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Effect of energy-efficient homes on residents' health: evidence from a natural experiment in the Netherlands 节能住宅对居民健康的影响:来自荷兰自然实验的证据
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-03-12 DOI: 10.1016/s2468-2667(26)00023-x
Vincent P Roberdel, Ioulia V Ossokina, Jos van Ommeren, Theo A Arentze

Background

Many governments around the world subsidise upgrades to poorly insulated homes, yet the extent to which these energy-efficiency improvements reduce health risks remains unclear. We aimed to provide the first large-scale evidence on whether such retrofits lower the use of respiratory health-care services, particularly for children and other vulnerable individuals.

Methods

We leveraged a large-scale natural experiment in which public housing units across the Netherlands were retrofitted between 2012 and 2021. Upgrades included insulation and mechanical ventilation and were implemented in homes eligible on the basis of poor energy efficiency and construction before the early 1990s. Treatment assignment was based on technical factors and was therefore shown to be unrelated to health outcomes, and opting out was not possible. We followed up 2 million individuals over 10 years, totalling approximately 12 million person-years—a sample size that provided high statistical power (95% CIs narrow enough to detect relative risk changes in medication use as small as 1%). Individual-level medication data were obtained from health insurers. Medication use and other health-care outcomes among 180 000 tenants in retrofitted homes were compared with those in not-yet-retrofitted homes using a staggered difference-in-differences design with individual fixed effects. The primary outcomes were the use of prescription respiratory-system medications: asthma or chronic obstructive pulmonary disease drugs, cough remedies, and antihistamines.

Findings

Antihistamine use declined by 1·87% (95% CI 0·19–3·55; p=0·029) after retrofits. Among children younger than 18 years, respiratory medication use fell by 3·76% (1·04–6·48; p=0·0067). Specifically, after 5 years, asthma medication use was reduced by 6·91% (–0·04 to 13·85; p=0·051). No statistically significant effects were found for non-respiratory medication outcomes and health-care costs.

Interpretation

Energy-efficiency upgrades led to measurable reductions in respiratory medication use, especially for children. These benefits probably reflect reduced exposure to indoor dampness and bad air quality. Childhood asthma reduction is a crucial co-benefit of energy-efficiency home upgrades.

