Song Minkyo, Hong Yun-Chul, Cheong Hae-Kwan, Ha Mina, Kwon Hojang, Ha Eun-Hee, Choi Yeyong, Jeong Woo-Chul, Hur Jongil, Lee Seung-Min, Kim Eun-Jung
Department of Preventive Medicine, Seoul National University College of Medicine, Korea.
J Prev Med Public Health. 2009 Mar;42(2):82-8. doi: 10.3961/jpmph.2009.42.2.82.
Our objective was to examine and evaluate the psychological health of the residents of Taean during the cleanup of the Hebei Spirit (HS) oil spill and to review some factors associated with the results.
A community survey of 71 men and women was conducted 8 weeks after the HS oil spill. Questionnaires used were the PWI (Psychological Well-being Index) scale for psychosocial distress, the CES-D (Center for Epidemiologic Studies-Depression) scale for depressive symptoms, and a questionnaire created to assess suicidal impulses.
The overall prevalence of high-risk psychosocial distress among the study group was 64.2%. The percentages of respondents with scores on the CES-D Scale above 16 and above 21 were 77.6% and 62.7%, respectively. The percentage of respondents categorized as having suicidal impulses was 18.3%. When compared with unexposed groups in the general population taken from various sources, the residents of Taean were 6.5 times as likely to have high stress and 9.4-9.7 times as likely to be depressed. No significant difference in the rate of suicidal impulse was found between the residents of Taean and the general population. Factors associated with high stress, depression, and suicidal impulses were age, a change in income, educational level, number of days working on the cleanup, and positive responses to questions about "affected daily activity" and "hospital visit due to work on cleanup."
The results suggest that the HS oil spill had a significant impact on the psychological health of residents of Taean, but the comparability of the unexposed groups is a limitation of the study.
我们的目的是在河北精神号（HS）油轮漏油清理期间，对泰安居民的心理健康状况进行检查和评估，并回顾一些与结果相关的因素。
在HS油轮漏油事件发生8周后，对71名男性和女性进行了社区调查。所使用的问卷包括用于评估心理社会困扰的PWI（心理健康指数）量表、用于评估抑郁症状的CES-D（流行病学研究中心抑郁量表）量表，以及一份用于评估自杀冲动的问卷。
研究组中高风险心理社会困扰的总体患病率为64.2%。CES-D量表得分高于16分和高于21分的受访者比例分别为77.6%和62.7%。被归类为有自杀冲动的受访者比例为18.3%。与从不同来源选取的普通人群中的未暴露组相比，泰安居民出现高压力的可能性是其6.5倍，出现抑郁的可能性是其9.4至9.7倍。泰安居民与普通人群之间在自杀冲动发生率上未发现显著差异。与高压力、抑郁和自杀冲动相关的因素包括年龄、收入变化、教育水平、参与清理工作的天数，以及对“日常活动受到影响”和“因清理工作就诊”问题的肯定回答。
结果表明，HS油轮漏油事件对泰安居民的心理健康产生了重大影响，但未暴露组的可比性是本研究的一个局限性。
