Keeping our children warm and dry: Evidence from Growing Up in New Zealand - BRANZ

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Keeping our children warm and dry: Evidence from Growing Up in New Zealand - BRANZ
BRANZ Research Now: Indoor air quality #7

  Keeping our children warm and dry:
Evidence from Growing Up in New Zealand
In world-first research, measures of indoor environments were assessed against
    children’s physical and mental health and wellbeing to determine optimal
ranges for indoor temperature and humidity. The optimal bedtime temperature
  in children’s homes was found to be 19–25°C with a relative humidity of 50%.
Children living in environments outside these optimal conditions had increased
                   odds of experiencing poorer general health.

The World Health Organization                        The Growing Up in New Zealand study recruited       association between home indoor environ-
                                                 6,853 unborn children via their pregnant mothers        ments and children’s health and wellbeing
(WHO) has recommended that
                                                 in 2009/10. The cohort includes significant           ● understand the relationships between
an indoor housing temperature                    numbers of Māori, Pacific and Asian children            socio-demographic and home environmental
o f 1 8 – 2 4° C i n t e m p e r a t e           as well as Pākehā New Zealander or European             factors and optimal indoor climates.
countries is the optimal range                   children. Data collection began during preg-          Direct indoor environment measures from
                                                 nancy, with data collected on multiple occasions      the children’s homes and schools were linked
for staying healthy. There has
                                                 during the children’s early years. The study was      to existing longitudinal information about
been relatively little detailed                  designed to follow children from before birth         their overall health and wellbeing collected
research behind these figures,                   to young adulthood. Its primary objective is          as part of the core Growing Up in New Zealand
however, and sparse evidence                     to understand what shapes wellbeing of the            study. The researchers believe that this
                                                 current generation of young New Zealanders in         study is the first in the world to describe an
connecting actual recorded
                                                 the context of their families.                        optimal indoor climate range by combining
i n d o o r c l i m ate m e a su re s                The research described in this Research Now       temperature as the lower cut-off point and
directly to children’s health                    is the result of collecting multiple indoor climate   humidex (a calculation that considers heat
and wellbeing.                                   measures from the homes and schools of the main       and humidity – Masterton and Richardson,
                                                 cohort children when they were approximately          1979) as the higher cut-off point.
Measuring indoor temperature and relative        8 years old. This research was conducted with
humidity in the homes and classrooms of          the children between July 2017 and January 2019.      HOW DATA WAS COLLECTED AND
8-year-old children was therefore included in        The three main areas of focus were to:            ANALYSED
the most recent 8-year data collection wave as   ● determine the optimal temperature and               The children collected indoor temperature
part of the ongoing Growing Up in New Zealand        humidity ranges associated with measures          and relative humidity data using a small hand-
longitudinal cohort study.                           of children’s health and wellbeing                held digital temperature and relative humidity
                                                 ●   better understand the nature of the               gauge. Measurements were made and entered

                                  BRANZ Research Now: Indoor air quality #7 | May 2021 | www.branz.nz                                              1
Keeping our children warm and dry: Evidence from Growing Up in New Zealand - BRANZ
BRANZ Research Now: Indoor air quality #7

into diaries at eight different times across one             deprivation and less vulnerability. This may                           ● The wake-up (mean 18.5°C) and bedtime
weekday and one weekend day.                                 also mean that the findings underestimate the                            (mean 21.1°C) temperatures were similar
   The scheduled times on the weekday                        full impact that indoor housing conditions are                           for weekday and weekend measurements.
included when the child:                                     having on child health and wellbeing in New                            ● The mean school indoor temperature in the

● woke up in the morning                                     Zealand. Overall, 2,232 children who recorded                            morning and at lunch was 18.9°C and 21.4°C.
● arrived in the school classroom in the                     the indoor measurements in the scheduled                               The average temperature for both home
   morning                                                   times in their diary were included in this study.                      and school was approximately 20°C. This is
● had a school lunchbreak                                       Key findings around temperature:                                    within the optimal range for WHO guidelines.
● arrived home from school                                   ● The mean of the average indoor temperature                           However, considerable variability in average
● went to bed at night.                                         of the six measurements at home was 20.2°C                          temperatures for both home (10.3–29.5°C) and
The scheduled times on the weekend day                          (range of the averages of the six measure-                          school (4.0–34.6°C) throughout the two meas-
included when the child:                                        ments: 10.3–29.5°C).                                                urement days indicated that many children
● woke up in the morning                                     ● The mean of the average indoor temperature                           were experiencing a wide range of indoor
● had dinner                                                    of the two measurements at school was                               temperatures in a 24-hour period.
● went to bed at night.                                         20.2°C (range of the averages of the two                              There were the expected patterns of indoor
The project assessed the indoor environment                     measurements: 4.0–34.6°C).                                          temperatures rising as the day progressed
measures against 20 child health and wellbeing               ● The corresponding means of the average                               and lower indoor temperatures in the winter
outcomes. Sixteen of these were reports from                    values of NIWA outdoor temperatures were                            months than the summer months (Figure 1). On
the mother on the child’s physical health over                  13.4°C for home (-1.7–24.5°C) and 14.9°C for                        winter weekdays, the wake-up (mean 17.1°C) and
different time periods – the past 12 months, the                school (-0.8–30.9°C).                                               bedtime (mean 20.0°C) indoor temperatures
past month or recorded on the interview day.
   The researchers also assessed indoor
environment data against family and home socio-
demographic factors based on 25 variables. These
included measures of material hardship such as
crowding (number of people per bedroom),                                               30
putting up with cold to reduce cost and whether/                                                                                                                    Timepoint
                                                        Indoor temperature (°C)

