제철소 주변지역 거주자들의 폐기능과 영향 요인
Pulmonary Function and Influence Factors among Residents around Gwangyang Steel Mill
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초록
Objectives: This study aims to identify the influential factors on the pulmonary function of targeted general residents in the areas surrounding Gwangyang Steel Mill. Methods: An PFT (Pulmonary Function Test) was conducted from May 2007 to November 2007 on 974 target residents (438 male, 536 female), including an exposed group (674 people) who resided within a radius of 5 km from Gwangyang Steel Mill in Gwangyang-si, Jeollanamdo and a control group (300 people) who resided outside a radius of 15 km. A survey related to personal characteristics,life habits, respiratory diseases and allergic symptoms, medical histories and living environments of the residents was also conducted to identify influential factors on pulmonary function. Results: As %FEV1 and %FVC of the exposed group are 99.17% and 96.98%, respectively, and those of the control group are 105.47% and 101.91%, respectively, with the PFT values of the exposed group being lower than those of the control group (p<0.001), it turns out that the pollution in the industrial complex is likely to trigger a reduction in the pulmonary function of local residents. The odds ratio analysis result for asthma diagnosis history indicates that the odds ratios tend to be higher among surveyed residents who are living near above-average traffic volumes and are using beds,where it is statistically meaningful that especially the odds ratios are higher if the residences are closer to roads (p<0.01, CI=1.12-4.52). The factors that affect the FEV1 are identified as smoking, passive smoking, asthma diagnosis history, nasal congestion symptoms and allergic eye disease (R2=0.154, p<0.001). The factors that affect the FVC are identified as smoking, passive smoking, asthma diagnosis history and allergic coryza (R2=0.158, p<0.001). In addition, the analysis result for the relevance of air pollution levels to pulmonary function (FEV1, FVC) shows that FEV1 and FVC tend to decrease as the concentration of O3 increases. Conclusions: We believe that this study may provide preliminary data for the development of preventive measures for health effects on the residents and environmental health control measures for environmental pollution in the industrial complex area.
Abstract
Objectives: This study aims to identify the influential factors on the pulmonary function of targeted general residents in the areas surrounding Gwangyang Steel Mill. Methods: An PFT (Pulmonary Function Test) was conducted from May 2007 to November 2007 on 974 target residents (438 male, 536 female), including an exposed group (674 people) who resided within a radius of 5 km from Gwangyang Steel Mill in Gwangyang-si, Jeollanamdo and a control group (300 people) who resided outside a radius of 15 km. A survey related to personal characteristics,life habits, respiratory diseases and allergic symptoms, medical histories and living environments of the residents was also conducted to identify influential factors on pulmonary function. Results: As %FEV1 and %FVC of the exposed group are 99.17% and 96.98%, respectively, and those of the control group are 105.47% and 101.91%, respectively, with the PFT values of the exposed group being lower than those of the control group (p<0.001), it turns out that the pollution in the industrial complex is likely to trigger a reduction in the pulmonary function of local residents. The odds ratio analysis result for asthma diagnosis history indicates that the odds ratios tend to be higher among surveyed residents who are living near above-average traffic volumes and are using beds,where it is statistically meaningful that especially the odds ratios are higher if the residences are closer to roads (p<0.01, CI=1.12-4.52). The factors that affect the FEV1 are identified as smoking, passive smoking, asthma diagnosis history, nasal congestion symptoms and allergic eye disease (R2=0.154, p<0.001). The factors that affect the FVC are identified as smoking, passive smoking, asthma diagnosis history and allergic coryza (R2=0.158, p<0.001). In addition, the analysis result for the relevance of air pollution levels to pulmonary function (FEV1, FVC) shows that FEV1 and FVC tend to decrease as the concentration of O3 increases. Conclusions: We believe that this study may provide preliminary data for the development of preventive measures for health effects on the residents and environmental health control measures for environmental pollution in the industrial complex area.
