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대기질 개선과 저소득계층 어린이 건강보호 효과

Effects of Reduced Ambient PM10 Levels on the Health of Children in Lower-income Families

배현주
한국환경보건학회 (Korean Society of Environmental Health)|2010.06|한국환경보건학회지 (JOURNAL OF ENVIRONMENTAL HEALTH SCIENCES)|제36권 제3호|pp. 182-190

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참고문헌

키워드

childrenhealth benefitsair quality improvementlower-income family

초록

We examined the association of particulate matter with an aerodynamic diameter <10 μm (PM10) with asthma-related hospitalization, stratified by socioeconomic status (SES), among children less than 15 years of age in Seoul, Korea,between 2003 and 2005. In addition, we estimated the reduction in the number of asthma-related hospitalizations that would result from implementing the World Health Organization (WHO) guideline. SES was defined based on data concerning health insurance premium grades, and grouped into two levels: lower-income group and control group. The lower-income group was classified as having an accumulated income which did not exceed the 50th percentile of the median income. Time-series analysis was performed to evaluate the association between PM10 and asthma-related hospitalization. The Environmental Benefits Mapping and Analysis Program was used to analyze the impact on children’s health. Based upon an increase of 10 μg/m3 of PM10, the asthma-related hospitalization risk for the lowerincome group was increased by 1.78% (95% confidence intervals (CI) = 0.79-2.78%), while the risk for the control group was increased by 0.83% (95% CI = 0.34-1.32%). Attaining the WHO guideline, relative to the concentration in 2007, would result in a reduction in asthma-related hospitalizations of 18 cases per 100,000 of the children population in the lower-income group, and 7 cases in the control group. The health benefits of improved air quality for children in the lower-income group were thus 2.5 times greater than for children in the control group. Our results show that the lower-income group is disproportionately burdened with asthma-related hospitalization arising from air pollution. Therefore, biologically- and socioeconomically-disadvantaged populations should be considered in public health interventions in order to protect the children’s health.

Abstract

We examined the association of particulate matter with an aerodynamic diameter <10 μm (PM10) with asthma-related hospitalization, stratified by socioeconomic status (SES), among children less than 15 years of age in Seoul, Korea,between 2003 and 2005. In addition, we estimated the reduction in the number of asthma-related hospitalizations that would result from implementing the World Health Organization (WHO) guideline. SES was defined based on data concerning health insurance premium grades, and grouped into two levels: lower-income group and control group. The lower-income group was classified as having an accumulated income which did not exceed the 50th percentile of the median income. Time-series analysis was performed to evaluate the association between PM10 and asthma-related hospitalization. The Environmental Benefits Mapping and Analysis Program was used to analyze the impact on children’s health. Based upon an increase of 10 μg/m3 of PM10, the asthma-related hospitalization risk for the lowerincome group was increased by 1.78% (95% confidence intervals (CI) = 0.79-2.78%), while the risk for the control group was increased by 0.83% (95% CI = 0.34-1.32%). Attaining the WHO guideline, relative to the concentration in 2007, would result in a reduction in asthma-related hospitalizations of 18 cases per 100,000 of the children population in the lower-income group, and 7 cases in the control group. The health benefits of improved air quality for children in the lower-income group were thus 2.5 times greater than for children in the control group. Our results show that the lower-income group is disproportionately burdened with asthma-related hospitalization arising from air pollution. Therefore, biologically- and socioeconomically-disadvantaged populations should be considered in public health interventions in order to protect the children’s health.

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PM10이 소아천식 입원에 미치는 급성 영향 및 건강편익 평가 − 서울, 인천, 부산, 울산 4개 도시를 중심으로 −김명현, 박정임, 배현주, 이애경한국환경보건학회 · 한국환경보건학회지2009 · 제35권 제1호PM10과 오존이 연령군별 천식 입원에 미치는 영향박정임, 배현주, 이애경, 하종식한국환경보건학회 · 한국환경보건학회지2008 · 제34권 제2호사회경제수준에 따른 오존과 소아천식 관련 입원의 상관성 연구김호, 김선영, 손지영, 이종태대한예방의학회 · 예방의학회지2006 · 제39권 제1호서울지역 미세먼지 농도가 호흡기계 및 심혈관계의 외래 방문 및 입원과 진료비에 미치는 영향이형숙한국환경보건학회 · 한국환경보건학회지2016 · 제42권 제5호환자교차 설계 방법을 적용한 소아천식 입원에 대한 도시 대기오염의 급성영향평가이종태대한예방의학회 · 예방의학회지2003 · 제36권 제1호The Effects of PM10 on the Hospital Admission of Patients with Respiratory Disease in Seoul, Korea박윤숙, 박해용중소기업융합학회 · 융합정보논문지2019 · 제9권 제6호

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