Zahra Aqeela, Cheong Hae-Kwan, Lee Eun-Whan, Park Jae-Hyun
Sungkyunkwan University, Jangan-gu, Suwon, South Korea.
Gyeonggi Research Institute, Jangan-gu, Suwon, South Korea.
Asia Pac J Public Health. 2016 Nov;28(8):737-750. doi: 10.1177/1010539516667779. Epub 2016 Sep 19.
This study aims to estimate the burden of disease (BOD) due to secondhand smoking (SHS) in Korea. SHS-related diseases were selected via systematic review. Population attributable fraction (PAF) was calculated by using standard formula. Disability adjusted life years (DALYs) were estimated using Statistical Office and Health Insurance data. SHS burden was calculated by multiplying nonsmoker's BOD with the PAF of SHS. Total BOD due to SHS was 44 143 DALYs with 57% from males and 43% from females. The highest percentage of SHS burden was due to stroke. BOD was highest in the 50s age group in both genders. Years of life lost contributed major part of BOD due to all diseases. SHS burden in Korea in 2013 was the highest among the high-income Asia Pacific group countries. Effective intervention policies with more focus on vulnerable groups like adults in their 50s should be implemented to control SHS-related burden.
本研究旨在估算韩国二手烟导致的疾病负担。通过系统综述选取了与二手烟相关的疾病。采用标准公式计算人群归因分数（PAF）。利用统计局和健康保险数据估算伤残调整生命年（DALYs）。二手烟负担通过将非吸烟者的疾病负担乘以二手烟的PAF来计算。二手烟导致的总疾病负担为44143个伤残调整生命年，其中男性占57%，女性占43%。二手烟负担占比最高的是中风。50多岁年龄组的疾病负担在男女中均为最高。因所有疾病导致的伤残调整生命年中，生命损失年数占疾病负担的主要部分。2013年韩国的二手烟负担在亚太高收入国家组中最高。应实施更侧重于50多岁成年人等弱势群体的有效干预政策，以控制与二手烟相关的负担。
