Deaths from pesticide poisoning in South Korea: trends over 10 years.
OBJECTIVE
Pesticide poisoning is a major cause of death in the world. The objective of this study was to examine the trends of pesticide poisoning deaths and their epidemiologic characteristics in South Korea.


METHODS
We evaluated the age-standardized mortality rates from pesticide-related deaths (intentional self-poisoning, accidental poisoning, assault, undetermined intent poisoning) in South Korea from 1996 through 2005, using registered death data obtained from the Korea National Statistical Office. The regional rurality index was calculated and correlation analyses were used to estimate the association with pesticide poisoning mortality.


RESULTS
The number of pesticide poisoning deaths from 1996 through 2005 was 25,360, which accounted for 58.3% of the total poisoning fatalities. The age-standardized mortality rates by pesticide poisoning significantly increased from 4.42 to 6.42 per 100,000 population, whereas the total death rate was decreased in the same period. Intentional self-poisoning was the majority cause of death from pesticides (84.8% of total pesticide poisoning deaths). The majority of the pesticide poisoning deaths were men, over 50 years old, with education less than middle school, and residing in rural areas. The rate of pesticide poisoning deaths was the highest in the farming period and was significantly correlated with the rurality index of each region.


CONCLUSIONS
Pesticide poisoning deaths substantially increased during the 10-year study period, and showed demographic, seasonal and regional variations. More intensive intervention efforts to reduce pesticide mortality should become a public health priority in South Korea.
Lee
Won Jin
WJ
Department of Preventive Medicine, College of Medicine, Graduate School of Public Health, Korea University, Seoul, South Korea. leewj@korea.ac.kr
Cha
Eun Shil
ES
Park
Eun Sook
ES
Kong
Kyoung Ae
KA
Yi
Jun Hyeok
JH
Son
Mia
M
D000061:Accidents, Home / Q000401:mortality* / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007723:Korea / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009026:Mortality / Q000639:trends; D010575:Pesticides / Q000506:poisoning*; D011041:Poisoning / Q000209:etiology / Q000401:mortality*; D012423:Rural Health; D013405:Suicide / Q000706:statistics & numerical data / Q000639:trends; D055815:Young Adult
D010575:Pesticides