DOI QR코드

DOI QR Code

서울시 미세먼지(PM10)로 인한 사망영향에 대한 기온의 수정효과

Temperature Modifies the Association between PM10 and Mortality in Seoul

  • 배현주 (한국환경정책평가연구원) ;
  • 임유라 (한국환경정책평가연구원) ;
  • 유승도 (국립환경과학원 환경보건연구과) ;
  • 김정화 (국립환경과학원 환경보건연구과) ;
  • 조용성 (국립환경과학원 환경보건연구과)
  • Bae, Hyun-Joo (Korea Environment Institute) ;
  • Lim, Yu-Ra (Korea Environment Institute) ;
  • Yu, Seung Do (Environmental Health Research Department, National Institute of Environmental Research) ;
  • Kim, Joung Hwa (Environmental Health Research Department, National Institute of Environmental Research) ;
  • Cho, Yong-Sung (Environmental Health Research Department, National Institute of Environmental Research)
  • 투고 : 2012.12.05
  • 심사 : 2013.02.25
  • 발행 : 2013.02.28

초록

Objectives: Many studies have shown that air pollution and temperature have adverse effects on mortality and morbidity. But the interactive effect between air pollution and temperature on mortality has been rarely investigated. This study aims to explore whether temperature modifies the associations between ambient particulate matter less than $10{\mu}m$ in diameter ($PM_{10}$) and mortality in Seoul, Korea. Methods: The time-series analysis examined the effect of the interaction between $PM_{10}$ and temperature on mortality from 1999 to 2010 in Seoul. In order to examine the interactive effect between $PM_{10}$ and temperature on mortality, we fitted a response surface model controlling the time-trends and meteorological variables. The effects of $PM_{10}$ were stratified by temperature stratum to quantitatively estimate the $PM_{10}$-health outcome associations. Results: When temperature was low (below the threshold temperature), the percentage increases per $10{\mu}g/m^3$ increase of $PM_{10}$ increased 0.38% (95% Confidence Interval[CI]: 0.09~0.68%) and 0.31% (95% CI: - 0.07~0.68%) of mortality in the all age group and ${\geq}65$ year age group, respectively. When temperature was high (above the threshold temperature), the percentage increases per $10{\mu}g/m^3$ increase of $PM_{10}$ increased 1.09% (95% CI: 0.47~1.72%) and 1.35% (95% CI: 0.65~2.06%) for mortality in the all age group and ${\geq}65$ year age group, respectively. Conclusion: The results of this study showed strong modification by temperature in the association between $PM_{10}$ and mortality. We recommend that public health strategies to minimize adverse health impact of heat and $PM_{10}$ should be considered in control and prevention measures for air pollution and weather-related health impacts.

