| Literature DB >> 33202798 |
Helen Bennetts1, Larissa Arakawa Martins1, Joost van Hoof2,3, Veronica Soebarto1.
Abstract
An important consideration for future age-friendly cities is that older people are able to live in housing appropriate for their needs. While thermal comfort in the home is vital for the health and well-being of older people, there are currently few guidelines about how to achieve this. This study is part of a research project that aims to improve the thermal environment of housing for older Australians by investigating the thermal comfort of older people living independently in South Australia and developing thermal comfort guidelines for people ageing-in-place. This paper describes the approach fundamental for developing the guidelines, using data from the study participants' and the concept of personas to develop a number of discrete "thermal personalities". Hierarchical Cluster Analysis (HCA) was implemented to analyse the features of research participants, resulting in six distinct clusters. Quantitative and qualitative data from earlier stages of the project were then used to develop the thermal personalities of each cluster. The thermal personalities represent different approaches to achieving thermal comfort, taking into account a wide range of factors including personal characteristics, ideas, beliefs and knowledge, house type, and location. Basing the guidelines on thermal personalities highlights the heterogeneity of older people and the context-dependent nature of thermal comfort in the home and will make the guidelines more user-friendly and useful.Entities:
Keywords: cluster analysis; cooling; design guidelines; heating; housing; thermal comfort
Mesh:
Year: 2020 PMID: 33202798 PMCID: PMC7698095 DOI: 10.3390/ijerph17228402
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 3.390
Figure 1Factors important for understanding heating and cooling behaviours. Adapted from van Hoof et al. [26].
Features used for development of the thermal personalities.
| Feature | Scale or Categories | Data Type | |
|---|---|---|---|
| Age group | 1 = 65–74 | Ordinal | |
| Sex | 0 = female | Nominal | |
| Living arrangement | 0 = alone | Nominal | |
| Annual household income | 1 = less than AUD 30,000 | Nominal | |
| Concern re heating and cooling cost | 0 = not concerned | Ordinal | |
| EQ-5D-5L dimensions health-related well-being | Mobility | 1 = no problems with walking about | Ordinal |
| Self-care | 1 = no problems washing or dressing myself | Ordinal | |
| Usual activities | 1 = no problems doing my usual activities | Ordinal | |
| Pain/discomfort | 1 = no pain or discomfort | Ordinal | |
| Anxiety/depression | 1 = not anxious or depressed | Ordinal | |
| Number of weather-affected health symptoms | 0 = none | Ordinal | |
| First action to keep cool | 1 = personal, such as changing clothing level | Nominal | |
| First action to keep warm | 1 = personal such as changing clothing level | Nominal | |
| Location | 1 = Iron Triangle—semi arid (Bsk) | Nominal | |
| Age of house (years) | 1 = less than 10 years | Ordinal | |
| In a retirement village? | 0 = no | Nominal | |
| Type of cooler | 1 = none | Nominal | |
| Type of heater | 1 = none | Nominal | |
* RC—reverse cycle air conditioner. In some countries, this is called a heat pump.
Results of Pearson’s Χ2 test for features used in cluster analysis.
| Feature | Pearson’s Χ2 Significance |
|---|---|
| Age | 0.000 |
| Sex | 0.000 |
| Living Arrangement | 0.000 |
| Annual household income | 0.000 |
| Concern re heating and cooling cost | 0.000 |
| Mobility | 0.001 |
| Self-care | 0.000 |
| Usual Activities | 0.000 |
| Pain/discomfort | 0.000 |
| Anxiety/depression | 0.000 |
| Number of weather-affected health symptoms | 0.046 |
| First action to keep cool | 0.000 |
| First action to keep warm | 0.000 |
| Location | 0.000 |
| Age of house | 0.014 |
| In a retirement village? | 0.000 |
| Type of cooler | 0.000 |
| Type of heater | 0.000 |
Figure 2Clustering dendrogram.
Salient characteristics of clusters.
