한국환경과학회지 (Journal of Environmental Science International)

  • 제28권7호
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  • Pages.617-627
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  • 2019
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  • 1225-4517(pISSN)
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  • 2287-3503(eISSN)
한국환경과학회 (The Korean Environmental Sciences Society)
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보건의료빅데이터를 이용한 여름철 일최고기온에 대한 건강위험도 평가

Health Risk Estimation for Daily Maximum Temperature in the Summer Season using Healthcare Big Data

  • 황미경 (부산대학교 대기환경과학과) ;
  • 김유근 (부산대학교 대기환경과학과) ;
  • 오인보 (울산대학교 의과대학 환경보건센터)
  • Hwang, Mi-Kyoung (Department of Atmospheric Sciences, Pusan National University) ;
  • Kim, Yoo-Keun (Department of Atmospheric Sciences, Pusan National University) ;
  • Oh, Inbo (Environmental Health Center, University of Ulsan College of Medicine)
  • 투고 : 2019.05.30
  • 심사 : 2019.07.05
  • 발행 : 2019.07.31
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초록

This study investigated the relationship between heat-related illnesses obtained from healthcare big data and daily maximum temperature observed in seven metropolitan cities in summer during 2013~2015. We found a statistically significant positive correlation (r = 0.4~0.6) between daily maximum temperature and number of the heat-related patients from Pearson's correlation analyses. A time lag effect was not observed. Relative Risk (RR) analysis using the Generalized Additive Model (GAM) showed that the RR of heat-related illness increased with increasing threshold temperature (maximum RR = 1.21). A comparison of the RRs of the seven cities, showed that the values were significantly different by geographical location of the city and had different variations for different threshold temperatures. The RRs for elderly people were clearly higher than those for the all-age group. Especially, a maximum value of 1.83 was calculated at the threshold temperature of $35^{\circ}C$ in Seoul. In addition, relatively higher RRs were found for inland cities (Seoul, Gwangju, Daegu, and Daejeon), which had a high frequency of heat waves. These results demonstrate the significant risk of heat-related illness associated with increasing daily maximum temperature and the difference in adaptation ability to heat wave for each city, which could help improve the heat wave advisory and warning system.

