Journal of Preventive Medicine and Public Health

  • 제57권2호
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  • Pages.185-196
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  • 2024
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  • 1975-8375(pISSN)
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  • 2233-4521(eISSN)
대한예방의학회 (The Korean Society for Preventive Medicine)
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Mortality Burden Due to Short-term Exposure to Fine Particulate Matter in Korea

  • Jongmin Oh (Department of Environmental Medicine, Ewha Womans University College of Medicine) ;
  • Youn-Hee Lim (Section of Environmental Health, Department of Public Health, University of Copenhagen) ;
  • Changwoo Han (Department of Preventive Medicine, Chungnam National University College of Medicine) ;
  • Dong-Wook Lee (Department of Occupational and Environmental Medicine, Inha University Hospital) ;
  • Jisun Myung (Inha Research Institute for Medical Science, Inha University College of Medicine) ;
  • Yun-Chul Hong (Department of Human Systems Medicine, Seoul National University College of Medicine) ;
  • Soontae Kim (Department of Environmental and Safety Engineering, Ajou University) ;
  • Hyun-Joo Bae (Division of Environmental Health, Korea Environment Institute)
  • 투고 : 2023.11.13
  • 심사 : 2024.02.22
  • 발행 : 2024.03.31
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초록

Objectives: Excess mortality associated with long-term exposure to fine particulate matter (PM2.5) has been documented. However, research on the disease burden following short-term exposure is scarce. We investigated the cause-specific mortality burden of short-term exposure to PM2.5 by considering the potential non-linear concentration-response relationship in Korea. Methods: Daily cause-specific mortality rates and PM2.5 exposure levels from 2010 to 2019 were collected for 8 Korean cities and 9 provinces. A generalized additive mixed model was employed to estimate the non-linear relationship between PM2.5 exposure and cause-specific mortality levels. We assumed no detrimental health effects of PM2.5 concentrations below 15 ㎍/m3. Overall deaths attributable to short-term PM2.5 exposure were estimated by summing the daily numbers of excess deaths associated with ambient PM2.5 exposure. Results: Of the 2 749 704 recorded deaths, 2 453 686 (89.2%) were non-accidental, 591 267 (21.5%) were cardiovascular, and 141 066 (5.1%) were respiratory in nature. A non-linear relationship was observed between all-cause mortality and exposure to PM2.5 at lag0, whereas linear associations were evident for cause-specific mortalities. Overall, 10 814 all-cause, 7855 non-accidental, 1642 cardiovascular, and 708 respiratory deaths were attributed to short-term exposure to PM2.5. The estimated number of all-cause excess deaths due to short-term PM2.5 exposure in 2019 was 1039 (95% confidence interval, 604 to 1472). Conclusions: Our findings indicate an association between short-term PM2.5 exposure and various mortality rates (all-cause, non-accidental, cardiovascular, and respiratory) in Korea over the period from 2010 to 2019. Consequently, action plans should be developed to reduce deaths attributable to short-term exposure to PM2.5.

키워드

과제정보

JO was supported as a trainee of the environmental health training program provided by the Environmental Health Centre of the Catholic University of Korea, funded by the Ministry of Environment, Republic of Korea (2023).

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