키워드

참고문헌

  1. Canova C, Dunster C, Kelly FJ, Minelli C, Shah PL, Caneja C, et al. PM10-induced hospital admissions for asthma and chronic obstructive pulmonary disease: the modifying effect of individual characteristics. Epidemiology. 2012; 23(4): 607-615. https://doi.org/10.1097/EDE.0b013e3182572563
  2. Faustini A, Stafoggia M, Cappai G, Forastiere F. Short-term effects of air pollution in a cohort of patients with chronic obstructive pulmonary disease. Epidemiology. 2012; 23(6): 861-879. https://doi.org/10.1097/EDE.0b013e31826767c2
  3. Ostro B, Roth L, Malig B, Marty M. The effects of fine particle components on respiratory hospital admissions in children. Environ Health Perspect. 2009; 117(3): 475-480. https://doi.org/10.1289/ehp.11848
  4. Colais P, Faustini A, Stafoggia M, Berti G, Bisanti L, Cadum E, et al.; EPIAIR Collaborative Group. Particulate air pollution and hospital admissions for cardiac diseases in potentially sensitive subgroups. Epidemiology. 2012; 23(3): 473-481. https://doi.org/10.1097/EDE.0b013e31824d5a85
  5. Katsouyanni K, Samet JM, Anderson HR, Atkinson R, Le Tertre A, Medina S, et al.; HEI Health Review Committee. Air pollution and health: a European and North American approach (APHENA). Res Rep Health Eff Inst. 2009; 142: 5-90.
  6. Goodman PG, Dockery DW, Clancy L. Cause-specific mortality and the extended effects of particulate pollution and temperature exposure. Environ Health Perspect. 2004; 112(2): 179-185.
  7. World Health Organization. Public health Advice on preventing health effects of heat: New and updated information for different audiences; 2011.
  8. Son JY, Lee JT, Anderson GB, Bell ML. The impact of heat waves on mortality in seven major cities in Korea. Environ Health Perspect. 2012; 120(4): 566-571. https://doi.org/10.1289/ehp.1103759
  9. Ebi KL, Mills DM, Smith JB, Grambsch A. Climate change and human health impacts in the United States: an update on the results of the U.S. national assessment. Environ Health Perspect. 2006; 114(9): 1318-1324. https://doi.org/10.1289/ehp.8880
  10. Medina-Ramn M, Zanobetti A, Cavanagh DP, Schwartz J. Extreme temperatures and mortality: assessing effect modification by personal characteristics and specific cause of death in a multi-city case-only analysis. Environ Health Perspect. 2006; 114(9): 1331-1336. https://doi.org/10.1289/ehp.9074
  11. Michelozzi P, Accetta G, De Sario M, D'Ippoliti D, Marino C, Baccini M, et al.; PHEWE Collaborative Group. High temperature and hospitalizations for cardiovascular and respiratory causes in 12 European cities. Am J Respir Crit Care Med. 2009; 179(5): 383-389. https://doi.org/10.1164/rccm.200802-217OC
  12. McMichael AJ, Wilkinson P, Kovats RS, Pattenden S, Hajat S, Armstrong B, et al. International study of temperature, heat and urban mortality: the 'ISOTHURM' project. Int J Epidemiol. 2008; 37(5): 1121-1131. https://doi.org/10.1093/ije/dyn086
  13. IPCC (Intergovernmental Panel on Climate Change). Climate change 2007: The physical science basis. Contribution of Working Group I to the Fourth Assessment Report of the Intergovernmental Panel on Climate Change [Solomon, S; Qin, D; Manning, M; et al.; (eds.)]. Cambridge, United Kingdom and New York, NY: Cambridge University Press; 2007. p. 996.
  14. Jacob DJ, Winner DA. Effect of climate change on air quality. Atmos Environ. 2009; 43: 5163.
  15. Vautard R, Hauglustaine D. Impact of global climate change on regional air quality: Introduction to the thematic issue. Comptes Rendus Geoscience. 2007; 339(11-12): 703-708. https://doi.org/10.1016/j.crte.2007.08.012
  16. Ren C, Williams GM, Morawska L, Mengersen K, Tong S. Temperature enhanced effects of ozone on cardiovascular mortality in 95 large US communities, 1987-2000: Assessment using the NMMAPS data. Arch Environ Occup Health. 2009; 64(3): 177- https://doi.org/10.1080/19338240903240749
  17. Pattenden S, Armstrong B, Milojevic A, Heal MR, Chalabi Z, Doherty R, et al. Ozone, heat and mortality: acute effects in 15 British conurbations. Occup Environ Med. 2010; 67(10): 699-707. https://doi.org/10.1136/oem.2009.051714
  18. Cheng Y, Kan H. Effect of the interaction between outdoor air pollution and extreme temperature on daily mortality in Shanghai, China. J Epidemiol. 2012; 22(1): 28-36. https://doi.org/10.2188/jea.JE20110049
  19. Qian Z, He Q, Lin HM, Kong L, Bentley CM, Liu W, et al. High temperatures enhanced acute mortality effects of ambient particle pollution in the “oven” city of Wuhan, China. Environ Health Perspect. 2008; 116(9): 1172-1178. https://doi.org/10.1289/ehp.10847
  20. Chambers, JM, and Hastie TJ. Statistical models in S. London: Champman & Hall. 1993.
  21. Greenland, S. Basic problems in interaction assessment. Environ Health Perspect. 1993; 101:s59-66. https://doi.org/10.1289/ehp.93101s459
  22. Katsouyanni K, Touloumi G, Spix C, Schwartz J, Balducci F, Medina S, et al. 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. Air Pollution and Health: a European Approach. BMJ. 1997; 314(7095): 1658-1663. https://doi.org/10.1136/bmj.314.7095.1658
  23. Peng RD, Dominici F, Pastor-Barriuso R, Zeger SL, Samet JM. Seasonal analyses of air pollution and mortality in 100 US cities. Am J Epidemiol. 2005; 161(6): 585-594. https://doi.org/10.1093/aje/kwi075
  24. Stafoggia M, Schwartz J, Forastiere F, Perucci CA; SISTI Group. Does temperature modify the association between air pollution and mortality? A multicity case-crossover analysis in Italy. Am J Epidemiol. 2008; 167(12): 1476-1485. https://doi.org/10.1093/aje/kwn074
  25. Ren C, Tong S. Temperature modifies the health effects of particulate matter in Brisbane, Australia. Int J Biometeorol. 2006; 51(2): 87-96. https://doi.org/10.1007/s00484-006-0054-7
  26. Meng X, Zhang Y, Zhao Z, Duan X, Xu X, Kan H. Temperature modifies the acute effect of particulate air pollution on mortality in eight Chinese cities. Sci Total Environ. 2012; 435-436: 215-221. https://doi.org/10.1016/j.scitotenv.2012.07.008
  27. Ren C, Williams GM, Mengersen K, Morawska L, Tong S. Does temperature modify short-term effects of ozone on total mortality in 60 large eastern US communities? An assessment using the NMMAPS data. Environ Int. 2008; 34(4):451-458. https://doi.org/10.1016/j.envint.2007.10.001
  28. Gordon CJ. Role of environmental stress in the physiological response to chemical toxicants. Environ Res. 2003; 92(1): 1-7. https://doi.org/10.1016/S0013-9351(02)00008-7
  29. Jrres RA, Holz O, Zachgo W, Timm P, Koschyk S, Mller B, et al. The effect of repeated ozone exposures on inflammatory markers in bronchoalveolar lavage fluid and mucosal biopsies. Am J Respir Crit Care Med. 2000; 161(6): 1855-1861. https://doi.org/10.1164/ajrccm.161.6.9908102

피인용 문헌

  1. Health Vulnerability Assessment for PM10in Busan vol.40, pp.5, 2014, https://doi.org/10.5668/JEHS.2014.40.5.355