                                                                                                                                                                          Weekday - Wake up
how often food runs out due to lack of money.
                                                                                                                                                                          Weekday - School
   The Growing Up in New Zealand study partici-                                                                                                                           Weekday - Lunch
pants were recruited initially from three adjacent                                     20                                                                                 Weekday - Home
district health board areas (Auckland, Counties                                                                                                                           Weekday - Bed
                                                                                                                                                                          Weekend - Wake up
Manukau and Waikato). By the time of the 8-year                                                                                                                           Weekend - Dinner
data collection, most families had moved at least                                                                                                                         Weekend - Bed
once and the children are now spread from the                                          10
far north to the far south of the country, but the
majority still lived in the original recruitment
areas. It may therefore not be possible to extrapo-
late or generalise the results of this study to parts                                       2017-06-01   2017-12-01   2018-06-01   2018-12-01   2019-06-01   2019-12-01
of the country that regularly experience colder                                                                            Date
or more extreme temperatures. It is possible that            Figure 1. Indoor temperature variation across the data collection period.

the links found between indoor temperatures
and child wellbeing may be an underestimate                                   100
of the association seen for all regions.
   In the 8-year data collection, 81% of eligible
children took part in some component of the
                                                                                                                                                                    Timepoint
                                                        Indoor relative humidity (%)

data collection. A similar proportion of male                                          75
                                                                                                                                                                          Weekday - Wake up
and female children completed the measure-                                                                                                                                Weekday - School
ments and diary compared to those that did                                                                                                                                Weekday - Lunch
                                                                                                                                                                          Weekday - Home
not. This part of the survey was less likely to
                                                                                       50                                                                                 Weekday - Bed
be completed by Māori and Pacific children,                                                                                                                               Weekend - Wake up
children from families without two parents                                                                                                                                Weekend - Dinner
                                                                                                                                                                          Weekend - Bed
present or families with income below $70,000
per year and by those whose mothers, at the                                            25
time the child was born, were under 30, whose
education was less than a bachelor’s degree and/
or who lived in a high deprivation area.
                                                                                            2017-06-01   2017-12-01   2018-06-01   2018-12-01   2019-06-01   2019-12-01
    The findings reflect results from chil-                                                                              Date
dren who are generally experiencing less                      Figure 2. Indoor relative humidity across the data collection period.

                                        BRANZ Research Now: Indoor air quality #7 | May 2021 | www.branz.nz                                                                             2
Keeping our children warm and dry: Evidence from Growing Up in New Zealand - BRANZ
BRANZ Research Now: Indoor air quality #7

                                                                                                                               Weekday - Wake up            Weekday - School

were about 5°C lower than those in summer                                                                           30
(wake-up 22.6°C, bedtime 24.7°C). There was                                                                         20
no obvious seasonal pattern in indoor relative
                                                                                                                    10
humidity measurements (Figure 2).
  The indoor measurements taken were                                                                                             Weekday - Lunch               Weekday - Home
compared with hourly outdoor temperature
and relative humidity data from the NIWA                                                                            30
weather stations that represented the local                                                                         20
weather close to the children’s homes. Overall,

                                                                                          Indoor temperature (°C)
                                                                                                                    10
indoor temperatures were positively correlated
with outdoor temperatures (Figure 3).                                                                                             Weekday - Bed             Weekend - Wake up