| Cluster 1 | Cluster 2 | Cluster 3 | Cluster 4 | Cluster 5 | Cluster 6 | |
|---|---|---|---|---|---|---|
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| Highly likely ** aged 65–74 | * | Highly likely aged 85+ | * | * | * |
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| Highly likely female | Highly likely female | Highly likely female | Likely female | Highly likely female | Highly likely male |
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| Lives alone | Highly likely lives alone | Highly likely lives alone | Highly likely lives with other | Likely lives with other | Likely lives with other |
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| Likely > AUD 50,000 | Likely < AUD 30,000 | Likely < AUD 30,000 | Likely > AUD 50,000 | * | Likely AUD 30,000–50,000 |
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| Has problems with mobility | Likely has no problems with mobility | Likely has problems with mobility | Likely has no problems with mobility. | Likely has no problems with mobility. | Likely has no problems with mobility. |
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| Highly likely has no problems with self-care | Highly likely has no problems with self-care | Highly likely has no problems with self-care | Highly likely has no problems with self-care | Highly likely has no problems with self-care | Highly likely has no problems with self-care |
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| Highly likely has problems undertaking usual activities | Likely has no problems undertaking usual activities | Likely has problems undertaking usual activities | Likely has no problems undertaking usual activities | Likely has no problems undertaking usual activities | Likely has no problems undertaking usual activities |
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| Highly likely has moderate to severe pain or discomfort | Highly likely has some pain or discomfort | Likely has some pain or discomfort | Likely has some pain or discomfort | Likely has some pain or discomfort | Likely has some pain or discomfort |
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| Likely has some anxiety or depression | Likely has no anxiety and depression | Likely has no anxiety and depression | Highly likely has no anxiety or depression | Likely has some anxiety or depression | Highly likely has no anxiety or depression |
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| Likely has 1 or more | Likely has none | Likely has 1 or more | Likely has none | Likely has none | Highly likely has none |
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| Highly likely use household strategies | * | Likely use technology | * | Likely use household strategies | Likely use technology |
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| Likely use technology | Likely use personal strategies | Likely use personal strategies | Likely use personal strategies | Likely use personal strategies | Likely use technology |
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| Highly likely very concerned | Likely concerned *** | Likely not concerned | Highly likely concerned | Highly likely concerned | Likely concerned |
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| Likely lives in Iron Triangle or Adelaide metropolitan area. | Live in all climate zones. | Highly likely live in Adelaide metropolitan area. | Highly likely live in Adelaide metropolitan area. | Likely live in Adelaide Hills or Fleurieu Peninsula | Likely live in Adelaide Hills or Fleurieu Peninsula |
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| Highly likely house > 20 years old | Highly likely house > 20 years old | Likely house > 20 years old | Likely house > 20 years old | Likely house > 20 years old | Highly likely house > 20 years old |
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| * | * | Highly likely split system reverse cycle | Highly likely ducted reverse cycle | Highly likely split system reverse cycle | Highly likely split system reverse cycle |
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| Likely has ducted evaporative cooling. | * | Highly likely has split system reverse cycle | Highly likely ducted reverse cycle | Highly likely split system reverse cycle | Likely split system reverse cycle |
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| Does not live in a retirement village | Highly likely does not live in a retirement village | Does live in a retirement village | Highly likely does not live in a retirement village | Highly likely does not live in a retirement village | Highly likely does not live in a retirement village |
* No salience. ** Highly likely = 75–99% of participants in the cluster; Likely = 51–74%; No salience = Less than 50%. *** combines categories Concerned and Very concerned.
Thermal personalities.
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| Recently retired, Tina sometimes has problems walking and often has pain that restricts her activities. She feels that her health is worse in cold weather and often gets colds and flu. In summer, her main problem is that she finds it hard to sleep. She has income from her superannuation. | Liz is often worried about money. She feels she is healthy but has occasional problems with pain in cold weather. | Elsie receives a government pension. She has a number of ailments and has to use a walking frame. Her eyesight is poor and she also finds she is getting rather forgetful. Elsie has help with shopping and visits the community centre once a week. |
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| In cold weather, the first thing Tina does to keep warm is turn the heater on. She has electric portable heaters, which she uses in the living room and the bedroom. For cooling, Tina has ducted evaporative cooling. She uses this mostly at night, preferring to shut the house up on a hot day and stay inside. | Although Liz has a split system reverse cycle air conditioner in the living room and a portable heater in the bedroom, she prefers to keep warm by dressing appropriately and working in the garden. Liz only uses cooling during prolonged hot spells. | Elsie has a split system air conditioner in the living room. The first thing she does when she is feeling too warm, is to turn the air conditioner on. In cold weather, she prefers to wait until late afternoon before turning the heating on. She makes sure she is dressed warmly and will often use a knee rug when sitting. |
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| Tina has lived in Whyalla for a long time and is familiar with the climate. She is very concerned that her declining health will make it harder to remain in her own home and wants to make adjustments to the house while she can. | Liz is very concerned about the cost of heating and cooling and often finds it difficult to pay her electricity bills. | Elsie had the air conditioner installed a few years ago but no one explained how to use it. |
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| Tina finds her mood lightens on a sunny day. She particularly likes sitting in the sun on a cold day. For Tina, this is pure thermal delight. | Liz prefers hot weather. | Elsie was born in England and she thinks this is why she has never liked the heat. |
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| Tina lives in a house that was built 30 years ago. It is cavity brick with concrete-slab-on-ground and a corrugated metal roof. Tina thinks it has insulation in the ceiling. | Liz’s 100-year-old cottage has sandstone walls and timber floors. The kitchen and living area, added 20 years ago, has brick veneer walls with concrete slab on ground. | Elsie lives in a semi-detached unit built in the 1970s with cavity brick walls, timber floors, and a tiled roof. She thinks there is insulation in the ceiling. |
