Annals of Occupational and Environmental Medicine

Original Article

Risk perceptions of a population living near a municipal waste incinerator and associated factors with the prevalence of environmental disease: Dong Hyun Kim, Chae Kwan Lee, Jeong Ho Kim, Byung Chul Son, Chunhui Suh, Kunhyung Kim, Byeong Jin Ye; Ann Occup Environ Med 2022;34:e38. Published online November 11, 2022; DOI: https://doi.org/10.35371/aoem.2022.34.e38

Abstract Abstract in Korean PDF PubReader ePub

Background

This study investigated the risk perceptions, prevalence of environmental diseases (EDs) and associated factors with the prevalence of environmental disease among the population living near an incinerator

Methods

Study area were divided into 3 local areas near the incinerator by distance (A, B, C) and control area (D) by distance and geographic isolation. A Questionnaire was conducted with 1,380 in local residents (A, B, C) and 390 in control area (D), gathered information of demographic characteristics, lifestyle, perception of damage by incinerators, experience of EDs (atopic dermatitis, allergic rhinitis, asthma) diagnosed by physician. Analysis of variance, χ² test, and Kruskal Wallis test was applied to determine the difference by area. Logistic regression analysis was performed to identify factors associated with the prevalence of allergic rhinitis.

Results

Residents residing closer to the incinerator had negative perception in most items in questionnaire compared with control. The prevalence of allergic rhinitis was higher as they lived nearby the incinerator (p = 0.008). The associated factors with the prevalence of allergic rhinitis were carpet (odds ratio [OR]: 1.79, p = 0.001), residential area (marginally significant), duration of residence (OR: 1.09, p < 0.001). The perception of environmental pollution around the residential area was inversely associated with the prevalence of allergic rhinitis: perceived as very dissatisfied (OR: 4.21, p = 0.02) compared with very satisfied.

Conclusions

As closer to the incinerator, the risk perception tend to negative and prevalence of EDs were increased. Carpet, residential area, duration of residence and perception of environmental air pollution around the residential area were associated with prevalence of allergic rhinitis. These results may be useful for the communication with residents to discuss the environmental problems caused by the incinerator.

자원순환시설 주변에 거주하는 주민의 환경성질환에 영향을 주는 위험인식도 및 생활습관
목적
이 연구는 소각장 주변에 거주지역 주민의 위험 인식도, 환경성 질환의 유병률, 환경 질환과 유병률과 관련된 요인을 조사했다.
방법
2020년 자원순환시설 인근에 거주중인 주민 1380명과 대조군 주민 390명을 대상으로 설문조사를 실시하여 인구통계학적 특성, 생활습관, 자원순환시설에 대한 인식, 환경성질환 과거력을 확인하였다. 환경성질환 과거력의 지역 간 차이를 확인하기 위해 카이 제곱 검정을 사용하여 분석하였다. 마지막으로 환경성질환 과거력에 영향을 주는 요인을 찾기 위해 로지스틱 회귀분석을 시행하였다.
결과
자원순환시설에 가까이 거주하는 주민은 대조군에 비해 주변환경 인식도, 자원순환시설에 대한 인식도 항목에서 부정적 인식을 보였다. 설문 조사에서 확인한 알레르기 비염의 과거력은 소각장 근처에 거주할수록 높았다. 알레르기 비염 유병률과 연관된 요인은 카펫 (OR = 1.79 p-value = 0.001), 거주지역, 거주기간 (OR = 1.09, p-value < 0.001) 으로 확인되었다. 거주지역 대기환경이 매우 좋지 않다고 인식하는 주민에서 (OR = 4.21, p-value = 0.02) 알레르기 유병률이 높아진 결과를 보였다.
결론
소각장에 가까이 거주할수록 소각장과 환경에 대한 위험 인식이 부정적으로 나타났고 환경성 질환의 유병률의 증가를 보였다. 카펫 사용, 소각장으로부터의 거리, 거주 기간, 주거 지역 주변의 대기 오염에 대한 인식도는 알레르기성 비염의 유병률과 관련을 보였다. 이 결과는 소각로로 인한 환경문제에 대해 주민들과 소통하는 데 유용할 것이다.

