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Survey on the Utilization of Weather and Air Quality Information and Needs of Patients with Respiratory Diseases

호흡기질환자의 기상 및 대기질 정보 활용현황과 요구도 조사

  • Jo, Eun-Jung (Department of Internal Medicine, Pusan National University School of Medicine) ;
  • Park, Hye-Kyung (Department of Internal Medicine, Pusan National University School of Medicine) ;
  • Kim, Chang-Hoon (Department of Preventive Medicine, Pusan National University School of Medicine) ;
  • Won, Kyung-Mi (The Institute of Environmental Studies, Pusan National University) ;
  • Kim, Yoo-Keun (The Institute of Environmental Studies, Pusan National University) ;
  • Jeong, Ju-Hee (The Institute of Environmental Studies, Pusan National University) ;
  • An, Hye Yeon (Division of Earth Environmental System, Pusan National University) ;
  • Hwang, Mi-Kyoung (The Institute of Environmental Studies, Pusan National University)
  • 조은정 (부산대학교 의과대학 내과학교실) ;
  • 박혜경 (부산대학교 의과대학 내과학교실) ;
  • 김창훈 (부산대학교 의과대학 예방의학교실) ;
  • 원경미 (부산대학교 환경연구원) ;
  • 김유근 (부산대학교 환경연구원) ;
  • 정주희 (부산대학교 환경연구원) ;
  • 안혜연 (부산대학교 지구환경시스템학부) ;
  • 황미경 (부산대학교 환경연구원)
  • Received : 2018.11.05
  • Accepted : 2019.01.23
  • Published : 2019.01.31

Abstract

Meteorological factors and air pollutants are associated with respiratory diseases, and appropriate use of weather and air quality information is helpful in the management of patients with such diseases. This study was performed to investigate both the utilization of weather and air quality information by, and the needs of, patients with respiratory diseases. Questionnaires were administered to 112 patients with respiratory diseases, 60.7% of whom were female. The rates of bronchial asthma and chronic obstructive pulmonary disease among patients were 67.0% and 10.7%, respectively. The majority of subjects (90%) responded that prevention was important for respiratory disease management and indicated that they used weather and air quality information either every day or occasionally. However, respondents underestimated the importance of weather and air quality information for disease management and were unaware of some types of weather information. The subjects agreed that respiratory diseases were sensitive to weather and air quality. The most important weather-related factors were diurnal temperature range, minimum temperature, relative humidity, and wind, while those for air quality were particulate matter and Asian dust. Information was gleaned mainly from television programs in patients aged 60 years and older and from smartphone applications for those below 60 years of age. The subjects desired additional information on the management and prevention of respiratory diseases. This study identified problems regarding the utility of weather and air quality information currently available for patients with respiratory diseases, who indicated that they desired disease-related information, including information in the form of action plans, rather than simple health- and air quality-related information. This study highlights the necessity for notification services that can be used to easily obtain information, specifically regarding disease management.