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참고문헌

  1. Baccini, M., Biggeri, A., Accetta, G., Kosatsky, T., Katsouyanni, K., Analitis, A., Forsberg, B., 2008, Heat effects on mortality in 15 European cities, Epidemiology, 19(5), 711-719. https://doi.org/10.1097/EDE.0b013e318176bfcd
  2. Braga, A. L., Zanobetti, A., Schwartz, J., 2002, The effect of weather on respiratory and cardiovascular deaths in 12 US cities, Environ. Health Perspect., 110(9), 859-863. https://doi.org/10.1289/ehp.02110859
  3. Braga, A., Zanobetti, A., Schwartz, J., 2001, The time course of weather-related deaths, Epidemiology, 12, 662-667. https://doi.org/10.1097/00001648-200111000-00014
  4. Curriero, F. C., Heiner, K. S., Samet, J. M., Zeger, S. L., Strug, L., Patz, J. A., 2002, Temperature and mortality in 11 cities of the eastern United States, Am. J. Epidemiol., 155(1), 80-87. https://doi.org/10.1093/aje/155.1.80
  5. Dhainaut, J. F., Claessens, Y. E., Ginsburg, C., Riou, B., 2004, Unprecedented heat-related deaths during the 2003 heat wave in Paris: consequences on emergency departments, Critical Care, 8(1), 1-2. https://doi.org/10.1186/cc2404
  6. Ha, S., Talbott, E. O., Kan, H., Prins, C. A., Xu, X., 2014, The effects of heat stress and its effect modifiers on stroke hospitalizations in allegheny county, pennsylvania, Int. Arch. Occup. Environ. Health, 87, 557-565. https://doi.org/10.1007/s00420-013-0897-2
  7. Hajat, S., Kosatky, T., 2010, Heat-related mortality: a review and exploration of heterogeneity, J. Epidemiol. & Commun. Health, 64(9), 753-760. https://doi.org/10.1136/jech.2009.087999
  8. Hastie, T., Tibshirani, R., 1986, Generalized additive models, Statist. Sci., 1(3), 314-318. https://doi.org/10.1214/ss/1177013609
  9. Healthcare Bigdata Hub (HBH), 2018, Health insurance rerview & assessment service-healthcare bigdata hub in Korea, http://opendata.hira.or.kr.
  10. Jeong, D., Lim, S. H., Kim, D. W., Lee, W. S., 2016, The effects of climate elements on heat-related illness in South Korea, J. Clim. Change Res., 7(2), 205-215. https://doi.org/10.15531/ksccr.2016.7.2.205
  11. Jo, S., Kim, S., Kim, S., Jung, S., Lee, Y., Na, W., Jang, J., Song, K.J., 2012, Characteristics of summer heatwave victims of emergency department visits in Korea during 2011 results from the Surveillance system of heat-related illness based on emergency department, J. Korean Soc. Emerg. Med., 23(5), 687-695.
  12. Johnson, H., Kovats, R. S., McGregor, G., Stedman, J., Gibbs, M., Walton, H., Cook, L., Black, E., 2005, The impact of the 2003 heat wave on mortality and hospital admissions in England, Health Stat. Qual., 6-11.
  13. Jung, D. E., Lim, S. H., Kim, D. W., Lee, W. S., 2016, The effects of climate elements of heat-related illness in South Korea, J. Clim. Change Res., 7(2), 205-215. https://doi.org/10.15531/ksccr.2016.7.2.205
  14. Jung, J. H., Kim, I. G., Lee, D. G., Shin, J. H., Kim, B. J., 2014, Study on the vulnerability regarding high temperature related mortality in Korea, J. Korean Geogr. Soc., 49(2), 245-263.
  15. Jung, W. S., Park, J. K., Kim, E. B., Song, J. H., 2009, Study on the establishment of threshold criteria for heat health watch warning system in Korea; part II : Improvement of criteria, J. Environ. Sci., 18(7), 781-796.
  16. Kilbourne, E. M., 1997, Heat waves and hot environments, In: Noji E(ed) The public health consequences of disasters, Oxford Univ. Press, New York, 245-269.
  17. Kim, D. W., Chung, J. H., Lee, J. S., Lee, J. S., 2014, Characteristics of heat wave mortality in Korea, Atmosphere, 24(2), 225-234. https://doi.org/10.14191/Atmos.2014.24.2.225
  18. Kim, H., Ha, J. S., Park, J., 2006, High temperature, heat index, and mortality in 6 major cities in South Korea, Arch. Environ. & Occup. Health, 61(6), 265-270. https://doi.org/10.3200/AEOH.61.6.265-270
  19. Kim, J. H. Kim, H. D., 2017, Spatial Distribution of Air Temperature during an Extreme Heat Period in Daegu Metropolitan Area in 2016, J. Environ. Sci. Int., 26(9), 1023-1029. https://doi.org/10.5322/JESI.2017.26.9.1023
  20. Kim, J., Lee, D. G., Jan, K., 2009, Characteristics of Heat Acclimatization for Major Korean Cities, Atmosphere, 19(4), 309-318.
  21. Korea Centers for Disease Control & Prevention (KCDC), 2019, https://www.cdc.go.kr/CDC/
  22. Korea Centers for Disease Control & Prevention (KCDC), 2019, Public Health Weekly Report, 12(20), 630-638.
  23. Korea Environment Institute, 2012, Economic analysis of climate change in Korea (III).