참고문헌 (33)
- Lim HS, "A study of monitoring method on exposure level and biomarkers of environmental pollutants-focused on Pohang", Korean J Occup Environ Med, 5, pp.118~124 (2009)
- 이종태, "지역주민 환경오염 노출수준 및 생체지표 모니터링 방법에 대한 연구-울산지역을 중심으로", 한국환경보건학회지, 34(3), pp.188~198 (2008), 한국환경보건학회
- Environment white paper, "Ministry of Environment", ~ (2000)
- Environment white paper, "Ministry of Environment", ~ (2008)
- Monitoring on exposure level and bio-maker of environment pollutants for industrial residence, "National Institute of Environmental Research", NIER, ~ (2003)
- Shin JS, "A comparative study on the health status of the elementary students living in a certain industrial area and a certain residential area in Busan", J of Korean Soc of School Health, 15(2), pp.263~275 (2002)
- 최 현, "인천지역의 대기 오염과 호흡기 질환으로 인하대병원 응급실을 방문한 소아의 내원 건수와의 상호 관계에 대한 연구", Korean Journal of Pediatrics, 43(10), pp.1372~1379 (2000), 대한소아과학회
- 배현주, "PM10이 소아천식 입원에 미치는 급성 영향 및 건강편익 평가 − 서울, 인천, 부산, 울산 4개 도시를 중심으로 −", 한국환경보건학회지, 35(1), pp.1~10 (2009), 한국환경보건학회
- 배강우, "실시간 측정한 NO2에 따른 기관지천식 환자의 폐기능 및 증상의 변화", 천식 및 알레르기, 24(3), pp.324~330 (2004), 대한천식알레르기학회
- 최정근, "한국인의 정상 폐활량 예측치", Tuberculosis and Respiratory Diseases, 58(3), pp.230~242 (2005), 대한결핵및호흡기학회
- Maier WC, "Indoor risk factors for asthma and wheezing among Seattle school children", Environ Health Perspect, 105(2), pp.208~214 (2000)
- Sotir M, "Presence of asthma risk factors and environmental exposures related to upper respiratory infection-triggered wheezing in middle school-age children", Environ Health Perspect, 111(4), pp.657~662 (2003)
- Jeong HG, "Standardization question and input systematic development for environmental health field", Korean J Occup Environ Med, pp.151~152 (2007)
- Cooper B, "Spirometry standards and FEV1", FVC repeatability, 2010, pp.19(3), 292~294
- Environment white paper, "Ministry of Environment", ~ (2007)
- Lee JO, "A study on annual lung function changes in workers formerly exposed to dust" (2009), Yong-in University
- Murray AB, "Measurement of peak expiratory flow rates in 220 normal children form 4.5 to 18.5 years age", J Pediat, 62, pp.186~189 (1963)
- Hong CG, "Comparison of pulmonary function of adolescence associated with exposure to smoking" (2004), Graduate School Keimyung University
- Goldman L, "Textbook of medicine, 22nd ed", pp.509~510 (2004), Saunders Co
- Gan QU, "The interactions between cigarette smoking and reduced lung function on systemic inflammation", Chest, 127, pp.558~564 (2005)
- 박성준, "흡연군과 비흡연군의 폐활량과 한방변증 비교분석", 동의생리병리학회지, 23(2), pp.505~511 (2009), 대한동의병리학회
- Lee HS, "Effect of smoking on pulmonary function in ex-smokers and current smokers", J Korean Acad Fam Med, 21(2), pp.211~221 (2000)
- Zlotkowska R, "Passive smoking, atopy and respiratory health in schoolchildren", Eur J Epidemiol, 61(10), pp.1057~1060 (2004)
- Mannino DM, "Health effects related to environmental tobacco smoke exposure in children in the United States: Data from the third national health and nutrition examination survey", JAMA, 155(1), pp.36~41 (2007)
- Whincup PH, "Passive smoking and risk of coronary heart disease and stroke: prospective study with cotinine measurement", BMJ, 329(7459), pp.200~205 (2004)
- Park HS, "Prevalence and environmental risk for respiratory symptoms among elementary school children in a city", J of Korean Soc of School Health, 16(2), pp.1~11 (2003)
- Maier WC, "Indoor risk factors for asthma and wheezing among Seattle school children", Environ Health Perspect, 105, pp.208~214 (1997)
- 김형구, "太陰人 알레르기성 비염환자의 四象醫學的 治療效果에 관한 임상 연구", 사상체질의학회지, 18(1), pp.138~146 (2006), 사상체질의학회
- 진소희, "천식 환아에서 집먼지진드기 감작이 기도과민성과 폐기능에 미치는 영향", 대한소아알레르기및호흡기학회지, 17(4), pp.362~371 (2007), 대한 소아알레르기 호흡기학회
- 최종기, "성인 천식 환자에서 흡연에 따른 폐기능 및 임상적 특성", 천식 및 알레르기, 28(4), pp.263~270 (2008), 대한천식알레르기학회
- Environment white paper, "Ministry of Environment", ~ (2007)
- Lee JM, "Numerical simulation modeling of ozone concentration in Gwangyang bay", 박사, pp.2005
- Ahn JH, "A study on relationship between ambient air pollutants and pulmonary function in the seoul area" (2002), Graduate School of Hanyang University