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Vulnerabilities to Temperature Effects on Acute Myocardial Infarction Hospital Admissions in South Korea

Author

Listed:
  • Bo Yeon Kwon

    (Department of Public Health, Graduate School, Korea University, 73, Inchon-ro, Seongbuk-gu, Seoul 02841, Korea)

  • Eunil Lee

    (Department of Preventive Medicine, College of Medicine, Korea University, 73, Inchon-ro, Seongbuk-gu, Seoul 02841, Korea)

  • Suji Lee

    (Department of Preventive Medicine, College of Medicine, Korea University, 73, Inchon-ro, Seongbuk-gu, Seoul 02841, Korea)

  • Seulkee Heo

    (Department of Public Health, Graduate School, Korea University, 73, Inchon-ro, Seongbuk-gu, Seoul 02841, Korea)

  • Kyunghee Jo

    (Graduate School of Public Health, Graduate School, Korea University, 73, Inchon-ro, Seongbuk-gu, Seoul 02841, Korea)

  • Jinsun Kim

    (Graduate School of Public Health, Graduate School, Korea University, 73, Inchon-ro, Seongbuk-gu, Seoul 02841, Korea)

  • Man Sik Park

    (Department of Statistics, College of Natural Science, Sungshin Women’s University, 249-1, Dongseon-dong 3-ga, Seongbuk-gu, Seoul 02844, Korea)

Abstract

Most previous studies have focused on the association between acute myocardial function (AMI) and temperature by gender and age. Recently, however, concern has also arisen about those most susceptible to the effects of temperature according to socioeconomic status (SES). The objective of this study was to determine the effect of heat and cold on hospital admissions for AMI by subpopulations (gender, age, living area, and individual SES) in South Korea. The Korea National Health Insurance (KNHI) database was used to examine the effect of heat and cold on hospital admissions for AMI during 2004–2012. We analyzed the increase in AMI hospital admissions both above and below a threshold temperature using Poisson generalized additive models (GAMs) for hot, cold, and warm weather. The Medicaid group, the lowest SES group, had a significantly higher RR of 1.37 (95% CI: 1.07–1.76) for heat and 1.11 (95% CI: 1.04–1.20) for cold among subgroups, while also showing distinctly higher risk curves than NHI for both hot and cold weather. In additions, females, older age group, and those living in urban areas had higher risks from hot and cold temperatures than males, younger age group, and those living in rural areas.

Suggested Citation

  • Bo Yeon Kwon & Eunil Lee & Suji Lee & Seulkee Heo & Kyunghee Jo & Jinsun Kim & Man Sik Park, 2015. "Vulnerabilities to Temperature Effects on Acute Myocardial Infarction Hospital Admissions in South Korea," IJERPH, MDPI, vol. 12(11), pages 1-18, November.
    • Handle: RePEc:gam:jijerp:v:12:y:2015:i:11:p:14571-14588:d:58804
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    References listed on IDEAS

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    1. Jixia Huang & Jinfeng Wang & Weiwei Yu, 2014. "The Lag Effects and Vulnerabilities of Temperature Effects on Cardiovascular Disease Mortality in a Subtropical Climate Zone in China," IJERPH, MDPI, vol. 11(4), pages 1-13, April.
    2. Yu, Seung-Hum & Anderson, Gerard F., 1992. "Achieving universal health insurance in Korea: A model for other developing countries?," Health Policy, Elsevier, vol. 20(3), pages 289-299, April.
    3. Kim, Jaehoon & Kim, Sangsin, 2015. "2012년 국회법 개정의 효과 연구 [A Study on the Effect of the 2012 National Assembly Act Amendment]," KDI Research Monographs, Korea Development Institute (KDI), volume 127, number v:2015-03(k):y:2015:p:1-1.
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