Impact of Wildfire Smoke Exposure on Health in Korea
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Purpose: The characteristic topography and climate often affect the occurrence of large-scale wildfires in the Eastern Gangwon-doregion of Korea. However, there are no studies on the health effects of these wildfires in Korea. This study aimed to analyze the dif ferences in medical use between a wildfire-affected area and an adjacent non-affected area before and after a wildfire in 2019 inGangwon-do, Korea. Materials and Methods: We used medical usage data from the Korean National Health Insurance Corporation. Rates of medicaluse were determined for citizens of a wildfire-affected area in the Eastern Yeongdong region and a non-affected area in the West ern Yeongseo region. Logistic regression analysis was performed considering an increase in medical use per individual as a de pendent variable; age, sex, income, smoking, drinking, and exercise were included as confounding variables. Results: The odds ratio for medical use in Yeongdong region increased significantly after 3 days, 3 months, and 1 year after a fireoccurred, compared with Yeongseo region. Conclusion: The results of this study confirmed that the use of medical care increased for residents of a wildfire-affected area,compared with those of an adjacent non-affected area. This is the first study on the relationship between wildfires and inpatientmedical use in Korea.
Abstract
Purpose: The characteristic topography and climate often affect the occurrence of large-scale wildfires in the Eastern Gangwon-doregion of Korea. However, there are no studies on the health effects of these wildfires in Korea. This study aimed to analyze the dif ferences in medical use between a wildfire-affected area and an adjacent non-affected area before and after a wildfire in 2019 inGangwon-do, Korea. Materials and Methods: We used medical usage data from the Korean National Health Insurance Corporation. Rates of medicaluse were determined for citizens of a wildfire-affected area in the Eastern Yeongdong region and a non-affected area in the West ern Yeongseo region. Logistic regression analysis was performed considering an increase in medical use per individual as a de pendent variable; age, sex, income, smoking, drinking, and exercise were included as confounding variables. Results: The odds ratio for medical use in Yeongdong region increased significantly after 3 days, 3 months, and 1 year after a fireoccurred, compared with Yeongseo region. Conclusion: The results of this study confirmed that the use of medical care increased for residents of a wildfire-affected area,compared with those of an adjacent non-affected area. This is the first study on the relationship between wildfires and inpatientmedical use in Korea.
참고문헌 (28)
- Korea Forest Service, "Wildfire statistical yearbook, 2020" (2021), Korea Forest Service
- Ministry of the Interior and Safety, "The East coast sea wildfires in Gangwon-do white paper, 2019" (2019), Ministry of the Interior and Safety
- Lee SY, "Characteristics of wildfires in Korea and preventive measures", J Korean Soc Hazard Mitig, 1, pp.16~28 (2001)
- Lee KR, "Building science & technology based national risk governance" (2019), The Korean Academy of Science and Technology
- Youssouf H, "Quantifying wildfires exposure for investigating health-related effects", Atmos Environ, 97, pp.239~251 (2014)
- Liu JC, "A systematic review of the physical health impacts from non-occupational exposure to wildfire smoke", Environ Res, 136, pp.120~132 (2015)
- Dohrenwend PB, "The impact on emergency department visits for respiratory illness during the Southern California wildfires", West J Emerg Med, 14, pp.79~84 (2013)
- Hanigan IC, "Vegetation fire smoke, indigenous status and cardio-respiratory hospital admissions in Darwin, Australia, 1996-2005 : a time-series study", Environ Health, 7, pp.42~ (2008)
- Landguth EL, "The delayed effect of wildfire season particulate matter on subsequent influenza season in a mountain west region of the USA", Environ Int, 139, pp.105668~ (2020)
- Henderson SB, "Three measures of forest fire smoke exposure and their associations with respiratory and cardiovascular health outcomes in a population-based cohort", Environ Health Perspect, 119, pp.1266~1271 (2011)
- Kwon S, "Thirty years of national health insurance in South Korea : lessons for achieving universal health care coverage", Health Policy Plan, 24, pp.63~71 (2009)
- 송선옥, "Background and Data Configuration Process of a Nationwide Population-Based Study Using the Korean National Health Insurance System", Diabetes and Metabolism Journal, 38(5), pp.395~403 (2014), 대한당뇨병학회[DOI]
- 윤영숙, "Recent Shift of Body Mass Index Distribution in Korea: a Population-based Korea National Health Insurance Database, 2002–2013", Journal of Korean Medical Science, 32(3), pp.434~438 (2017), 대한의학회
- 이시영, "강원 영동지역 봄철 산불대형화 영향 기상요소 분석", 한국방재학회논문집, 11(1), pp.37~43 (2011), 한국방재학회
- Shin SH, "The comparison on the characteristics of medical service consumers by type of treatment institution alternatives", pp.2000
- National Medical Center, "Research on monitoring of medical vulnerable region in 2016" (2016), Ministry of Health and Welfare of Korea
- Jo GS, "The analysis of health status of residents of Gangwon province and the study of a health promotion plan" (2015), Research Institute for Gangwon
- Morgan G, "Effects of bushfire smoke on daily mortality and hospital admissions in Sydney, Australia", Epidemiology, 21, pp.47~55 (2010)
- Le GE, "Canadian forest fires and the effects of long-range transboundary air pollution on hospitalizations among the elderly", ISPRS Int J Geo-Inf, 3, pp.713~731 (2014)
- Youssouf H, "Non-accidental health impacts of wildfire smoke", Int J Environ Res Public Health, 11, pp.11772~11804 (2014)
- Reid CE, "Critical review of health impacts of wildfire smoke exposure", Environ Health Perspect, 124, pp.1334~1343 (2016)
- Martin KL, "Air pollution from bushfires and their association with hospital admissions in Sydney, Newcastle and Wollongong, Australia 1994-2007", Aust N Z J Public Health, 37, pp.238~243 (2013)
- Elliott CT, "Time series analysis of fine particulate matter and asthma reliever dispensations in populations affected by forest fires", Environ Health, 12, pp.11~ (2013)
- "Elderly population ratio"[URL]
- Liu JC, "Wildfire-specific fine particulate matter and risk of hospital admissions in urban and rural counties", Epidemiology, 28, pp.77~85 (2017)
- "Regional GDP, Gross regional income and Individual income in 2019"[URL]
- Reid CE, "Differential respiratory health effects from the 2008 Northern California wildfires : a spatiotemporal approach", Environ Res, 150, pp.227~235 (2016)
- Rappold AG, "Cardio-respiratory outcomes associated with exposure to wildfire smoke are modified by measures of community health", Environ Health, 11, pp.71~ (2012)