| Literature DB >> 26961081 |
Alexandra Macmillan1, Michael Davies2, Clive Shrubsole3, Naomi Luxford4, Neil May5, Lai Fong Chiu6, Evelina Trutnevyte7, Yekatherina Bobrova8, Zaid Chalabi9.
Abstract
BACKGROUND: The UK government has an ambitious goal to reduce carbon emissions from the housing stock through energy efficiency improvements. This single policy goal is a strong driver for change in the housing system, but comes with positive and negative "unintended consequences" across a broad range of outcomes for health, equity and environmental sustainability. The resulting policies are also already experiencing under-performance through a failure to consider housing as a complex system. This research aimed to move from considering disparate objectives of housing policies in isolation to mapping the links between environmental, economic, social and health outcomes as a complex system. We aimed to support a broad range of housing policy stakeholders to improve their understanding of housing as a complex system through a collaborative learning process.Entities:
Mesh:
Year: 2016 PMID: 26961081 PMCID: PMC4895316 DOI: 10.1186/s12940-016-0098-z
Source DB: PubMed Journal: Environ Health ISSN: 1476-069X Impact factor: 5.984
Fig. 1A priori sampling frame used to identify representatives
Fig. 2Summary of model development process
Summary of themes resulting from the thematic analysis
| Themes and subthemes | Number of variables in theme | Prevalence across the dataset |
|---|---|---|
| Indoor temperature | 69 | 268 |
| Heating and fuel poverty | 53 | 203 |
| Need for cooling | 6 | 32 |
| Outdoor ambient temperatures | 5 | 21 |
| Thermal comfort | 5 | 12 |
| Air quality and ventilation | 27 | 179 |
| Ventilation | 13 | 70 |
| Moisture and damp | 4 | 63 |
| Chemical exposures | 10 | 46 |
| Overcrowding | 21 | 117 |
| Neighbourhoods | 67 | 452 |
| Community social connection | 46 | 311 |
| Sense of security from crime | 11 | 94 |
| Tenure security | 10 | 47 |
| Energy use and efficiency | 136 | 503 |
| Influences on the energy efficiency of houses | 91 | 362 |
| Energy supply and pricing | 27 | 94 |
| Transport energy use | 18 | 47 |
| Housing quality | 83 | 213 |
| Influences on building quality | 78 | 201 |
| Exposure to light | 5 | 12 |
| Demographic change | 27 | 100 |
| Adaptation of housing to climate change | 47 | 174 |
| Land use and urban planning | 60 | 170 |
| Aspects of wellbeing related to housing | 48 | 279 |
| Overall health and wellbeing | 10 | 52 |
| Mental health and emotional wellbeing | 14 | 107 |
| Physical health | 17 | 95 |
| Economic wellbeing | 5 | 15 |
| Environmental wellbeing/sustainability | 5 | 10 |
Fig. 3Overview of the seven themes used to organise the housing, energy and wellbeing CLDs
Fig. 4Community connection and the physical quality of neighbourhoods. Arrows with a positive sign (+) indicate a change in the variable at the arrow-tail leads to a change in the variable at the arrow-head in the same direction. Arrows with a negative (−) sign indicate a change in the arrow-tail variable leads to an inverse change in the arrow-head variable (opposite direction). R – Reinforcing loop, the result of which is an amplification of the initial pattern of behaviour. B – Balancing loop, the result of which may be to dampen the initial pattern of behaviour or create oscillation). The dashed connection was one where there remained disagreement about the relationship
Results of the silent negotiation exercise to determine shared policy assessment criteria (the final preferred list is highlighted)
| Policy criteria | List B | List C |
|---|---|---|
| List A (preferred list) | ||
| Carbon emissions from housing | Carbon emissions from housing | Carbon emissions from housing |
| Community connection | Community connection | Community connection |
| Fuel poverty | Fuel poverty | Employment |
| Housing adaptation to climate change | Green space and neighbourhood | Fuel poverty |
| Housing affordability | Housing affordability | Green spaces and neighbourhood quality |
| Mental & emotional wellbeing | Mental | Housing adaptation to climate change |
| Physical wellbeing/health | Physical wellbeing/health | Housing affordability |
| Policy coherence | Social and income equity | |
| Social and income equity | Physical wellbeing/health |