Ryu Hye-Seung, Ha Jea Chul, Chung Insung, Yang Seonhee, Kim Hyunjoo, Choi Sung-Deuk
Department of Occupational and Environmental Medicine, Keimyung University Dongsan Medical Center, Daegu, Korea.
Department of Occupational and Environment Medicine, Keimyung University School of Medicine, Daegu, Korea.
Ann Occup Environ Med. 2023 Aug 10;35:e31. doi: 10.35371/aoem.2023.35.e31. eCollection 2023.
With modernization, air pollution has become increasingly serious, and its effects on health have been revealed. As a result, public interest in environmental pollution has become critical for regulating air pollution. In our study, we aim to evaluate the impact of air pollution levels on public attention to environmental issues and examine whether awareness of the residential environment's impact on health acts as a mediator in this relationship.
We conducted an analysis on 400 individuals surveyed in the preliminary feasibility study on adverse health effects in the Pohang Industrial Complex, to examine the relationship between particulate matter 2.5 (PM2.5) and attention to environmental issues. Logistic regression analysis was performed, and mediation analysis was used to determine whether awareness of the residential environment's impact on health mediated the relationship.
The logistic regression analysis results showed that PM2.5 levels were associated with attention to environmental issues (adjusted odds ratio [AOR]: 2.1; 95% confidence interval [CI]: 1.3-3.5; = 0.003) and awareness of health impacts (AOR: 3.4; 95% CI: 1.6-7.1; = 0.001). The PM2.5 levels showed 9.9% (95% CI: 5.4-14.0) increase in the prevalence of high attention to environmental issues, of which, only 1.0% (95% CI: 0.2-2.3) were mediated by health impact awareness. In the overall analysis, 10% of the total effect of PM2.5 on attention to environmental issues was mediated by health impact awareness.
According to this study's results, there was a correlation between air pollution levels and attention to environmental issues. Awareness of the health impacts of air pollution partially mediated the effect of air pollution levels on attention to environmental issues. In future studies, it is recommended to identify other mediators to further understand this structure.
随着现代化进程，空气污染日益严重，其对健康的影响已被揭示。因此，公众对环境污染的关注对于规范空气污染至关重要。在我们的研究中，我们旨在评估空气污染水平对公众对环境问题关注的影响，并检验对居住环境对健康影响的认知是否在此关系中起中介作用。
我们对在浦项工业园区进行的关于不良健康影响的初步可行性研究中调查的400个人进行了分析，以检验细颗粒物2.5（PM2.5）与对环境问题关注之间的关系。进行了逻辑回归分析，并使用中介分析来确定对居住环境对健康影响的认知是否介导了这种关系。
逻辑回归分析结果显示，PM2.5水平与对环境问题的关注（调整后的优势比[AOR]：2.1；95%置信区间[CI]：1.3 - 3.5；P = 0.003）以及对健康影响的认知（AOR：3.4；95%CI：1.6 - 7.1；P = 0.001）相关。PM2.5水平显示对环境问题高度关注的患病率增加了9.9%（95%CI：5.4 - 14.0），其中，只有1.0%（95%CI：0.2 - 2.3）是由健康影响认知介导的。在总体分析中，PM2.5对环境问题关注的总效应的10%是由健康影响认知介导的。
根据本研究结果，空气污染水平与对环境问题的关注之间存在相关性。对空气污染健康影响的认知部分介导了空气污染水平对环境问题关注的影响。在未来的研究中，建议识别其他中介因素以进一步理解这种结构。