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| Sophia and her husband have income from investments and their superannuation. They are healthy and active, regularly going to the gym, travelling, and entertaining family and friends. Sophia has few weather-related illnesses beyond the occasional winter cold. | Since retiring, Peggy has increased her involvement with community and environment groups. Although generally healthy and active, she feels she is slowing down and often becomes anxious both about her future and the state of the world. | Joe is a retired engineer who keeps himself fit and healthy. He has a part-pension that supplements his income from other sources. |
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| Sophia’s house has ducted reverse cycle air conditioning, but Sophia and her husband prefer not to use this as a first response to hot and cold weather. Instead, they make sure they are dressed appropriately for the weather and that they keep active, particularly in cold weather. | Peggy has an old split system reverse cycle air conditioner in the living room but rarely uses it. She prefers to dress warmly and keep active in cold weather and to use blinds and curtains to keep the sun out in hot weather. | Joe’s first action if he feels too warm or cold is to turn the air conditioner on. He has one split system reverse cycle air conditioner in the living room and an old window unit in the bedroom but is considering upgrading these along with installing solar panels. |
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| Sophia is concerned that the cost of heating and cooling is increasing. She hopes to continue living in the family home but realises they need to make some changes. She is interested in passive design and would like to incorporate some of these principles when they renovate. | Peggy is concerned about climate change and the links between energy use and global warming. While she is very concerned about the financial cost of heating and cooling, she is also concerned about the environmental cost. | Joe is very comfortable with technology. He keeps his own records of the weather and also records his energy use. He likes the sense of control that this knowledge gives him. |
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| Sophia likes the idea of having alternatives to the air conditioner to provide comfort. | Peggy feels much healthier when she is connected to natural elements such as the sun and the wind. | Joe loves living where he does because he finds the salty air healthy and he has a wonderful view of the ocean. |
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| Sophia and her husband have lived in their bungalow for more than 10 years. It has brick walls, timber floors, and a tiled roof. They are planning to upgrade their house. | Peggy and her partner have lived in their current house for many years, but they are looking to move to a smaller house in an Adelaide Hills town. | Joe’s house is elevated lightweight construction with timber floors. |
Important points to be addressed in the thermal comfort guidelines.
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| This cluster will benefit from guidelines consisting of information about: | This cluster will benefit from guidelines consisting of information about: | This cluster will benefit from guidelines consisting of information about: |
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How hot and cold weather can affect medical conditions in older people (K); The benefits of simple modifications to the house, (D) for example:
improving ceiling insulation; adding window and door seals; Options for operable windows that are easy to operate (K); Passive design principles to be incorporated in renovation, particularly to allow sun to come into the living area (K/D/F); Energy-efficient heating and cooling systems and temperature set points that would be conducive to maintaining good health (D). |
How hot and cold weather can affect medical conditions in older people (K); Low cost household strategies to reduce the running cost of heating and cooling, (D), for example:
Installing reversible ceiling fans; Using curtains or blinds to help reduce unwanted heat gain and heat loss; Reducing the volume of rooms to be heated or cooled, for instance, by shutting doors or adding partitions; Energy-efficient heating and cooling systems (D). |
How hot and cold weather can affect medical conditions in older people (K); Household strategies to improve comfort and reduce the need for heating and cooling (D), for example:
Using curtains or blinds to help reduce unwanted heat loss and heat gain; Reducing draughts by improving the sealant around the windows and doors. Personal heating and cooling devices such as electric rugs or personal fans (D); How to operate a split system reverse cycle air conditioner efficiently, including thermostat settings, and when to turn it on and off (D); Easy-to-use remote controls for the air-conditioning system (D). |
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| This cluster will benefit from guidelines consisting of information about: | This cluster will benefit from guidelines consisting of information about: | This cluster will benefit from guidelines consisting of information about: |
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How hot and cold weather can affect medical conditions in older people (K); Passive design principles for house renovation (K). Household modifications suitable for an old house (D), for example:
Summer shading including using deciduous plants; Improving/adding sealant around the windows and doors; Replacing existing glass in windows with better performance glazing, and/or; Replacing existing fixed windows with operable ones; Adding roof vents to the roof space; Checking the insulation on the ceiling and, if needed, replacing/adding new insulation. Alternatives to the ducted system reverse-cycle air-conditioner for heating and cooling (K/D), for example:
Individual/split system so they only need to run the system in the room they occupy; Solar panels: size, type, payback (K). |
How hot and cold weather can affect medical conditions in older people (K); Passive design principles for building or buying a new house (K), for example:
Living areas that face the sun (F); Walls and ceiling are well-insulated; Windows can be opened easily but safely (D/F); Window, door frames, all cracks and joints are well-sealed; Roof eaves and other shading that will block direct sun in summer but allow it to enter the spaces in winter; Large spaces can be divided into small spaces to reduce heating and cooling (D); Using natural materials for building construction, as much as possible, to minimise environmental impact and provide “warm” feeling (F); Solar panels: size, type, payback (K). |
How hot and cold weather can affect medical conditions in older people (K); Benefits of using energy-efficient heating and cooling systems (i.e., replacing the old window unit) (K/D); Solar photovoltaic panels, size, cost, and payback (K); Smart air-conditioning control and application (K/D); Smart metering system (K); Benefits of insulation to be installed under the elevated timber floors to reduce heat loss, thus reducing the need for heating (K). |
K = Knowing; D = Doing; F = Feeling.