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One reason for the considerable
public health interest in the home environment, particularly the indoor home
environment, is because we spend so much of our lives in this setting. Risk
assessment and management principles imply that even relatively low-risk
exposures will become important if humans are exposed to them frequently and for
prolonged periods and if such exposures are common across the population.
Consequently, many countries have carried out time-microenvironment-activity
studies to support improved environmental health policy
development.1,2
New Zealand has not specifically
measured the amount of time that we spend in the indoor home environment.
However, it is possible to produce estimates by combining data from several
sources.
This brief report provides
estimates of the amount of time that New Zealander’s spend in the indoor
home ‘microenvironment’ using the most complete available New
Zealand data.
Method—We
used two data sources that have measured the amount of time that New
Zealander’s spend in various locations. These sources are the
1998–99 NZ Time Use Survey and the 1997–98 NZ Travel
Survey.
Neither of
these surveys recorded whether the participants were indoors or outdoors.
However, specific studies have been carried out overseas that collected such
information.
A telephone survey of time and
activity patterns has been conducted in the United States. This was the
National Human Activity Pattern Survey (NHAPS) based on 9386
participants interviewed over the 1992–94
period.5
A similar survey in Canada, the
Canadian Human Activity Pattern Survey (CHAPS) was carried out from
1996–97 and included 2381 participants.6
Findings from these surveys are
very similar.7 They show:
Results—Findings
about place of activity from the NZTUS and NZTrS are shown in Table 1. A key observation is that we spend most of our
lives at home (72–73%), followed by our work and study environment
(12–13%), and transport environment (5–6%).
Combined with overseas estimates, these data suggest we
spend about 70% of our lives in the indoor home environment, and a total of
about 94% of out time indoors in buildings or vehicles.
Discussion—Findings from these
surveys confirm that the home environment, particularly the indoor home
environment, is the one where New Zealanders spend most of their lives. This
result is consistent with the findings of time use surveys carried out in other
developed countries. One difference is that New Zealanders appear to spend
slightly more time at home that in other developed countries.
Estimates of time indoors at home are slightly lower for the
US (65% of time indoors at home),7 Canada
(66%),7 Germany
(65%),8 and United Kingdom
(67-68%).9 If the time spent at ‘other
peoples houses’ was taken into account, then the time spend in New Zealand
homes would be even greater than these estimates suggest.
The relatively large amount of
time spent in the indoor home environment has notable public health
implications. Hazards in the domestic environment become particularly important
because of the long duration of exposure. For example, domestic exposures in New
Zealand homes to dust mites,10
endotoxins,11 and
mould12 are associated with asthma.
Moreover, the home is an
important setting for transmission of some infectious diseases, such as
meningococcal disease, where the risk for children is greatly increased by
household crowding.13 Because the indoor home
environment is unregulated, it remains an important setting for passive smoke
exposure.14 15
Cold damp housing is associated
with poor health outcomes, and conversely, improving such conditions with home
insulation results in significant health
improvements.16
The most vulnerable groups of
the population also spend more of their time in the home environment. These
groups include infants and children, the elderly, and those with disabilities
and chronic illnesses such as COPD.17 Such
vulnerability, coupled with long periods of exposure to the domestic
environment, is reflected in the high rates of home injuries seen in
children.18
The time-use findings presented
here have several limitations. Probably the most important is our reliance on
overseas estimates of the split of indoor and outdoor time. The estimates used
here were based on large surveys conducted in the United States and Canada.
Despite different methods, the findings for these countries were very
similar.7 It seems reasonable to conclude that
the indoor-outdoor mix is not markedly different in New Zealand, though that
assumption needs to be investigated further.
Statistics New Zealand has
developed a proposal for a repeat time-use survey to be carried out in 2008/09.
They have consulted widely regarding the content and method for this survey and
are considering several important extensions, including broadening it to all age
groups, and recording of indoor-outdoor location.
Results from this survey will be
useful in providing more precise estimates of the relative importance of
environmental exposures for New Zealanders. Ultimately, New Zealand may also
need to consider a range of other more specialised approaches to provide
time-microenvironment-activity data for specific
purposes.19
Competing interests: Two of the
authors (MB, MK) have carried out work for Statistics New Zealand on the
potential scope of the next NZ Time Use Survey.
Michael Baker, Michael Keall, Ee Lyn Au, Philippa
Howden-Chapman
He Kainga Oranga / Housing and Health Research Programme Department of Public Health, University of Otago, Wellington (michael.baker@otago.ac.nz) References:
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