Objectives: This study aimed to evaluate the environmental awareness and health impact of respiratory diseases among residents in the exposure area (Banwoldong) and the control area. Additionally, it sought to identify the correlation between environmental factors in the exposure area and their effects on health. Methods: This study utilized a 2021 survey of 20 residents to assess environmental awareness using a 5-point Likert scale. The measurement of indoor particulate matter (PM10, PM2.5), temperature, and humidity was conducted using a direct-reading laser light scattering device, the DT-9881M (SANE Cal. Co., Ltd., Korea). Additionally, a cohort analysis was conducted using National Health Insurance Service (NHIS) data (2002~2022) to evaluate the onset of chronic disease, focusing on residency and diagnostic records. Results: In the environmental awareness assessment, women showed a statistically significantly higher level of awareness than men regarding water pollution (p=0.0039) and soil pollution (p=0.007). Also, the incidence of respiratory diseases and asthma was statistically significantly higher in the exposure area than in the control area (p<0.0001). Conclusion: This study found significantly higher rates of respiratory diseases in the exposure area compared to the control area. Long-term exposure (≥5 years) to environmental factors in the exposure area was found to be associated with a greater health impact. This suggests a strong link between environmental factors and respiratory diseases. The results emphasize the need for region-specific environmental policies to address pollution-related health disparities.