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다중 영향 및 환경정의를 고려한 지역 환경보건수준 평가 사례연구
박충희(Choong-hee Park),한혜지(Hye-ji Han),이영미(Young-mee Lee),유시은(Si-eun Yoo),정다영(Da-young Jung),추연희(Yeon-hee Chu) 한국환경보건학회 2020 한국환경보건학회지 Vol.46 No.1
Objectives: Based on the concept of environmental justice, we developed an evaluation model for setting and adopting the direction of environmental health policy using environmental health indicators and statistics from the local governments of Seoul, including environmentally susceptible populations. Methods: We selected a total of 20 variables based on data officially released from national and local governments. After the classification of these variables into the five components of environmental pressure, environmental status, environmental disease, sensitive population, and socioeconomic status, a basic model was constructed to calculate the relative scores of the local governments. Results: The cumulative impact scores for assessment of environmental health status were similar to those of the environmental pressure and status components. The highest five cumulative impact scores fell between 114 and 147. Local government A reported the highest scores and had high environmental pressure, environmental status and socioeconomic status. In addition, the evaluation of the other four local governments indicated that they exhibited above average scores for environmental pressure and environmental status, two did so for environmental disease, and four for sensitive population. Conclusion: We constructed a model to evaluate the environmental health status of the local governments of Seoul based on cumulative impact scores under the concept of environmental justice. As an approach for studying environmentally vulnerable areas through relative ranking, this model was feasible for policy-setting. In addition, this approach would be an analytically useful tool for decision-makers.
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가습기살균제 피해 신청자들의 인구학적 특성 및 노출평가
최윤형(Yoon-Hyeong Choi),류현수(Hyeonsu Ryu),윤정교(Jeonggyo Yoon),이슬아( Seula Lee),곽정현(Jung Hyun Kwak),한보영(Bo-Young Han),추연희(Yeon-Hee Chu),김판기(Pan-Gyi Kim),양원호(Wonho Yang) 한국환경보건학회 2018 한국환경보건학회지 Vol.44 No.4
Objectives: The aim of this study was to introduce the overall progress of exposure assessment to humidifier disinfectant (HD); to present participants’ demographic characteristics, exposure characteristics to humidifier disinfectant, and exposure classification; and furthermore to compare those characteristics between survivors and non-survivors. Methods: An assessment of environmental exposure to HD was conducted using modified HD-specific questionnaires that had been previously validated. We analyzed the data from 4,482 participants who had been potentially exposed to HD and had registered with the KEITI (Korea Environmental Industry & Technology Institute) from September 2016 to May 2018 (the fourth survey). Environmental exposure assessments were performed as follows: 1) contact with participants, 2) environmental exposure assessment though face-to-face interviews, 3) assessment review and coding, and 4) exposure rating. Results: Overall, survivors made up 77.1% (3,457 subjects) and non-survivors made up 22.9% (1,025 subjects). When compared with the survivors, non-survivors had a higher proportion of subjects aged >60 years and subjects who answered as suffering lung damage and having purchased HD because it is “Beneficial to health” (p<0.05). For the exposure characteristics compared to survivors, non-survivors had a higher proportion of cases of distance from humidifier to face being less that one meter and the spray direction being toward the face (p<0.05). Overall, respondents who used the “Oxy Ssak Ssak New Gaseupgi Dangbun”, “Aekyung Gaseupgi Mate”, “Homeplus Gaseupgi Chungjungje”, and “E-Mart Gaseupgi Salgyunje” products made up 66.1, 12.3, 4.0, and 3.6%, respectively, and 72.5% of respondents used products with PHMG as the active chemical.?When compared with survivors, non-survivors had a higher proportion of use of “Oxy Ssak Ssak New Gaseupgi Dangbun” but a lower proportion of use of products with CMIT/MIT, PGH, or PHMG as the active chemical. Conclusions: This study provided demographic characteristics and exposure assessment for applicants who have been injured by HD. In spite of the limitations of performing past exposure assessment through a questionnaire survey, such as recall bias, useful results may be obtained by comparing survivors with non-survivors. Further studies such as the exposure rating method and so on are necessary to assess past exposure to HD.
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