J Korean Med Sci.  2018 Oct;33(40):e256. 10.3346/jkms.2018.33.e256.

Burden of Disease Due to Secondhand Smoke among Korean Adults at Sub-National Level

• Zahra A
• Park JH

• KMID: 2420924
• DOI: http://doi.org/10.3346/jkms.2018.33.e256

Abstract

BACKGROUND
Exposure to secondhand smoke (SHS) is one of the biggest health hazards. Quantifying the related burden of disease (BOD) is a powerful tool for making evidence-based policies. This study calculated the BOD due to SHS at sub-national level using the most recent statistics of Korea.
METHODS
SHS related diseases were selected by the systematic review of previous studies. Population attributable fraction (PAF) was calculated by using the standard formula using prevalence of exposure derived from Community Health Survey (CHS) 2013. SHS burden was calculated by multiplying nonsmoker's disability adjusted life years (DALYs) with PAF of SHS.
RESULTS
SHS burden at sub-national level ranged between 460 DALYs in Cheonan to 5 DALYs in Pyeongtaek, Songtan region. Median of DALY was highest in districts of metropolitan cities and lowest in small towns and rural areas. Twelve out of fifteen regions with highest DALY per 1,000 were small towns and rural areas. Gender and age standardized DALY was highest in Seogwipo (west) in Jeju-do (1.66/1,000) and lowest in Dong-gu, Ulsan (0.17/1,000).
CONCLUSION
There were substantial variations between regions according to BOD. Regional governments should implement policies according to specific situation in each region and regular monitoring should be done by calculating BOD. Big cities need to focus more on control of active and SHS prevalence. Resources in small towns and rural areas need to be allocated more towards implementation of screening programs, early diagnosis and treatment of diseases especially in the elderly population.

Keyword

Burden of Disease; Disability Adjusted Life Years; Korea; Population Attributable Fraction; Relative Risk; Secondhand Smoking

MeSH Terms

Adult*
Aged
Chungcheongnam-do
Early Diagnosis
Gyeonggi-do
Health Surveys
Humans
Jeju-do
Korea
Mass Screening
Prevalence
Quality-Adjusted Life Years
Tobacco Smoke Pollution*
Ulsan
Tobacco Smoke Pollution