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기후 재난이 임산부의 출생결과에 미치는 영향 - 태풍 루사 사례를 중심으로 -

Birth Outcomes in Pregnant Women Exposed to Typhoon Rusa - Differences in Birth Weight and Low Birth Weight -

이윤경|임유나
(사)위기관리이론과실천 (Crisis and Emergency Management: Theory and Praxis)|2024.09|Crisisonomy|제20권 제9호|pp. 93-104

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키워드

자연재난natural disaster불평등inequality건강영향태풍typhoonhealth impact

초록

최근 기후위기의 영향으로 전 세계적으로 자연재해의 발생 빈도가 증가하고 있으며, 이로 인해 재난이 인구의 건강에 장, 단기적으로 미치는 영향은 점차 심각해지고 있다. 본 연구는 자연재난 중 태풍으로 인한 장기적 건강 영향을 살펴보고자, 2002년 발생한 태풍 루사가 임산부의 출생결과에 어떠한 영향을 미쳤는지 살펴보았다. 분석 결과, 임신 초기 태풍 피해가 가장 컸던 강릉지역에 거주하며 태풍을 경험한 임산부의 경우, 그렇지 않은 임산부에 비해 평균 출생아 체중이 52g 낮았으며, 이러한 부정적 영향은 경제활동을 하지 않은 산모일수록, 고령의 산모일수록, 교육수준이 낮은 산모일수록 더 두드러졌다. 또한, 민감도 분석결과, 대조군을 지리적으로 근접한 지역으로 하였을 경우, 이러한 유의한 차이가 사라 졌다. 이처럼, 태풍의 영향은 산모의 개별적 특성뿐 아니라 지역특성에 따라서도 차별적일 수 있는 만큼 재난 발생 이후 대응에 있어서 미‧거시적 측면을 종합적으로 고려한 재난 대응 정책이 필요할 것으로 보인다.

Abstract

As climate change intensifies, natural disasters are becoming more frequent globally, leading to increasingly severe health impacts on populations. This study investigates the long-term health effects of typhoons by examining how Typhoon Rusa (2002) affected birth outcomes among pregnant women. In Gangneung, a heavily affected region, pregnant women exposed to the typhoon during early pregnancy gave birth to babies weighing an average of 52g less compared to unexposed women. This negative impact was particularly pronounced among vulnerable groups: economically inactive mothers, older mothers, and those with lower educational attainment. Notably, the significant differences disappeared when researchers adjusted the control group to include geographically adjacent areas in a sensitivity analysis. This suggests that both individual characteristics and regional factors influence typhoon effects. These results emphasize the need for comprehensive disaster response policies that consider both micro-level and macro-level factors when addressing disaster health impacts.

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관련 논문AI추천

Decreased birth weight after prenatal exposure to wildfires on the eastern coast of Korea in 2000김종헌, 임아영, Jung En-Joo한국역학회 · Epidemiology and Health2023 · 제45권 기후변화가 출생결과에 미치는 영향: 1973-2000년 미국사례이승재지암남덕우경제연구원 · 시장경제연구2014 · 제43권 제1호기온과 임신 중 당뇨병과의 연관성 연구곽영린, 오종민, 하은희, 한혜지한국모자보건학회 · 한국모자보건학회지2023 · 제27권 제4호임신 출산 진료비 지원정책과 저체중아 및 미숙아 출산과의 관련성김은정, 박현정한국모자보건학회 · 한국모자보건학회지2019 · 제23권 제4호대기오염 노출이 첫 출산아 저체중에 미치는 영향에 관한 연구 - 서울지역 1999년 ～ 2003년 출생코호트를 중심으로 -손지영, 이종태, 조용성한국환경보건학회 · 한국환경보건학회지2007 · 제33권 제4호Prenatal health behaviors and stress as contributors to socioeconomic gaps in adverse birth outcomes for Korean women김동식, 김상미한국여성정책연구원 · 여성연구2018 · 제96권 제1호

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