DOI QR코드

DOI QR Code

인천시 자치구별 미세먼지 농도에 따른 호흡기 및 심혈관계 외래환자 수 상관분석

Analysis of Respiratory and Cardiovascular Diseases according to PM Concentration in the Incheon Area

  • 이승운 ((재)국제도시물정보과학연구원) ;
  • 정승권 ((재)국제도시물정보과학연구원)
  • Lee, Seungwoon (International Center for Urban Water Hydroinformatics Research & Innovation) ;
  • Jung, Seungkwon (International Center for Urban Water Hydroinformatics Research & Innovation)
  • 투고 : 2020.04.14
  • 심사 : 2020.05.15
  • 발행 : 2020.06.30

초록

Objectives: This study was conducted to identify the effects of PM10 and PM2.5 on hospital visits in the Incheon area over the period of 2016-2018. Methods: We applied correlation analysis and Poisson regression to perform the analysis using cardiovascular disease and respiratory disease data from the National Health Insurance Service and the daily average PM10 and PM2.5 from the Korea Environment Corporation adjusting for time lag. Results: When the daily average PM10 concentration increased by 10 ㎍/㎥, the number of cardiovascular disease patients were 1.002 times higher (95% CI [Confidence Interval]; 1.000-1004) in Ganghwa County. As the daily average PM2.5 concentration increased by 10 ㎍/㎥, the number of cardiovascular disease patients were 1.012 times higher (95% CI; 1.008-1.016) in Ganghwa County. As the daily average PM10 concentration increased by 10 ㎍/㎥, the respiratory disease patients were 1.003 times (95% CI; 1.002-1.004) higher in Gyeyang and Michuhol Counties. As the PM2.5 concentration increased by 10 ㎍/㎥, the respiratory disease patients were 1.003 times higher (95% CI; 1.002-1.005) in Bupyeong County. Conclusions: In some parts of the Incheon area there was a correlation between the number of patients with respiratory and cardiovascular conditions and the concentration of PM10 and PM2.5.

키워드

참고문헌

  1. WHO. Using climate to predict infectious disease outbreak: a review. Geneva: World Health Organization Press; 2004. 37-42.
  2. Environmental Protection Agency. Integrated Science Assessment for Particulate Matter. Available:http://www.sinia.cl/1292/articles-51242_Integrated_-Science.pdf [accessed 13 July 2016].
  3. Canova C, Dunster C, Kelly FJ, Minelli C, Shah PL, Caneja, 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
  4. 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
  5. 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
  6. Di Q, Dai L, Wang Y, Zanobetti A, Choirat C, Schwartz JD, Dominici F. Association of Short-term Exposure to Air Pollution with Mortality in Older Adults. Journal of American Medical Association. 2017; 318(24): 2446-2456. https://doi.org/10.1001/jama.2017.17923
  7. BC Card BigData Center, Big Data Read People, 2020.01.10
  8. Korea Trend Research Institute, Hot Trend 2016-Hot Issue top 100, Available: http://www.whatsnewtrend. com/whats/bbs/board.php?bo_table=isNow &wr_id=165 [accessed Oct.2016].
  9. Pope CA, Burnett RT, Thurston GD, Thun MJ, Calle EE, Krewski D, et al. Cardiovascular mortality and long-term exposure to particulate air pollution epidemiological evidence of general pathophysiological pathways of disease. Circulation. 2004; 109(1):71-77. https://doi.org/10.1161/01.CIR.0000108927.80044.7F
  10. Yoo, HJ, Kim JK, Shin JW, Kim YJ, Min SE, Jegal DS, Bang KI, Lee SM. Health Vulnerability Assessment for PM10 due to Climate Chnage in Incheon. Journal of Environmental Health Sciences. 2017;43(3): 240-246.
  11. Bae, HJ. Effects of Short-term Exposure to $PM_{10}$ and $PM_{2.5}$ on Mortality in Seoul. Journal of Environmental Health Sciences. 2014; 40(5): 346-354.
  12. Bae, HJ, Lim YR, Yu SD, Kim JH, Cho YS. Temperature Modifies the Association between PM10 and Mortality in Seoul. Journal of Environmental Health Sciences. 2013; 39(1): 90-98.
  13. Oh, JS, Park, SH, Kwak, MK, Pyo, CH, Park, KH, Kim, HB, Shin, SY, Choi, HJ. Ambient Particulate Matter and Emergency Department Visit for Chronic Obstructive Pulmonary Disease. 2017;28(1): 32-39.
  14. Park HJ, Woo KS, Chung EK, Kang TS, Kim GB, Yu SD, et al. A Time-series study of ambient air pollution in relation to daily mortality count in Yeosu. Journal of Environmental Impact Assessment. 2015; 24(1): 66-77. https://doi.org/10.14249/eia.2015.24.1.66
  15. On IB, Kim YH, Sim CS, Lee JH. Prevalence of children's allergic diseases in Ulsan: local differences and environmental risk factors. Journal of Environmental Health Sciences. 2012; 38(6): 472-481.