  24. Lee, D. G., Choi, Y. J., Kim, K. R., Byon, J. Y., Laurence, S. K., Scott, C. S., 2010a, Development of heat-health warning system based on regional properties between climate and human health, J. Clim. Change Res., 1(2), 109-120.
  25. Lee, J., Kim, M. K., Park, J., 2016, The effects of socioeconomic factors on mortality under high temperature in Seoul, South Korea, J. Korean Assoc. Regional Geogr., 22(1), 195-210.
  26. Lee, S. H., 2015, The association between heat waves and emergency department visits from NEDIS in South Korea, Ph. D. Dissertation, Seoul National University, Seoul, Korea.
  27. Lee, S. R., Kim, H., Yi, S. M., 2010b, The relationships between temperature changes and mortality in Seoul, Korea, J. Environ. Health Sci., 36(1), 20-26.
  28. Leone, M., D'Ippoliti, D., De Sario, M., Analitis, A., Menne, B., Katsouyanni, K., Dörtbudak, Z., 2013, A Time series study on the effects of heat on mortality and evaluation of heterogeneity into European and Eastern-Southern Mediterranean cities: results of EU CIRCE project, Environ. Health, 12(1), 55. https://doi.org/10.1186/1476-069X-12-55
  29. Lim, Y. H., Park, M. S., Kim, Y., Kim, H., Hong, Y. C., 2015, Effects of cold and hot temperature on dehydration: a mechanism of cardiovascular burden, Int. J. Biometeorol., 59(8), 1035-1043. https://doi.org/10.1007/s00484-014-0917-2
  30. Lim, Y. H., So, R., Lee, C., Hong, Y. C., Park, M., Kim, L., Yoon, H.-J., 2018, Ambient temperature and hospital admissions for acute kidney injury: A time-series analysis, Sci. Total Environ., 616, 1134-1138. https://doi.org/10.1016/j.scitotenv.2017.10.207
  31. Lugo-Amador, N. M., Rothenhaus, T., Moyer, P., 2004, Heat-related illness, Emerg. Med. Clin. North Am., 22(2), 315-327. https://doi.org/10.1016/j.emc.2004.01.004
  32. Martin, S. L., Cakmak, S., Hebbern, C. A., Avramescu, M. L., & Tremblay, N., 2012, Climate change and future temperature-related mortality in 15 Canadian cities, Int. J. Biometeorol., 56(4), 605-619. https://doi.org/10.1007/s00484-011-0449-y
  33. McMichael, A. J., Wilkinson, P., Kovats, R. S., Pattenden, S., Hajat, S., Armstrong, B., Kosnik, M., 2008, International study of temperature, heat and urban mortality: the 'ISOTHURM' project, Int. J. Epidemiol., 37(5), 1121-1131. https://doi.org/10.1093/ije/dyn086
  34. McMichael, T., Montgomery, H., Costello, A., 2012, Health risks, present and future, from global climate change. Bmj, 344, e1359. https://doi.org/10.1136/bmj.e1359
  35. Oke T. R., 2002, Boundary layer climates-2nd ed., Routledge, London.
  36. Park, J. K., Jung, W. S., Kim, E. B., 2008, A Study on the influence of extreme heat on daily mortality, J. Korean Soc. Atmos. Environ., 24(5), 523-537. https://doi.org/10.5572/KOSAE.2008.24.5.523
  37. Park, J. K., Jung, W. S., Kim, E. B., 2009, Study on the establishment of threshold criteria for heat health watch warning system in Korea; part I: establishment of criteria and verification, J. Environ. Sci., 18(7), 767-780.
  38. Schaffer, A., Muscatello, D., Broome, R., Corbett, S., Smith, W., 2012, Emergency department visits, ambulance calls, and mortality associated with an exceptional heat wave in Sydney, Australia, 2011: A time-series analysis, Environ. Health, 11(3), 1-8. https://doi.org/10.1186/1476-069X-11-1
  39. Semenza, J. C., McCullough, J. E., Flanders, W. D., McGeehin, M. A., Lumpkin, J. R., 1999, Excess hospital admissions during the July 1995 heat wave in Chicago, Am. J. Prev. Med., 16(4), 269-277. https://doi.org/10.1016/S0749-3797(99)00025-2
  40. Tan, J., Zheng, Y., Tang, X., Guo, C., Li, L., Song, G., Zhen, X., Yuan, D., Kalkstein, A.J., Li, F., Chen, H., 2010, The urban heat island and its impact on heat waves and human health in Shanghai, Int. J. Biometeorol., 54(1), 75-84. https://doi.org/10.1007/s00484-009-0256-x
  41. Wang, X. Y., Barnett, A. G., Yu, W., FitzGerald, G., Tippett, V., Aitken, P., Neville, G., McRae, D., Verrall, K., Tong, S., 2012, The impact of heatwaves on mortality and emergency hospital admissions from non-external causes in Brisbane, Australia, Occup. Environ. Med., 69, 163-169. https://doi.org/10.1136/oem.2010.062141
  42. Yang, J., Ha, J., 2013, Estimation of future death burden of high temperatures from climate change, J. Environ. Health Sci., 39(1), 19-31.
  43. Zanobetti, A., Schwartz, J., 2008, Temperature and mortality in nine US cities, Epidemiology, 19(4), 563. https://doi.org/10.1097/EDE.0b013e31816d652d