KMID : 1156220090350010001
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Journal of Environmental Health Sciences 2009 Volume.35 No. 1 p.1 ~ p.10
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Acute Effects of PM©û? on Asthma Hospitalization Among Children and Benefit Analysis at Four Major Cities in Korea
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Bae Hyun-Joo
Kim Myung-Hyun Lee Ae-Kyung Park Jeong-Im
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Abstract
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This study assessed the relationships between levels of PM10 and hospitalization rates for asthma among children from 2003 to 2005 at four major cities in Korea. In addition, we estimated the reduced number of asthma hospitalization associated with an ambient PM10 improvement to the acceptable levels as recommended by the World Health Organization (WHO). The Generalized Additive Model (GAM) was used to estimate the relative risks (RR) of asthma hospitalization associated with changes in PM10 The RRs of children¡¯s asthma hospitalization for every 10 §¶/§© increment in PM10 were 1.009(95% CI = 1.004-1.014) in Seoul, 1.013(95% CI = 1.006-1.021) in Incheon, 1.009(95% CI = 1.002-1.016) in Susan, and 1.021(95% CI = 1.005-1.037) in Ulasn. We assessed PM©û? related health benefits from implementing the WHO¡¯s guidelines (24-hour average 50 §¶/§©) using the U.S. Environmental Protection Agency¡¯s Environmental Benefits Mapping and Analysis Program. The estimated benefits were 439(95% CI = 216-666) reduced asthma hospitalization in Seoul, 720(95% CI = 304-1,151) in Incheon, 260(95% CI = 66-459) in Busan, and 126(95% CI = 30-228) in Ulsan. It was concluded that improving PM10 condition to the WHO guideline would make a significant contribution to the reduction in asthma hospitalization among children. Therefore, public health measures are still needed to improve air quality in Korea.
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KEYWORD
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asthma hospitalization, children, PM10, Generalized Additive Model, health benefits, BenMAP
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