProgramsHousingHumansModels, TheoreticalParticulate MatterVentilationAir PollutantsCarcinogens, EnvironmentalParticulate MatterEPIDEMIOLOGYPUBLIC HEALTH

Identifiers

PMID25916488
PMCPMC4420956

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.