◈ 기후변화는 모든 보건의료정책의 결과와 영향을 평가하는 주요 기준 중의 하나로 설정되어야 함. 기후변화 적응 연구는 정책설정 및 추진에서 핵심적인 요소이며 기후변화 적응 전 과정을 뒷받침하는 근거를 제시함. ◈ 기후변화 취약성 평가 ◈ 질환별 취약성 평가지표 개발
In the first year's work, we developed the framework of climate change vulnerability assessment tool. The purpose of the second year's study is to compute the composite index of climate change of health impacts by sigungu (municipal) area level. We analysis the health impacts into five categories; vector-borne diseases, food and water-borne diseases, disaster, heat stress, and air pollution/allergy. The vulnerability assessment framework of climate change focused on health impacts consists of six layers, The first layer is climate factors such as the future change of temperature, precipitation, and humidity and their variabilities. The second layer is the magnitude and distribution of climate change related to diseases. The third one is environmental factors, which are composed of natural environment and man-made environment. The fourth layer is vulnerable population distribution of climate change. The fifth layer describes social conditions, which are associated with social resources and upstream determinants of health. The final layer of vulnerability model is the health system. In particular, public health initiatives are crucial to the success of adaptation policy and community mobilizing. In the first part of the study, we select 72 the variables (indicators) mainly based on the vulnerability assessment framework of climate change we developed and data availability. Each health impact has a different set of sub-indicators. The second part of the study is to compute the composite index using indicators we select in the first part. We throughly review related documents and follow the compositor's construction process suggested. We stress the need for multi-variate analysis prior to the aggregation of the individual indicators. We deal with the problem of missing data and with the techniques used to bring into a common unit the indicators that are if very different nature. We explore different methodologies for weighting and aggregating indicators into a composite and test the robustness of the composite. The study finds that the composite shows not only the relative vulnerability of climate change, but also customized adaptation strategies for immediate actions. Even the same composite index, some regions need to develop new environmental policies or take care vulnerable population at first, the others need to improve the social capitals and rearrange resource distribution of policy basis and institution. The assessment of regional vulnerability for climate change is useful tool to measure the effectiveness of adaptation efforts and evaluate the exposure sensitivity of climate risks. The composite index we develop provides the information regarding the factors for susceptible parts, the comparison of relative vulnerability, which helps people to understand the risks and induce people actions.
Table Of Contents
Abstract 1
요약 3
제1장 서 론 13 제1절 연구 배경 및 필요성 13 제2절 연구목적 14 제3절 건강영향별 기후변화 취약성 평가틀 15 제4절 연구방법 16
제2장 기상요소 21 제1절 기상요소 취약성 지표 선정 21 제2절 기상요소 취약성 지표의 지역적 분포 23
제3장 특정건강영향 51 제1절 지표선정을 위한 선행연구 51 제2절 특정건강영향 취약성 지표 선정 81 제3절 특정건강영향 취약성 지표의 지역적 분포 82
제4장 환경영향 119 제1절 취약성 평가모형 중 환경요소 119 제2절 지표선정을 위한 선행연구 121 제3절 환경영향 취약성 지표 선정 129 제4절 환경영향 취약성 지표의 지역적 분포 130
제5장 취약계층 139 제1절 취약계층 지표 선정 방향 139 제2절 취약계층 지표 선정을 위한 선행연구 143 제3절 취약계층 취약성 지표 선정 153 제4절 취약계층 지표의 지역적 분포 155
제6장 사회여건 161 제1절 사회여건으로써의 질병의 사회적 결정요인 161 제2절 건강의 사회적 결정요인 이론 164 제3절 사회여건 취약성 지표 선정 171 제4절 사회여건 지표의 지역적 분포 172
제7장 보건의료체계 179 제1절 보건의료체계 지표 선정 방향 179 제2절 지표선정을 위한 선행연구 182 제3절 보건의료체계 취약성 지표 선정 195 제4절 보건의료체계 지표의 지역적 분포 198
