본문 바로가기
KERD
논문

PM10이 소아천식 입원에 미치는 급성 영향 및 건강편익 평가 − 서울, 인천, 부산, 울산 4개 도시를 중심으로 −

Acute Effects of PM10 on Asthma Hospitalization Among Children and Benefit Analysis at Four Major Cities in Korea

김명현|이애경|박정임|배현주
한국환경보건학회 (Korean Society of Environmental Health)|2009.02|한국환경보건학회지 (JOURNAL OF ENVIRONMENTAL HEALTH SCIENCES)|제35권 제1호|pp. 1-10

2

조회

0

다운로드

14

인용

0

참고문헌

키워드

childrenPM10Generalized Additive Modelhealth benefitsBenMAPasthma hospitalization

초록

This study assessed the relationships between levels of PM10 and hospitalization rates for asthma among children from 2003 to 2005 at four major cities in Korea. In addition, we estimated the reduced number of asthma hospitalization associated with an ambient PM10 improvement to the acceptable levels as recommended by the World Health Organization (WHO). The Generalized Additive Model (GAM) was used to estimate the relative risks (RR) of asthma hospitalization associated with changes in PM10. The RRs of children's asthma hospitalization for every 10 μg/m3 increment in PM10 were 1.009(95% CI = 1.004-1.014) in Seoul, 1.013(95% CI = 1.006-1.021) in Incheon, 1.009(95% CI = 1.002-1.016) in Busan, and 1.021(95% CI = 1.005-1.037) in Ulasn. We assessed PM10 related health benefits from implementing the WHO's guidelines (24-hour average 50 μg/㎥) using the U.S. Environmental Protection Agency's Environmental Benefits Mapping and Analysis Program. The estimated benefits were 439(95% CI = 216-666) reduced asthma hospitalization in Seoul, 720(95% CI = 304-1,151) in Incheon, 260(95% CI = 66-459) in Busan, and 126(95% CI = 30- 228) in Ulsan. It was concluded that improving PM10 condition to the WHO guideline would make a significant contribution to the reduction in asthma hospitalization among children. Therefore, public health measures are still needed to improve air quality in Korea.

Abstract

This study assessed the relationships between levels of PM10 and hospitalization rates for asthma among children from 2003 to 2005 at four major cities in Korea. In addition, we estimated the reduced number of asthma hospitalization associated with an ambient PM10 improvement to the acceptable levels as recommended by the World Health Organization (WHO). The Generalized Additive Model (GAM) was used to estimate the relative risks (RR) of asthma hospitalization associated with changes in PM10. The RRs of children's asthma hospitalization for every 10 μg/m3 increment in PM10 were 1.009(95% CI = 1.004-1.014) in Seoul, 1.013(95% CI = 1.006-1.021) in Incheon, 1.009(95% CI = 1.002-1.016) in Busan, and 1.021(95% CI = 1.005-1.037) in Ulasn. We assessed PM10 related health benefits from implementing the WHO's guidelines (24-hour average 50 μg/㎥) using the U.S. Environmental Protection Agency's Environmental Benefits Mapping and Analysis Program. The estimated benefits were 439(95% CI = 216-666) reduced asthma hospitalization in Seoul, 720(95% CI = 304-1,151) in Incheon, 260(95% CI = 66-459) in Busan, and 126(95% CI = 30- 228) in Ulsan. It was concluded that improving PM10 condition to the WHO guideline would make a significant contribution to the reduction in asthma hospitalization among children. Therefore, public health measures are still needed to improve air quality in Korea.

