Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
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Municipal Disease Burden Attributable to Heat Wave

기초자치단체의 폭염으로 인한 온열 및 심뇌혈관질환 부담

  • Lee, Suehyung (Dept. of Health Policy Research, Korea Institute for Health and Affairs) ;
  • Shin, Hosung (Department of Social and Humanity dentistry, School of Dentistry Wonkwang University)
  • 이수형 (한국보건사회연구원 보건정책연구본부) ;
  • 신호성 (원광대학교 치과대학 인문사회치의학교실)
  • Received : 2014.08.18
  • Accepted : 2014.09.16
  • Published : 2014.10.01
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Abstract

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.

Keywords

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