Chae Su-Mi, Kim Daeeun
Center for Research on Future Disease Response, Korea Institute for Health and Social Affairs, Sejong, Korea.
Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
J Prev Med Public Health. 2020 Jan;53(1):3-14. doi: 10.3961/jpmph.19.326. Epub 2020 Jan 31.
Many studies have been conducted to assess the health effects of climate change in Korea. However, there has been a lack of consideration regarding how the results of these studies can be applied to relevant policies. The current study aims to examine research trends at the agenda-setting stage and to review future ways in which health-related adaptation to climate change can be addressed within national public health policy. A systematic review of previous studies of the health effects of climate change in Korea was conducted. Many studies have evaluated the effect of ambient temperature on health. A large number of studies have examined the effects on deaths and cardio-cerebrovascular diseases, but a limitation of these studies is that it is difficult to apply their findings to climate change adaptation policy in the health sector. Many infectious disease studies were also identified, but these mainly focused on malaria. Regarding climate change-related factors other than ambient temperature, studies of the health effects of these factors (with the exception of air pollution) are limited. In Korea, it can be concluded that studies conducted as part of the agenda-setting stage are insufficient, both because studies on the health effects of climate change have not ventured beyond defining the problem and because health adaptation to climate change has not been set as an important agenda item. In the future, the sharing and development of relevant databases is necessary. In addition, the priority of agenda items should be determined as part of a government initiative.
韩国已经开展了许多研究来评估气候变化对健康的影响。然而，对于如何将这些研究结果应用于相关政策，却缺乏应有的考量。当前的研究旨在审视议程设定阶段的研究趋势，并探讨在国家公共卫生政策中应对与健康相关的气候变化适应问题的未来途径。对韩国此前关于气候变化对健康影响的研究进行了系统回顾。许多研究评估了环境温度对健康的影响。大量研究考察了其对死亡和心脑血管疾病的影响，但这些研究的一个局限性在于，难以将其研究结果应用于卫生部门的气候变化适应政策。还发现了许多传染病研究，但这些研究主要集中在疟疾方面。关于除环境温度之外的与气候变化相关的因素，对这些因素（空气污染除外）健康影响的研究有限。在韩国，可以得出这样的结论：作为议程设定阶段一部分开展的研究并不充分，这既是因为关于气候变化对健康影响的研究尚未超越问题界定阶段，也是因为对气候变化的健康适应尚未被设定为重要议程项目。未来，有必要共享和开发相关数据库。此外，议程项目的优先级应由政府主导确定。