참고문헌 (36)

  1. Katsouyanni, K., "Short-term effects of ambient sulphur dioxide and particulate matter on mortality in 12 European cities: results from time series data from the APHEA project", British Medical Journal, 341(7095), pp.1658~1663 (1997), results from time series data from the APHEA project.British Medical Journal,314(7095),1658-1663
  2. Dominici, F., "Revised analyses of the National Morbidity, Mortality, and Air Pollution Study: mortality among residents of 90 cities", Journal of Toxicology and Environmental Health. Part A, 13, pp.1071~1092 (2005)
  3. Peng, R. D., "Seasonal analyses of air pol - lution and mortality in 100 US cities", American Journal of Epidemiology, 161(6), pp.585~594 (2005)
  4. 이종태, "메타분석을 적용한 전국 7개 대도시의 대기오염과 일일사망발생의 상관성 연구(1998년～2001년)", 한국환경보건학회지, 32(4), pp.304~315 (2006), 한국환경보건학회
  5. Schwartz, J., "Air pollution and hospital admissions for heart disease in eight U.S. counties", Epidemiology, 10(1), pp.17~22 (1999)
  6. Anderson, H. R., "A ir pollution, pollens, and daily admissions for asthma in London 1987-92", Thorax, 53(10), pp.842~848 (1998)
  7. Atkinson, R. W., "Acute effects of particulate air pollution on respiratory admissions: results from APHEA 2 project. Air Pollution and Health: a European Approach", American Journal of Respiratory and Critical Care Medicine, 164(10), pp.1860~1866 (2001)
  8. Zanobetti, A., "Airborne particles are a risk factor for hospital admissions for heart and lung disease", Environmental Health Perspectives, 108(11), pp.1071~1077 (2000)
  9. Dominici, F., "Fine particulate air pollution and hospital admission for cardiovascular and respiratory diseases", Journal of the American Medical Association, 295(10), pp.1127~1134 (2006)
  10. 유승도, "미세먼지가 울산지역 초등학생의 폐기능에 미치는 영향", 한국환경보건학회지, 33(5), pp.365~371 (2007), 한국환경보건학회
  11. Wilson, A. M., "Air pollution, weather, and respiratory emergency room visits in two northern New England cities: an ecological time-series study", Environmental Research, 97(3), pp.312~321 (2005)
  12. Bell, M. L., "Ambient air pollution and low birth weight in Connecticut and Massachusetts", Environmental Health Perspectives, 115(7), pp.1118~1124 (2007)
  13. 이종태, "대기오염 노출이 첫 출산아 저체중에 미치는 영향에 관한 연구 - 서울지역 1999년 ～ 2003년 출생코호트를 중심으로 -", 한국환경보건학회지, 33(4), pp.227~234 (2007), 한국환경보건학회
  14. Bobak, M., "T he e ffect o f air pol - lution on infant mortality appears specific for respiratory causes in the postneonatal period", Epidemiology, 10(6), pp.666~670 (1999)
  15. Schwartz, J., "Air pollution and children's health", Pediatrics, 113(4), pp.1037~1043 (2004)
  16. Lin, M., "Coarse particulate matter and hospitalization for respiratory infections in children younger than 15 years in Toronto: a case-crossover analysis", Pediatrics, 116(2), pp.235~240 (2005)
  17. Salvi, S., "Health effects of ambient air pollution in children", Paediatric Respiratory Reviews, 8(4), pp.275~280 (2007)
  18. Statistical analysis in health insurance, "National Health Insurance Corporation", ~ (2008)
  19. Preventing disease through healthy environments, "World Health Organization", ~ (2006)
  20. Lee, J. T., "Air pollution and asthma among children in Seoul, Korea", Epidemiology, 13(4), pp.481~484 (2002)
  21. Lee, J. T., "Association between air pollution and asthma-related hospital admissions in children in Seoul, Korea: A Case-crossover study", Journal of Preventive Medicine and Public Health,, 36(1), pp.47~53 (2003)
  22. 김선영, "서울지역 대기오염이 천식에 미치는 급성영향 : 연구대상의 특성에 따른 비교", 예방의학회지, 39(4), pp.309~316 (2006), 대한예방의학회
  23. 손지영, "사회경제수준에 따른 오존과 소아천식 관련 입원의 상관성 연구", 예방의학회지, 39(1), pp.81~86 (2006), 대한예방의학회
  24. Hubbell, B. J., "Health-related benefits of attaining the 8-hr ozone standard", Environmental Health Perspectives, 113(1), pp.73~82 (2005)
  25. Ostro, B., "Assessing the health benefits of reducing particulate matter air pollution in the United States", Environmental Research, 76(2), pp.94~106 (1998)
  26. Bell, M. L., "T he avoidabl e heal th effects of air pollution in three Latin American cities: Santiago, São Paulo, and Mexico City", Environmental Research, 100통권 : 3, pp.431~440 (2006)
  27. WHO air quality guidelines for particulate matter, ozone, nitrogen, dioxide and sulfur dioxide, "World Health Organization", ~ (2005)
  28. Dominici, F., "On the use of generalized additive models in time-series studies of air pollution and health", American Journal of Epidemiology, 156(3), pp.193~203 (2002)
  29. Information theory and an extension of the maximum likelihood principle, "Akaike, K.", ~ (1973)
  30. Davidson, K., "Analysis of PM2.5 using the Environmental Benefits Mapping and Analysis Program (BenMAP)", Journal of Toxicology and Environmental Health. Part A, 70(3), pp.332~346 (2007)
  31. Jeong im Park, "Assessing the Health Benefits of the Seoul Air Quality Management Plan Using BenMAP", 한국환경보건학회지, 32(6), pp.571~577 (2006), 한국환경보건학회
  32. Lin, M., "The influence of ambient coarse particulate matter on asthma hospitalization in children: case-crossover and time-series analyses", Environmental Health Perspectives, 110(6), pp.575~581 (2002)
  33. Bell, M. L., "International expert workshop on the analysis of the economic and public health impacts of air pollution: workshop summary", Environmental Health Perspectives, 110(11), pp.1163~1168 (2002)
  34. Wong, E. Y., "Assessing the health benefits of air pollution reduction for children", Environmental Health Perspectives, 112(2), pp.226~232 (2004)
  35. The Benefits and Costs of the Clean Air Act Amendments of 1990- 2010, "Environmental Protection Agency", ~ (1999)
  36. 배현주, "Age dependencies in air pollution-associated asthma hospitalization", Korean Journal of Environmental Health, 34(2), pp.124~130 (2008), 한국환경보건학회

