Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
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Prevalence of allergic and respiratory conditions among residents living near large construction sites in Sejong city: an exploratory study with mixed method approach

세종시 건설현장 인근 주민의 알레르기 및 호흡기 질환 유병 실태: 혼합연구방법론을 적용한 탐색적 연구

  • Ki, Myung (Department of Preventive Medicine, School of Medicine, Eulji University) ;
  • Shin, Ji-Yeon (Department of Preventive Medicine, School of Medicine, Eulji University) ;
  • Kim, Lahee (Department of Preventive Medicine, School of Medicine, Eulji University) ;
  • Cho, Seong-Sik (Konkuk University Chungju Hospital, Department of Occupational and Environmental Medicine) ;
  • An, Ah Reum (Department of Family Medicine, Seoul National University Hospital) ;
  • Kim, Yeong-Ju (Department of Family Medicine, Eulji University Gangnam Eulji Hospital)
  • 기명 (을지대학교 의과대학 예방의학교실) ;
  • 신지연 (을지대학교 의과대학 예방의학교실) ;
  • 김라희 (을지대학교 의과대학 예방의학교실) ;
  • 조성식 (건국대학교 충주병원 산업의학과) ;
  • 안아름 (서울대학교병원 가정의학과) ;
  • 김영주 (을지대학교 강남을지병원 가정의학과)
  • Received : 2015.04.07
  • Accepted : 2015.06.12
  • Published : 2015.06.30
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Abstract

Objectives: To clarify the association between dust from large construction sites and allergic and respiratory conditions among residents in Sejong city. Methods: We included 379 individuals older than 50 years from three areas of Sejong city; two areas near construction sites and one area for a comparison. Prevalence of self-reported allergic and respiratory conditions was compared across the three areas using logistic regression to adjust for covariates including age, gender, smoking, and educational attainment. A total of 16 individuals were interviewed to take details of the residents' experiences of construction work. Results: Those living in the nearby areas around construction sites were generally found to have the increased prevalence for all allergic and respiratory conditions. Odds Ratio(OR)s for cough and sneezing among the six symptoms and allergic rhinitis among the three diagnosed diseases reached statistical significance but only OR for cough remained significant after adjustment: adjusted OR for cough was 2.63 (95% CI, 1.07-6.46). Two relevant themes emerged from semi-structured interview were; 1) most residents from the affected area reported a considerable level of exposure to construction dust, 2) about half of them noted that construction dust influences allergic- and respiratory health. Conclusions: General pattern provides suggestive evidence that living close to construction sites may be positively associated with elevated risks of allergic and respiratory conditions. Efforts should be made to establish preventive measures and a comprehensive in-depth health impact assessment on this issue.

건설현장 주변지역 주민의 호흡기 증상과 질환 유병률은 대조지역에 비해 높았다. 양적인 결과는 지역의 노출과 질환 상황에 대한 질적인 탐색에 의해 뒷받침되었다. 이는 건설현장 주변 분진이 지역 주민들의 호흡기 관련 증상 및 질환에 영향이 미쳤을 가능성을 시사하는 것이다. 향후 본 연구의 탐색적 결과를 토대로 알레르기 및 호흡기 질환에 대한 추가 조사가 필요하며, 미세먼지 저감 등 환경관리 노력이 강화되어야 할 것이다.

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