Evidence map›Paper›PMID 33583411›Full record

ArticleEnvironmental health : a global access science source2021

The impact of energy retrofits on pediatric asthma exacerbation in a Boston multi-family housing complex: a systems science approach.

Koen F Tieskens, Chad W Milando, Lindsay J Underhill, Kimberly Vermeer, Jonathan I Levy, M Patricia Fabian

Abstract read
In one paragraph

Article in Environmental health : a global access science source, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. The low-carbon risk society: Dilemmas of risk-risk tradeoffs in energy innovations, transitions, and climate policy.Risk analysis : an official publication of the Society for Risk Analysis · 2025
    Article
  2. Review
  3. Article
  4. Gas stove use and asthma in a longitudinal study of Puerto Rican children and adolescents.The journal of allergy and clinical immunology. In practice · 2023
    Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Koen F TieskensDepartment of Environmental Health, Boston University School of Public Health, 715 Albany Street, Boston, MA, 02118, USA. tieskens@bu.edu.ORCID 0000-0002-6917-6069
Chad W MilandoDepartment of Environmental Health, Boston University School of Public Health, 715 Albany Street, Boston, MA, 02118, USA.
Lindsay J UnderhillDepartment of Environmental Health, Boston University School of Public Health, 715 Albany Street, Boston, MA, 02118, USA.
Kimberly VermeerUrban Habitat Initiatives Inc, 328A Tremont Street, Boston, MA, 02116, USA.
Jonathan I LevyDepartment of Environmental Health, Boston University School of Public Health, 715 Albany Street, Boston, MA, 02118, USA.
M Patricia FabianDepartment of Environmental Health, Boston University School of Public Health, 715 Albany Street, Boston, MA, 02118, USA.

Funding

Environmental Epidemiology in Community SettingsT32ES014562 · NIEHS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Birgit Gunhild Claus Henn · 2006 to 2026
$7.7M
Asthma Simulation Tool for Housing, Medication and Social Adversity (ASTHMA)R01ES027816 · NIEHS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI FABIAN, MARIA PATRICIA · 2017 to 2021
$2.4M
NIEHS NIH HHS NIEHS/NIH R01 ES027816NIEHS NIH HHS NIEHS T32 ES01456NIEHS NIH HHS R01 ES027816NIEHS NIH HHS T32 ES014562
6 · The paper itself

Abstract

backgroundPediatric asthma is currently the most prevalent chronic disease in the United States, with children in lower income families disproportionately affected. This increased health burden is partly due to lower-quality and insufficient maintenance of affordable housing. A movement towards 'green' retrofits that improve energy efficiency and increase ventilation in existing affordable housing offers an opportunity to provide cost-effective interventions that can address these health disparities.

methodsWe combine indoor air quality modeling with a previously developed discrete event model for pediatric asthma exacerbation to simulate the effects of different types of energy retrofits implemented at an affordable housing site in Boston, MA.

resultsSimulation results show that retrofits lead to overall better health outcomes and healthcare cost savings if reduced air exchange due to energy-saving air tightening is compensated by mechanical ventilation. Especially when exposed to indoor tobacco smoke and intensive gas-stove cooking such retrofit would lead to an average annual cost saving of over USD 200, while without mechanical ventilation the same children would have experienced an increase of almost USD 200/year in health care utilization cost.

conclusionThe combination of indoor air quality modeling and discrete event modeling applied in this paper can allow for the inclusion of health impacts in cost-benefit analyses of proposed affordable housing energy retrofits.

Indexed as

Conservation of Energy ResourcesModels, TheoreticalAir Pollution, IndoorAsthmaBostonChildForced Expiratory VolumeHousingHumansSymptom Flare UpDiscrete event modelEnergy retrofitIndoor air qualityPediatric asthmaSystems science

Identifiers

PMID33583411
PMCPMC7883428

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.