INDOOR TEMPERATURE/HUMIDITY AND                                                                                     30
CHILD HEALTH                                                                                                        20
In terms of predicting differences in wellbeing
                                                                                                                    10
across all the children, the most sensitive
measures were the readings taken at bedtime                                                                                      Weekend - Dinner              Weekend - Bed
on a weekday.
   The optimal bedtime temperature was                                                                              30
found to be 19–25°C (Table 1). Children who                                                                         20
experienced bedtime temperatures less than
                                                                                                                    10
19°C or greater than 25°C had increased odds
of experiencing poorer general health.                                                                                     0         10    20     30      0      10     20      30
                                                                                                                                           Outdoor temperature (°C)
   The optimal bedtime humidex range is 21–28
(Table 2). Children who experienced a bedtime       Figure 3. Correlation between indoor temperature and outdoor temperature as recorded at the local NIWA weather station.
humidex measure of less than 21 or greater
than 28 had increased odds of experiencing          Table 1. Determining the cut-off points of indoor bedtime temperature.
poorer general health.
   In addition to general health, the study found                                                                                                    HIGHER CUT-OFF LIMIT
                                                                           MODEL
associations between indoor temperature and                              STATISTICS
children’s mental wellbeing. Suboptimal indoor                                                                           >23°C            >24°C       >25°C           >26°C          >27°C   >28°C
temperatures tended to be associated with
increased anxiety and depression symptoms
                                                                                 31
   or keeping warm in winter
Keeping our children warm and dry: Evidence from Growing Up in New Zealand - BRANZ
BRANZ Research Now: Indoor air quality #7

●   the mother reported her general health as
    either good, fair or poor rather than very
    good or excellent                              More information                             This report was produced by the
●   children identified themselves as Māori,                                                    Growing Up in New Zealand team at the
    Pacific or Asian.                              Research Now: Indoor air quality #1 An       University of Auckland with funding
                                                   overview of indoor air contaminants in       and support from BRANZ. The Crown
IMPLICATIONS FOR REGULATION                        New Zealand houses                           funding for the core Growing Up in
On average, New Zealanders spend around                                                         New Zealand longitudinal study is
70% of each day in their homes. However,           Research Now: Indoor air quality #2 An       managed by the Ministry of Social
there is plentiful evidence that many homes        overview of indoor air contaminants in       Development.
have poor indoor environments.                     New Zealand schools
  The Pilot Housing Survey, a BRANZ and                                                         Read the full report:
Stats NZ partnership, surveyed 832 houses          Research Now: Indoor air quality #3          Morton, S., Lai, H., Walker, C., Cha, J.,
across New Zealand in 2018/19. It found that       The impact of ventilation in New Zealand     Smith, A., Marks, E. & Avinesh, P. (2020).
mould is a significant problem, especially in      houses                                       Keeping our children warm and dry:
rental houses – almost half of rental homes had                                                 Evidence from Growing Up in New Zealand.
bedrooms with levels of mould rated moderate       Research Now: Indoor air quality #4          BRANZ External Research Report ER58.
or worse. Almost half our houses need more         Project: Indoor air quality in New Zealand   Judgeford, New Zealand: BRANZ Ltd.
ceiling insulation to meet the recommended         homes and garages
120 mm thickness, and a similar number do                                                       Find more details on the Growing Up in
not have mechanical extract ventilation ducted     Research Now: Indoor air quality #5          New Zealand study at www.growingup.
to the outside in the bathroom(s).                 Project: Using a low-cost sensor platform    co.nz
   New Zealand Building Code clause G5             to explore the indoor environment in New
Interior environment requires that habitable       Zealand schools
spaces, bathrooms and recreation rooms
in early childhood centres and old people’s        Research Now: Indoor air quality #6
homes have the provision for maintaining the       Project: Indoor air pollution at a New
internal temperature at no less than 16°C. This    Zealand urban primary school
does not apply to houses.
   This study indicates that an indoor bedtime     Masterton J M & Richardson F A. (1979)
temperature of 16°C is below the optimal           HUMIDEX – a method of quantifying
indoor climate range for children and was          human discomfort due to excessive heat
associated with a 75% increased risk of sub        and humidity. Environment Canada.
optimal/poorer child health. The findings          Downsview, Ontario, Canada.
of this study strongly suggest that a higher
minimum indoor temperature limit should be
considered for clause G5.
   The Residential Tenancies (Healthy Homes
Standards) Regulations 2019 require rental
homes to have a fixed heating device that is
capable of achieving a minimum temperature
of at least 18°C in the main (or largest) living
room in winter.
   This minimum temperature of at least 18°C
is close to this study’s modelled cut-off point
of 19°C for the child’s bedroom at night, so it
may be adequate. The healthy homes standards
only apply to rental homes, however. They do
not protect potentially vulnerable children in
other home tenure types.

                                    BRANZ Research Now: Indoor air quality #7 | May 2021 | www.branz.nz                                      4
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