Journal of Preventive Medicine and Public Health

  • 제38권4호
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  • Pages.465-472
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  • 2005
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  • 1975-8375(pISSN)
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  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
권호 표지

대기오염 노출과 초등학교 학생들의 호흡기계 증상에 관한 패널 연구

Air Pollution and Respiratory Symptoms of School Children in a Panel Study in Seoul

  • 이보은 (질병관리본부 만성병조사과) ;
  • 박혜숙 (이화여자대학교 의과대학 예방의학교실) ;
  • 김호 (서울대학교 보건대학원 보건학과) ;
  • 이현정 (서울대학교 보건대학원 보건학과) ;
  • 이연경 (서울 원광초등학교) ;
  • 이승주 (이화여자대학교 의과대학 소아과학교실) ;
  • 홍윤철 (서울대학교 의과대학 예방의학교실) ;
  • 하은희 (이화여자대학교 의과대학 예방의학교실)
  • Lee, Bo-Eun (Korean Centers for Disease Control) ;
  • Park, Hye-Sook (Department of Preventive Medicine, Ewha Womans University) ;
  • Kim, Ho (School of public health, Seoul National University) ;
  • Lee, Hyun-Jung (School of public health, Seoul National University) ;
  • Lee, Yeon-Kyoung (Won Kwang Elementary School) ;
  • Lee, Seung-Joo (Department of Pediatrics, Ewha Womans University) ;
  • Hong, Yun-Chul (Department of Preventive Medicine, Seoul National University) ;
  • Ha, Eun-Hee (Department of Preventive Medicine, Ewha Womans University)
  • 발행 : 2005.12.01
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초록

Objectives : The aim of this study was to assess the effect of air pollution on the daily respiratory symptoms of elementary school children in Seoul. Methods : Using the panel study design, we collected diary data for the children's respiratory symptoms during the 1st day$\sim$15th day of April, July, October and December in 2003 among the 2nd and 3rd grade elementary school students. We merged the respiratory symptom data with the ambient air pollution data that was monitored by Ministry of Environment. Using a generalized estimate equation, we evaluated the relationship between the daily symptoms of the subjects and the exposure to ai r pollution after controlling for various potential confounders. Results : The nitrogen dioxide (NO2) exposure of the current day significantly increased the upper respiratory symptoms (adjusted odds ratio=1.12, 95% CI=1.01-1.24) and the lower respiratory symptoms (adjusted odds ratio=1.18, 95% CI=1.06-1.31) in the elementary school children. The sulfur dioxide (SO2) and carbon monoxide (CO) exposure in the current day was associated with the lower respiratory symptoms (adjusted odds ratio=1.12, 95% CI=1.01-1.25 for SO2; adjusted odds ratio=1.16, 95% CI=1.02-1.32 for CO). Conclusions : We found that exposure to air pollution affects the daily respiratory symptoms in children. This study suggests that the effect on children's health? due to the short term changes in air pollution levels needs to be considered as an important public health problem.

키워드

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