4.3 Review

Cold housing environments: defining the problem for an appropriate policy response

Journal

JOURNAL OF PUBLIC HEALTH POLICY
Volume 44, Issue 3, Pages 370-385

Publisher

PALGRAVE MACMILLAN LTD
DOI: 10.1057/s41271-023-00431-8

Keywords

Building conditions; Cold temperature; Housing; Economic policy; Public health

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Researchers from different fields are paying more attention to cold housing environments. However, there is a lack of standardisation in defining and measuring cold housing environments, hindering the ability to combine evidence and formulate policy responses. A systematic review of literature was conducted to document the measures used and propose a conceptualisation of cold housing. Accurate data on home temperatures for all population groups, combined with an understanding of factors leading to cold homes, will enable appropriate policy response to reduce adverse health effects and costs. Policies targeting better building standards and energy subsidies both improve temperature conditions in housing environments.
Researchers across disciplines are increasing attention to cold housing environments. Public health, environmental and social sciences, architecture, and engineering each define and measure cold housing environments differently. Lack of standardisation hinders our ability to combine evidence, determine prevalence, understand who is most at risk--and to formulate policy responses. We conducted a systematic, cross-disciplinary review of literature to document the measures used. We examined benefits and limitations of each approach and propose a conceptualisation of cold housing: where temperature is too low to support optimal health and wellbeing of inhabitants, measured using one or a combination of economic, 'objective', or subjective approaches. More accurate data on home temperatures for all population groups, combined with an understanding of factors leading to cold homes, will enable appropriate policy response to reduce adverse health effects and costs. Policies targeting better building standards and energy subsidies both improve temperature conditions in housing environments.

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