Acknowledgement

Supported by : 기상청

References

  1. AccuWeather, https://www.accuweather.com/en/us/national/health-maps
  2. Barnett, A. G., Williams, G. M., Schwartz, J., Neller, A. H., Best, T. L., Petroeschevsky, A. L., Simpson, R. W., 2005, Air pollution and child respiratory health: a case-crossover study in Australia and New Zealand, Am. J. Respir. Crit. Care Med., 171(11), 1272-1278. https://doi.org/10.1164/rccm.200411-1586OC
  3. Bell, M. L., Davis, D. L., 2001, Reassessment of the lethal London fog of 1952: novel indicators of acute and chronic consequences of acute exposure to air pollution, Environ. Health Perspect., 109(Suppl 3), 389.
  4. Brook, R. D., 2008, Cardiovascular effects of air pollution., Clin. Sci., 115(6), 175-187. https://doi.org/10.1042/CS20070444
  5. Cai, Y., Schikowski, T., Adam, M., Buschka, A., Carsin, A. E., Jacquemin, B., Marcon, A., Sanchez, M., Vierkotter, A., Al-Kanaani, Z., 2014, Cross-sectional associations between air pollution and chronic bronchitis: an ESCAPE meta-analysis across five cohorts, Thorax, 69(11), 1005-1014. https://doi.org/10.1136/thoraxjnl-2013-204352
  6. Cai, Y., Zijlema, W. L., Doiron, D., Blangiardo, M., Burton, P. R., Fortier, I., Gaye, A., Gulliver, J., de Hoogh, K., Hveem, K., 2017, Ambient air pollution, traffic noise and adult asthma prevalence: a BioSHaRE approach, Eur. Respir. J., 49(1), 1502127. https://doi.org/10.1183/13993003.02127-2015
  7. Carey, M., Cordon, I., 1986, Asthma and climatic conditions: experience from Bermuda, an isolated island community, Br. Med. J., 293(6551), 843-844. https://doi.org/10.1136/bmj.293.6551.843
  8. Chen, C. H., Xirasagar, S., Lin, H. C., 2006, Seasonality in adult asthma admissions, air pollutant levels, and climate: a population-based study, J. Asthma, 43(4), 287-292. https://doi.org/10.1080/02770900600622935
  9. Ehara, A., Takasaki, H., Takeda, Y., Kida, T., Mizukami, S., Yamada, M. H., Yutaka, 2000, Are high barometric pressure, low humidity and diurnal change of temperature related to the onset of asthmatic symptoms?, Pediatr. Int., 42(3), 272-274. https://doi.org/10.1046/j.1442-200x.2000.01228.x
  10. Global Initiative for Asthma (GINA), 2018, Global strategy for asthma management and prevention, https://ginasthma.org/2018-gina-report-global-strategy-for-asthma-management-and-prevention/.
  11. Global Initiative for Chronic Obstructive Lung Disease, 2018, Global Strategy for the diagnosis, management, and prevention of Chronic Obstructive Lung Disease, https://goldcopd.org/gold-reports/.
  12. Gotschi, T., Heinrich, J., Sunyer, J., Kunzli, N., 2008, Long-term effects of ambient air pollution on lung function: a review, Epidemiology, 19(5), 690-701. https://doi.org/10.1097/EDE.0b013e318181650f
  13. Goldstein, I. F., Currie, B., 1984, Seasonal patterns of asthma: a clue to etiology, Environ. Res., 33(1), 201-215. https://doi.org/10.1016/0013-9351(84)90017-3
  14. Guarnieri, M., Balmes, J. R., 2014, Outdoor air pollution and asthma,. Lancet, 383(9928), 1581-1592. https://doi.org/10.1016/S0140-6736(14)60617-6
  15. Haahtela, T., Holgate, S., Pawankar, R., Akdis, C. A., Benjaponpitak, S., Caraballo, L., Demain, J., Portnoy, J., von Hertzen, L., 2013, The biodiversity hypothesis and allergic disease: world allergy organization position statement, World Allergy Organ. J., 6(1), 3. https://doi.org/10.1186/1939-4551-6-3
  16. Harju, T., Tuuponen, T., Keistinen, T., Kivela, S., 1998, Seasonal variations in hospital treatment periods and deaths among adult asthmatics, Eur. Respir. J., 12(6), 1362-1365. https://doi.org/10.1183/09031936.98.12061362
