Quantifying the Burden of cardiovascular Disease Attributable to Total Suspended Particulate and Sulfur Dioxide Using Years Lived with Disability

장애에 따른 상실생존년수를 활용한 대기중 총먼지와 아황산가스가 심혈관계질환에 미치는 영향 측정

  • Ha, Beom-Man (Department of Health Affaires and Management, The Armed Forces Medical Command) ;
  • Kang, Jong-Won (Department of Preventive Medicine, College of Medicine, Chungbuk National University) ;
  • Kwon, Ho-Jang (Department of Preventive Medicine, College of Medicine, Dankook University) ;
  • Yoon, Seok-Jun (Department of Preventive Medicine, College of Medicine, Korea University)
  • 하범만 (국군의무사령부 보건운영처) ;
  • 강종원 (충북대학교 의과대학 예방의학교실) ;
  • 권호장 (단국대학교 의과대학 예방의학교실) ;
  • 윤석준 (고려대학교 의과대학 예방의학교실)
  • Published : 2002.06.01

Abstract

Objective : To estimate the burden of cardiovascular disease attributable to the total suspended particulates (TSP) and sulfur dioxide ($SO_2$) in Korea using the YLD (years lived with disability) measurement. Methods : Congestive heart failure(CHF) and myocardial infarction (MI) were chosen as the main cardiovascular diseases whose causes are attributable to the TSP and $SO_2$ levels. In order to calculate the YLD (years lived with a disability), the following parameters in the formula were estimated. : the incidence rate, the case fatality rate, The expected duration of a disability and the average age of onset were estimated. The expected duration of a disability and the average age of onset were calculated using the DISMOD method, as developed by the GBD researchers. The burden of cardiovascular disease due to TSP and $SO_2$ was estimated using the number of years that the patient lived with a disability. Results : The VLD of the CHF due to the TSP and $SO_2$ was attributed to the TSP (94.4 person-year) and $SO_2$ levels (35.0 person-year). The YLD of the ME due to the TSP and $SO_2$ was attributed to the TSP (148.4 person-year) and $SO_2$ levels(27.6 person-year). Conclusion : The YLD method employed in this study was appropriate for quantifying the burden of cardiovascular disease. Therefore, it would provide a rational basis for planning a national health policy regarding the disease burden of the risk factors in Korea.

Keywords

References

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