Citations

Citations to this article as recorded by

The effect of distance on risk perception towards waste incineration plants: a comparison between local residents living within 0–3 km versus 3–8 km in Dongguan, Southern China
Lizhou Zhang, Tippawan Liabsuetrakul
Environmental Research Communications.2023; 5(11): 115011. CrossRef

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Original Article

Evaluation of Early Neurologic Abnormalities on the Workers Exposed to Acrylamide: Seong Soon Kim, Hae Kwan Cheong, Yong Wook Kwon; Korean Journal of Occupational and Environmental Medicine 2000;12(3):367-383. Published online September 30, 2000; DOI: https://doi.org/10.35371/kjoem.2000.12.3.367

Abstract PDF

OBJECTIVES
Acrylamide is a neurotoxin inducing central-peripheral distal axonopathy. The authors evaluated several neurologic tests to screen the early effect of occupational acrylamide exposure.
METHODS
Fifty-two males working either in the production of acrylamide monomer or in the handling of acrylamide in Ulsan, Korea, were selected and subcategorized into the high-exposure group (n=10, mean age of 30. 4 years) and the low-exposure group (n=42, mean age of 28.9 years). Twenty-three males (mean age 29.4 years) from medical professionals and students were chosen as a non-exposed reference group. Symptom questionnaire, neurologic examination, electrodiagnostic test, vibrotactile threshold test, and Lanthony desaturated 15 panel test (LD-15D) were done.
RESULTS
The high-exposure group showed more number of specific symptoms on questionnaire and more abnormal two point discrimination test. High-exposure group showed a significant difference in the median motor conduction velocity, peroneal nerve motor latency, sensory amplitude of median nerve action potential, and sensory latency of sural nerve. The vibrotactile threshold of the high-exposure group was significantly higher in both hands and feet than that of the low-exposure group and the reference group. Average color confusion index on the LD-15D was significantly higher in the high-exposure group (median 22.7, range 0-135.7) than in the reference group (median 2.4, range 0-33.2).
CONCLUSIONS
The symptom questionnaire, vibrotactile threshold test, and color discrimination test are sensitive in detection of the early acrylamide-induced neuropathy, and the combination of these tests would further facilitate the effectiveness of the screening.

Citations

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Usefulness of Color Vision Test for Early Detection of Neurological Damages by Neurotoxic Substances
Eun-Hee Lee, Kyungho Choi, Hong Jae Chae, Domyung Paek
Journal of Preventive Medicine and Public Health.2008; 41(6): 397. CrossRef

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Original Article

Vibration Perception Threshold of Male Workers Exposed to Carbon Disulfide: Seung Hoi Park, Eun Il Lee, Byung Chul Chun, Yong Tae Yum, Jae Wook Chi; Korean Journal of Occupational and Environmental Medicine 1996;8(1):85-96. Published online February 29, 1996; DOI: https://doi.org/10.35371/kjoem.1996.8.1.85

Abstract PDF

This study was conducted on 367 male workers to evaluate the change of vibration perception threshold (VPT) according to exposure degree to carbon disulfide. VPT was measured on both metacarpal bones of index and little fingers and on fibular malleoli by Vibrometer (Rion, on 125Hz). The exposure degree was classified by the name of department. Workers in department 1 had been exposed to high concentration of carbon disulfide, those in. department 2 had been exposed to carbon disulfide moderately or intermittently, and those in department 3 had been exposed to undetectable concentration of carbon disulfide. The results were as follows: 1. The mean values of VPT of metacarpal(MC) bones showed dose-response pattern, i.e., the mean values of VPT at department 1 were highest, and those of VPT at department 3 were lowest with similar work duration or age. But the mean values of VPT of fibular malleoli (FM) showed dose-response pattern only in workers having above 5 years of work duration or whose age were above 30. 2. The mean values of VPT of MC bone of workers increased by age. 3. There were statistically significant difference in mean values of VPT of MC bone only in workers having 5-10 year work duration. And there were statistically significant difference of mean values of VPT of left 2nd and 5th MC bone in workers whose age was 30's, of right 2nd MC bone in those whose age was 40's, and of left 2nd MC bone in those whose age was 50's. 4. The variables affecting VPT significantly were department and age (or age group) both in multiple regression and general linear model. The department showed to have more effect to VPT than age in multiple regression, but age group showed to have more effect to VPT than department in general linear model. 5. The variables were transformed to indicator variable to do logistic regression analysis. Department 1, 2, 3 were classified into high exposure (spinning department) and low exposure (other department), age was classified into old (above 30) and young, and work duration was classified into long(above 10 years) and short. The exposure and age were significant variables by logistic regression analysis. Odds ratios of department and VPT on metacarpal bones or malleoli were 2.7-3.2 and those of age and VPT were 2.6 or 2.7. Odds ratio of age and abnormality of VPT on'any point was 3.3(1.59-6.;8), and that of department and VPT was 2.8(1.5-5.5). We concluded that exposure of carbon disulfied was significantly associated with reduction of VPT regardless of age; and that the test of VPT would be useful tool for screening and early detection in neuropathy by carbon disulfide or other neurotoxic chemicals,even though it is simple and cheap.