  17. Kim, H., Kim, Y. K., Jeong, J. H., An, H. Y., Kim, T., Yun, J., Won, K. M., Lee, J., Oh, I., Lee, Y. M., Lim, Y. J., Kang, M. S., 2017, A Survey of doctors' awareness of weather sensitive diseases and health-related weather information, J. Environ. Sci. Int., 26(5), 675-684. https://doi.org/10.5322/JESI.2017.26.5.675
  18. Kim, Y. P., 2017, Research and policy directions against ambient fine particles, J. Korean Soc. Atmos. Environ., 33(3), 191-204. https://doi.org/10.5572/KOSAE.2017.33.3.191
  19. Jo, E. J., Lee, W. S., Jo, H. Y., Kim, C. H., Eom, J. S., Mok, J. H., Kim, M. H., Lee, K., Kim, K. U., Lee, M. K. Park, H. K., 2017, Effects of particulate matter on respiratory disease and the impact of meteorological factors in Busan, Korea, Respir. Med., 124, 79-87. https://doi.org/10.1016/j.rmed.2017.02.010
  20. Kampa, M., Castanas, E., 2008, Human health effects of air pollution, Environ. Pollut., 151(2), 362-367. https://doi.org/10.1016/j.envpol.2007.06.012
  21. Khalaj, B., Lloyd, G., Sheppeard, V., Dear, K., 2010, The health impacts of heat waves in five regions of New South Wales, Australia: a case-only analysis, Int. Arch. Occup. Environ. Health, 83(7), 833-842. https://doi.org/10.1007/s00420-010-0534-2
  22. Khreis, H., Kelly, C., Tate, J., Parslow, R., Lucas, K., Nieuwenhuijsen, M., 2017, Exposure to traffic-related air pollution and risk of development of childhood asthma: a systematic review and meta-analysis, Environ. Int., 100, 1-31. https://doi.org/10.1016/j.envint.2016.11.012
  23. Ko, F. W., Tam, W. W., Chan, D. P., Wong, T. W., Tung, A. H., Lai, C. K., Hui, D. S., 2007, The temporal relationship between air pollutants and hospital admissions for chronic obstructive pulmonary disease in Hong Kong, Thorax, 62(9), 780-785. https://doi.org/10.1136/thx.2006.076166
  24. Korea Academy of Tuberculosis and Respiratory diseases, 2018, Korean guideline for Chronic Obstructive Pulmonary Disease.
  25. Korean Academy of Asthma, Allergy, and Clinical Immunology, 2015, Korean guideline for asthma, Seoul, http://www.allergy.or.kr/file/180629_01.pdf.
  26. Kwon, J. W., Han, Y. J., Oh, M. K., Lee, C. Y., Kim, J. Y., Kim, E. J., Kim, H., Kim, W. J., 2016, Emergency Department visits for asthma exacerbation due to weather conditions and air pollution in Chuncheon, Korea: a case-crossover analysis, Allergy, Asthma Immunol. Res., 8(6), 512-521. https://doi.org/10.4168/aair.2016.8.6.512
  27. Lam, H. C., Li, A. M., Chan, E. Y., Goggins, W. B., 2016, The short-term association between asthma hospitalisations, ambient temperature, other meteorological factors and air pollutants in Hong Kong: a time-series study, Thorax, 71(12), 1097-1109. https://doi.org/10.1136/thoraxjnl-2015-208054
  28. Lee, C. C., Sheridan, S. C., Lin, S., 2012, Relating weather types to asthma-related hospital admissions in New York State., EcoHealth, 9(4), 427-439. https://doi.org/10.1007/s10393-012-0803-5
  29. MacIntyre, E. A., Gehring, U., Molter, A., Fuertes, E., Klumper, C., Kramer, U., Quass, U., Hoffmann, B., Gascon, M., Brunekreef, B., 2013, Air pollution and respiratory infections during early childhood: an analysis of 10 European birth cohorts within the ESCAPE Project, Environ. Health. Perspect., 122(1), 107-113. https://doi.org/10.1289/ehp.1306755
  30. Malig, B. J., Green, S., Basu, R., Broadwin, R., 2013, Coarse particles and respiratory emergency department visits in California, Am. J. Epidemiol., 178(1), 58-69. https://doi.org/10.1093/aje/kws451
  31. Mannucci, P. M., Harari, S., Martinelli, I., Franchini, M., 2015, Effects on health of air pollution: a narrative review, Intern. Emerg. Med., 10(6), 657-662. https://doi.org/10.1007/s11739-015-1276-7