관련 논문AI추천

대기질 개선과 저소득계층 어린이 건강보호 효과배현주한국환경보건학회 · 한국환경보건학회지2010 · 제36권 제3호PM10과 오존이 연령군별 천식 입원에 미치는 영향박정임, 배현주, 이애경, 하종식한국환경보건학회 · 한국환경보건학회지2008 · 제34권 제2호서울지역 미세먼지 농도가 호흡기계 및 심혈관계의 외래 방문 및 입원과 진료비에 미치는 영향이형숙한국환경보건학회 · 한국환경보건학회지2016 · 제42권 제5호The Effects of PM10 on the Hospital Admission of Patients with Respiratory Disease in Seoul, Korea박윤숙, 박해용중소기업융합학회 · 융합정보논문지2019 · 제9권 제6호서울 및 6대 광역시의 기상요인을 고려한 대기오염이 주요 알레르기질환에 미치는 영향김효미, 박윤형, 이종태, 허진아한국환경보건학회 · 한국환경보건학회지2012 · 제38권 제03호Burden of Disease Due to Outdoor Air Pollution in Korea: Based on PM_(10)김은정, 김형수, 윤석준, 이건세, Hyun-Jin Kim, In-Hwan Oh, Min-Woo Jo한국환경보건학회 · 한국환경보건학회지2011 · 제37권 제5호

이 간행물의 다른 논문 (7건)

일부 공단지역 내 이산화질소에 의한 개인노출 농도에 관한 연구손부순, 조태진, 양원호, 전용택pp. 11-20황사 에피소드 발생시 대기먼지의 농도 특성과 인체 영향강공언pp. 21-35남자 대학생의 손 씻기 의식과 실천에 관한 연구박정영, 김중순, 김종규pp. 36-44PhATETM 모형을 적용한 금강수계 중 의약물질 농도 추정박정임, 임득순pp. 45-52Alum과 PACl을 이용한 응집처리성일화pp. 53-57
원문 보기