기초자치단체의 폭염으로 인한 온열 및 심뇌혈관질환 부담

제목
기초자치단체의 폭염으로 인한 온열 및 심뇌혈관질환 부담
Municipal Disease Burden Attributable to Heat Wave
저자

이수형; 신호성

키워드
Environmental Burden of Disease; Cardio-cerebrovascular Disease; Heat Wave; Climate Change
발행연도
2014-10-31
발행기관
한국보건교육건강증진학회
Series
보건교육건강증진학회지, vol. 31, no. 4, pp. 51 - 62
Journal Title
보건교육건강증진학회지
초록
Objectives:
The objective of study was to calculate the municipal level environmental burden of disease (EBD) due to heat wave.
Methods:
The data used were Korea National Health Insurance 2011 claim data and 2011 death registry. Heatwave related diseases included hypertensive heart diseases, ischemic heart diseases, cerebrovascular disease, and heat related illness. According to the method that WHO proposed, the study computed population-attributable fraction with relative risk which come from previous study and proportion of exposure which the study calculated with historical meteorology data.
Results:
The Average of 251 municipal EBD was 2.11 per thousand persons. The value of years lost due to disability was 11 times higher than that of years of life lost. On average EBD of county and southern geographical areas tended to be higher than those of District or city areas. The relationship between municipal deprivation index (composite deprivation index) and EBD showed the positive association, which means that the worse deprived municipal is, the higher EBD takes.
Conclusions:
Climate change is getting one of the major risk factors of cardio-cerebrovascular disease, which is the second leading cause of death. The study results suggested the urgent policy planning and reaction of climate change adaptation
ISSN
1229-4128
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