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Ambient Particulate Matter and the Risk of Deaths from Cardiovascular and Cerebrovascular Disease.

Other Titles
 미세먼지 농도와 심뇌혈관계 질환으로 인한 사망과의 관련성 
Authors
 하경화  ;  서민아  ;  강대용  ;  김현창  ;  신동천  ;  김창수 
Citation
 Journal of the Korean Society of Hypertension, Vol.17(2) : 74-83, 2011 
Journal Title
Journal of the Korean Society of Hypertension
ISSN
 1225-8911 
Issue Date
2011
Keywords
Particulate matter ; Cardiovascular diseases ; Cerebrovascular disorders ; Cross-over studies
Abstract
BACKGROUND: To assess the association between ambient particulate matter and cardiovascular death in seven cities in the Republic of Korea during the period of 2002-2008. METHODS: A time-stratified case-crossover design was used to examine association between particulate matter and deaths from cardiovascular or cerebrovascular disease; hypertensive disease 12,821, ischemic heart disease 39,577, cardiac arrhythmia 1,627, cerebrovascular disease 88,047. Mortality data was obtained from National Statistical Office, and hourly mean concentrations of particulate matter < or = 10 microm in aerodynamic diameter and meteorological data were obtained from the Ministry of Environment. The percent increase in the risk of death associated with an interquartile range increase in particulate matter was determined by conditional logistic regression analysis after adjusting for national holidays and meteorological factors. RESULTS: The largest association was a 0.8% increase (95% confidence interval [CI], 0.1-1.6) in death risk related to an interquartile range increase in particulate matter < or = 10 microm (average of 0 to 2 days prior to the day of death). Classified as the cause of death, the association was a 1.2% increase (95% CI, 0.2-2.2) in death from cerebrovascular disease related to an interquartile range increase in particulate matter < or = 10 microm. But others were statistically not significant. After stratification of death cases by year of death, statistically significant associations were a 2.3% increase (95% CI, 0.1-4.4) in death risk from ischemic heart disease in 2002-2004 and 2.0% increase in death from cerebrovascular disease (95% CI, 0.3-3.8) in 2006-2008. CONCLUSIONS: Our results suggest that ambient air pollution increases the risk of deaths from cardiovascular and cerebrovascular disease in the Republic of Korea.
Files in This Item:
T201103495.pdf Download
DOI
10.5646/jksh.2011.17.2.74
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Kang, Dae Ryong(강대용)
Kim, Chang Soo(김창수) ORCID logo https://orcid.org/0000-0002-5940-5649
Kim, Hyeon Chang(김현창) ORCID logo https://orcid.org/0000-0001-7867-1240
Suh, Mi Na(서민아)
Shin, Dong Chun(신동천) ORCID logo https://orcid.org/0000-0003-4252-2280
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/94407
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