Funding

NWO Dutch Research Council, RVO Netherlands Enterprise Agency, and Villum Fonden.
世界上许多国家的政府都为隔热性能差的房屋提供升级补贴,但这些能效改进在多大程度上降低了健康风险仍不清楚。我们的目标是提供第一个大规模的证据,证明这种改造是否会降低呼吸保健服务的使用,特别是对儿童和其他弱势群体。方法我们利用了一项大规模的自然实验,在2012年至2021年期间对荷兰各地的公共住房单元进行了改造。升级包括隔热和机械通风,并在20世纪90年代早期之前,在能源效率和建筑较差的基础上符合条件的家庭中实施。治疗分配基于技术因素,因此被证明与健康结果无关,不可能选择退出。我们对200万人进行了10年的随访,总计约1200万人年——这一样本量提供了很高的统计效力(95% ci足够窄,可以检测到药物使用的相对风险变化,最小可达1%)。从健康保险公司获得个人层面的用药数据。采用具有个体固定效应的交错差异设计,对18万名翻新房屋租户的药物使用和其他医疗保健结果进行了比较。主要结局是使用处方呼吸系统药物:哮喘或慢性阻塞性肺疾病药物、止咳药和抗组胺药。发现改造后抗组胺的使用下降了1.87% (95% CI 0.19 - 3.55; p= 0.029)。在18岁以下儿童中,呼吸道药物的使用下降了3.76% (1.04 - 6.48;p= 0.0067)。具体来说,5年后,哮喘药物的使用减少了6.91%(- 0.04至13.85;p= 0.051)。对非呼吸系统药物治疗结果和医疗保健费用没有发现统计学上显著的影响。能效升级导致呼吸系统药物的使用显著减少,尤其是对儿童而言。这些好处可能是因为减少了暴露在室内潮湿和空气质量差的环境中。减少儿童哮喘是节能家庭升级的一个重要共同利益。资助:nwo荷兰研究委员会,RVO荷兰企业机构和Villum Fonden。
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引用次数: 0
Correction to Lancet Public Health 2026; published online Feb 6. https://doi.org/10.1016/S2468-2667(25)00324-X 《柳叶刀公共卫生2026》更正;2月6日在网上发表。https://doi.org/10.1016/s2468 - 2667 (25) 00324 - x
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-03-06 DOI: 10.1016/s2468-2667(26)00053-8
Mehrabi F, Pomeroy ML, Hoodendijk EO, et al. Rethinking health-care systems to tackle social isolation and frailty. Lancet Public Health 2026; published online Feb 6. https://doi.org/10.1016/S2468-2667(25)00324-X—In this Viewpoint, the third sentence of the Social isolation and frailty: intersecting public health challenges section should read “Social isolation affects one in four adults aged 60 years and older, and frailty affects an estimated 12–24% of adults aged 50 years and older globally.” These corrections have been made as of March 6, 2026.
Mehrabi F, Pomeroy ML, Hoodendijk EO,等。重新思考卫生保健系统,以解决社会孤立和脆弱问题。柳叶刀公共卫生2026;2月6日在网上发表。https://doi.org/10.1016/S2468-2667(25)00324-X在本观点中,“社会孤立和脆弱:交叉的公共卫生挑战”部分的第三句应改为“社会孤立影响着四分之一的60岁及以上成年人,而脆弱影响着全球约12-24%的50岁及以上成年人。”这些更正已于2026年3月6日作出。
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引用次数: 0
Correction to Lancet Public Health 2026; 11: e176–86 《柳叶刀公共卫生2026》更正;11: e176 - 86
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-02-25 DOI: 10.1016/s2468-2667(26)00047-2
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引用次数: 0
Correction to Lancet Public Health 2025; 10: e903–11 《柳叶刀公共卫生2025》更正;10: e903-11
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-02-24 DOI: 10.1016/s2468-2667(26)00029-0
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引用次数: 0
Long-term outcomes for patients at high risk of death after surgery in the UK: a retrospective cohort study 英国手术后死亡高风险患者的长期预后:一项回顾性队列研究
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-02-24 DOI: 10.1016/s2468-2667(26)00022-8
Alexander J Fowler, Tom E F Abbott, Ewen M Harrison, Michael Gillies, John R Prowle, David Cromwell, Rupert M Pearse
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引用次数: 0
Baseline imbalance and convergent endpoints in the OurFutures Vaping trial – Authors' reply 我们未来电子烟试验中的基线不平衡和收敛终点——作者回复
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-02-24 DOI: 10.1016/s2468-2667(26)00021-6
Lauren A Gardner, Siobhan O'Dean, Matthew Sunderland, Maree Teesson, Katrina E Champion, Emily Stockings, Nicola C Newton
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引用次数: 0
Variation in reporting of heatstroke mortality: evidence from a multi-country study 中暑死亡率报告的差异:来自多国研究的证据
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-02-24 DOI: 10.1016/s2468-2667(25)00322-6
Aurelio Tobias, Yasushi Honda, Lina Madaniyazi, Barrak Alhamad, Erik Lavigne, Dominic Roye, Shilu Tong, Micheline de Sousa Zanotti Stagliorio Coelho, Veronica Huber, Ales Urban, Susana das Neves Pereira da Silva, Souzana Achilleos, Robbie M Parks, Carmen Iñiguez, Pierre Masselot, Ana M Vicedo-Cabrera, Ben Armstrong, Antonio Gasparrini, Masahiro Hashizume, Rosana Abrutzky, Souzana Achilleos, Fiorella Acquaotta, Barrak Alahmad, Ben Armstrong, Hanne Krage-Carlsen, Gabriel Carrasco, Paul Lester Carlos Chua, Micheline de Sousa Zanotti Stagliorio Coelho, Valentina Colistro, Susana das Neves Pereira da Silva, Francesca d e'Donato, Bertil Forsberg, Antonio Gasparrini, Yue Leon Guo, Yuming Guo, Iván Gutierrez-Avila, Masahiro Hashizume, Iulian-Horia Holobaca, Yasushi Honda, Veronika Huber, Magali Hurtado Diaz, Carmen Íñiguez, Haidong Kan, Ho Kim, Yoonhee Kim, Wissanupong Kliengchuay, Jan Kyselý, Eric Lavigne, Whanhee Lee, Yuanyu Lu, Lina Madaniyazi, Joana Madureira, Pierre Masselot, Patricia Matus Correa, Paola Michelozzi, Chris Fook Sheng Ng, Samuel Osorio, Ala Overcenco, Shih-Chun Pan, Robin Park, Robbie M. Parks, Mathilde Pascal, Martina S. Ragettl, Dominic Roye, Paulo Hilario Nascimento Saldiva, Alexandra Schneider, Joel Schwartz, Noah Scovronick, Xerxes Seposo, Francesco Sera, Muhammad Abdul Basit Ahmad Tajudin, Kraichat Tantrakarnapa, Aurelio Tobias, Shilu Tong, Aleš Urban, Nicolás Valdés Ortega, Ana M. Vicedo-Cabrera, Antonella Zanobetti
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引用次数: 0
Baseline imbalance and convergent endpoints in the OurFutures Vaping trial 我们未来电子烟试验中的基线不平衡和收敛终点
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-02-24 DOI: 10.1016/s2468-2667(26)00020-4
Edward Jegasothy
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引用次数: 0
Estimating the costs of informal care for individuals with brain health disorders from 2000 to 2021: a modelling study 估算2000年至2021年脑部健康障碍患者非正式护理费用:一项模拟研究
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-02-24 DOI: 10.1016/s2468-2667(26)00010-1
Amy Lastuka, A J Mitchell, Ian E Cogswell, Jeremy Dalos, Golsum Tsakalos, Andrei Oros, Serena Santoni, Xaviera Steele, Kayla V Taylor, Salomé Drouard, Joseph L Dieleman, Angela E Apeagyei
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引用次数: 0
Not all alcohol policies are created equal 并非所有的酒精政策都是平等的
IF 5 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-02-24 DOI: 10.1016/s2468-2667(26)00019-8
Colin Angus
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引用次数: 0
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