  32. Mar, T. F., Koenig, J. Q., 2009, Relationship between visits to emergency departments for asthma and ozone exposure in greater Seattle, Washington, Ann. Allergy, Asthma, Immunol., 103(6), 474-479. https://doi.org/10.1016/S1081-1206(10)60263-3
  33. McConnell, R., Berhane, K., Gilliland, F., London, S. J., Islam, T., Gauderman, W. J., Avol, E., Margolis, H. G., Peters, J. M., 2002, Asthma in exercising children exposed to ozone: a cohort study, Lancet, 359(9304),386-391. https://doi.org/10.1016/S0140-6736(02)07597-9
  34. McGowan, J., Hider, P., Chacko, E., Town, G., 2002, Particulate air pollution and hospital admissions in Christchurch, New Zealand, Aust. N. Z. J. Public. Health, 26(1), 23-29. https://doi.org/10.1111/j.1467-842X.2002.tb00266.x
  35. Michelozzi, P., Accetta, G., De Sario, M., D'Ippoliti, D., Marino, C., Baccini, M., Biggeri, A., Anderson, H. R., Katsouyanni, K., Ballester, F., 2009, High temperature and hospitalizations for cardiovascular and respiratory causes in 12 European cities, Am. J. Respir. Crit. Care Med., 179(5), 383-389. https://doi.org/10.1164/rccm.200802-217OC
  36. Priftis, K. N., Paliatsos, A. G., Panagiotopoulou-Gartagani, P., Tapratzi-Potamianou, P., Zachariadi-Xypolita, A., Nicolaidou, P., Saxoni-Papageorgiou, P., 2006, Association of weather conditions with childhood admissions for wheezy bronchitis or asthma in Athens, Respiration, 73(6),783-790. https://doi.org/10.1159/000093817
  37. Riedler, J., Braun-Fahrlander, C., Eder, W., Schreuer, M., Waser, M., Maisch, S., Carr, D., Schierl, R., Nowak, D., Von Mutius, E., 2001, Exposure to farming in early life and development of asthma and allergy: a cross-sectional survey, Lancet, 358(9288), 1129-1133. https://doi.org/10.1016/S0140-6736(01)06252-3
  38. Rossi, O., Kinnula, V., Tienari, J., Huhti, E., 1993, Association of severe asthma attacks with weather, pollen, and air pollutants, Thorax, 48(3), 244-248. https://doi.org/10.1136/thx.48.3.244
  39. Ruckerl, R., Schneider, A., Breitner, S., Cyrys, J., Peters, A., 2011, Health effects of particulate air pollution: a review of epidemiological evidence, Inhalation Toxicol., 23(10), 555-592. https://doi.org/10.3109/08958378.2011.593587
  40. Silverman, R. A., Ito, K., 2010, Age-related association of fine particles and ozone with severe acute asthma in New York City,. J. Allergy Clin. Immunol., 125(2), 367-373. https://doi.org/10.1016/j.jaci.2009.10.061
  41. Strickland, M. J., Darrow, L. A., Klein, M., Flanders, W. D., Sarnat, J. A., Waller, L. A., Sarnat, S. E., Mulholland, J. A., Tolbert, P. E., 2010, Short-term associations between ambient air pollutants and pediatric asthma emergency department visits,. Am. J. Respir. Crit. Care Med., 182(3), 307-316. https://doi.org/10.1164/rccm.200908-1201OC
  42. Villeneuve, P. J., Leech, J., Bourque, D., 2005, Frequency of emergency room visits for childhood asthma in Ottawa, Canada: the role of weather, Int. J. Biometeorol., 50(1), 48-56. https://doi.org/10.1007/s00484-005-0262-6
  43. Wang, C., Xu, J., Yang, L., Xu, Y., Zhang, X., Bai, C., Kang, J., Ran, P., Shen, H., Wen, F., 2018, Prevalence and risk factors of chronic obstructive pulmonary disease in China (the China Pulmonary Health [CPH] study): a national cross-sectional study, Lancet, 391(10131), 1706-1717. https://doi.org/10.1016/S0140-6736(18)30841-9
  44. Wang, N., Mengersen, K., Kimlin, M., Zhou, M., Tong, S., Fang, L., Wang, B., Hu, W., 2018, Lung cancer and particulate pollution: A critical review of spatial and temporal analysis evidence, Environ. Res., 164, 585-596. https://doi.org/10.1016/j.envres.2018.03.034
  45. World Health Organization, 2018, http://www.who.int/.