기후변화 관련 건강문제 적응대책에 대한 평가체계 개발

제목
기후변화 관련 건강문제 적응대책에 대한 평가체계 개발
The Development of Evaluation System for Health Adaptation Programs on Climate Change
저자

김남순; 신호성; 채수미; 황승식

키워드
기후변화 관련 건강문제; 적응대책
발행연도
2011
발행기관
한국보건사회연구원
초록
-질환별 영역별 기후변화 취약성 평가
-지역사회(지자체) 단위 기후변화 취약성 평가 및 기후변화 적응 대응 개발
-보건소 및 민간의료기관 등 기후변화 인력 교육
-기후변화와 관련된 근거 축적을 위한 DB 구축

Climate change is a global public health problem. The Intergovernmental Panel on Climate Change (IPCC) projected that changes in temperature, precipitation, and other weather variables due to climate change are likely to affect the health status of millions of people, particularly those with low adaptive capacity. we can better prepare to develop adaptive strategies in the community.
The purpose of this research is to develop evaluation system of community health adaptation strategies to climate change, to investigate people's perception of the impact of climate change on health and to investigate current status of community health adaptation programs.
We conducted telephone survey for 1,000 people. This study showed that Koreans perceived climate change as a moderate risk and their awareness of several public warning systems was influenced by gender, education level and their political stance. We also conducted survey on the current status of public health adaptation programs and 69. 8% of PHC was responded to the questionnaire. Over the past ten years, and the next 10 years they believed that we could experience climate change and related health problems but the priority of health adaptation strategy was not so high. And they perceived that heat wave was the most severe problem and the perspective of climate change related health was not fully included in the current public health interventions.
The evaluation system of community health adaptation strategies was developed, which included the scope of preparedness, effectiveness and equity, 18 subcategories and 3-5 items for each subcategory. We applied this evaluation system to one predetermined PHC in Seoul. Based on the pilot test results, the performance of traditional programs such as vector associated communicable disease management program was excellent.
Nowadays, there are considerable interest about climate change and health, but the priority is still not high. And the evaluation system of community health adaptation strategies should be revised to be implemented softly. We are hoping that the evaluation system of health adaptation strategies and the people's perception on the climate change and health from this research can be used to help health policy makers and healthcare professionals who are endeavoring to improve health adaptation strategies to climate change. We need a further research to improve the validity of the evaluation system of health adaptation strategies that fit into Korea's unique environment and healthcare system.
목차
Abstract 1

요약 3

제1장 서 론 13
제1절 연구의 필요성 및 목적 13

제2장 기후변화 관련 건강문제와 적응대책에 대한 고찰 19
제1절 기후변화 관련 질환 19
제2절 폭염 등 극단적 기후 현상 26
제3절 곤충·설치류 매개감염병 48
제4절 알레르기 및 호흡기질환 60
제5절 기상재해로 인한 건강문제 73

제3장 기후변화관련 건강영향 및 적응대책에 대한 인식도 77
제1절 기후변화 건강영향에 대한 국민 인식도 77
제2절 기후변화 건강영향에 대한 보건소장 및 실무자 인식도 104

제4장 기후변화 관련 건강적응대책 평가에 대한 이론과 방법 127
제1절 공중보건사업 평가이론과 방법 127
제2절 기초지자체 기후변화 건강적응대책 평가/모니터링 체계 146

제5장 기초지자체 기후변화 관련 건강적응대책 시범분석 163
제1절 시범적용 대상 기초지자체의 일반 현황 164
제2절 기후변화 관련 질환으로 인한 사망 및 의료이용 179
제3절 기후변화 건강적응대책 현황분석 193

제6장 결론 및 정책적 제언 223
제1절 결과 요약 223
제2절 정책제언 228

참고문헌 231

부 록 244
부록 1. 기후변화 대국민 인식조사 문항별 단변수 분석 결과표 243
부록 2. 기후변화 대국민 인식조사 문항별 다변수 분석 결과표 253
부록 3. 기후변화 국민 인식도 조사 설문지 291
부록 4. 기후변화 관련 질환의 의료이용 현황 297
보고서 번호
연구보고서 2011-40-1
ISBN
978-89-8187-839-9
Files in This Item:

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse