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Overcrowding and Hazardous Dwelling Condition Characteristics: A Systematic Search and Scoping Review of Relevance for Health
Karolinska Inst, Inst Environm Med, Integrat Toxicol, SE-17177 Stockholm, Sweden.;Reg Stockholm, Ctr Occupat & Environm Med, SE-11365 Stockholm, Sweden..
Karolinska Inst, Inst Environm Med, Integrat Toxicol, SE-17177 Stockholm, Sweden..ORCID iD: 0000-0002-8759-9567
KTH, School of Architecture and the Built Environment (ABE), Civil and Architectural Engineering, Sustainable Buildings.ORCID iD: 0000-0001-7073-2600
RISE Res Inst Sweden, SE-50115 Borås, Sweden..
2022 (English)In: International Journal of Environmental Research and Public Health, ISSN 1661-7827, E-ISSN 1660-4601, Vol. 19, no 23, article id 15542Article, review/survey (Refereed) Published
Abstract [en]

Crowding in dwellings is an important public health issue. We hypothesize that overcrowding may cause indirect health effects by adversely affecting the dwelling itself, for example, by increasing dampness leading to mold. We therefore performed a systematic search and a scoping review on overcrowding leading to dwelling condition characteristics of relevance for health. A literature search was performed using the PubMed and Scopus databases up to 5 March 2021. The search yielded 100 records with relevant information. We found that overcrowding is defined in numerous ways and often address "socially deprived" populations. Six studies report associations of overcrowding with at least one dwelling condition characteristic, namely lead, cadmium, microorganism distribution, dust mite and cockroach allergens in dust, cockroach infestation, peeling paint, and mold. One of the studies reports associations between several characteristics, e.g., association of mold with cleanliness and rodent infestation, and points out the common use of pesticides. Additional characteristics were extracted from the remaining 94 records, without data on statistical associations with overcrowding. Our review suggests that multiple potentially hazardous dwelling condition characteristics often coincide in overcrowded dwellings. The epidemiological attribution of health effects to any characteristic is therefore difficult. Causal relationships are even more difficult to establish, as overcrowding is also associated with a range of social and other circumstances that may affect health. The complexity should be considered by scientists and practitioners dealing with overcrowding in dwellings.

Place, publisher, year, edition, pages
MDPI , 2022. Vol. 19, no 23, article id 15542
Keywords [en]
crowding, overcrowding, mold, biocides, exposure, confounding, pesticides
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:kth:diva-322891DOI: 10.3390/ijerph192315542ISI: 000896184100001PubMedID: 36497612Scopus ID: 2-s2.0-85143628004OAI: oai:DiVA.org:kth-322891DiVA, id: diva2:1725500
Note

QC 20220111

Available from: 2023-01-11 Created: 2023-01-11 Last updated: 2025-02-20Bibliographically approved

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