Citations

Citations to this article as recorded by

Trans‐Cranial Doppler and Peripheral Sensory Threshold Tests for Carbon Disulfide Poisoning
Eunil Lee, Hun‐Jong Chung, Soon‐Duck Kim, Jong‐Tae Park, Donggeun Sul, Myung‐Hyun Kim
Journal of Occupational Health.2001; 43(6): 307. CrossRef
Carbon Disulfide Poisoning in Korea with Social and Historical Background
Eunil Lee, Soonduck Kim, Haejoon Kim, Kwangjong Kim, Yongtae Yum
Journal of Occupational Health.1996; 38(4): 155. CrossRef

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Original Article

Perception, Attitude and Praetical Behavioral Change of Industrial Health Care Manager toward Group Health Care System: Kyoo Sang Kim, Jaehoon Roh, Yeon Soon Ahn; Korean Journal of Occupational and Environmental Medicine 1994;6(2):411-420. Published online September 30, 1994; DOI: https://doi.org/10.35371/kjoem.1994.6.2.411

Abstract PDF

To evaluate the change of perception, attitude and practice toward Group Health Care Systerl for small and medium industries, a survey using self-administered questionnaire was conducted to a part of industries in Inchon area, in year 1992 and 1993. major dependent variables were perception, attitude, and practical behavioral change related with Croup Health Care System ; these variables were measured by 3-point Likert like scale. 47 industries were used in analysis. Psrception of year 1993 was higher (1.25) than that (1 34) of 1992. Attitude of yeal. 1993 was also slightly higher (1.46) than that (1.43) of 1992. Both data indicated positive attitude. Practice of year 1993 was slightly lewer (0.86) tHan that (0.90) of 1992, but its change didn't have any statistical significance. In year 1992, major determinants of perception, attitude and behaviral change were sex and age of industrial health care manager ; they had positive efffct upon perception and practice. In yeal. 1993, it was sex of health care manager; it had influenced upon practice. Both year 1992 and 1993, perception was higher and attitude was more positive. In the case of higher perception or positive attitude, practice was active accordingly. To accelerate the behavioral change of health care manager, it is necessary to eaucate them continuously.

Citations

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Practice status of specialized agencies for occupational health management of small- to medium-size enterprises and the factors improving their performance: a cross-sectional survey study
Saerom Lee, Jun-Pyo Myong, Eun-A Kim, Huisu Eom, Bowha Choi, Young Joong Kang
Annals of Occupational and Environmental Medicine.2017;[Epub] CrossRef

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Original Article

Selection of Testing Frequency in Bone Vibrator of Audiometer for Measurement of Vivration Perception Threshold: Jong Young Lee, Wan Seoup Park, Yeong Hwan Kim, Doohie Kim; Korean Journal of Occupational and Environmental Medicine 1994;6(1):17-25. Published online February 28, 1994; DOI: https://doi.org/10.35371/kjoem.1994.6.1.17

Abstract PDF: Both to determine testing frequency in bone vibrator of audiometer for measurement of vibration perception threshold(VPT) and to evaluate factors influencing VPT, ninty seven healthy adults were tested on their second metacarpal head of both hands, at 250Hz, 500Hz, 1,000Hz and so on. Measures of the VPTs at 1,000Hz were excluded in analysis because frequency 1,000Hz was not recognized as a vibration sense. Mean and standard deviation(S.D.) of the VPTs in the both hands measured at 250Hz were 19.9+/-6.7dB, 21.0+/-7.3dB, respectively and at 500Hz were 33.6+/-8.3dB, 34.9+/-8.1dB, respectively. Both mean and S.D. tended to be lower at 250Hz than 500Hz, and mean differences of VPTs between the left and the right hand at the both frequencies appeared statistically significant (p<0.01). VPTs were significantly correlated with each other (p<0.01). Age was positively correlated(p<0.001) with VPTs and education was negatively(p<0.01). Multiple regression analysis showed that age was the only factor influenced on VPT. These results suggest that, when using the bone vibrator of audiometer for measurement of VPT, the frequency 250Hz as a testing frequency may be more useful than frequency 500Hz, and VPT should be measured on both hands.

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