Temple Jeff R, van den Berg Patricia, Thomas John F, Northcutt James, Thomas Christopher, Freeman Daniel H
Department of Obstetrics and Gynecology, UTMB Health, Galveston, Texas, USA.
Am J Disaster Med. 2011 Jul-Aug;6(4):201-6. doi: 10.5055/ajdm.2011.0059.
In September 2008, the Texas coast was directly hit by Hurricane Ike. Galveston Island was flooded by 4.25 m of storm surge, affecting most of the island's housing and infrastructure. The purpose of this study is to examine whether youth who did not evacuate (11 percent), and subsequently were exposed to Hurricane Ike, exhibit higher rates of substance use and physical and sexual teen dating violence (TDV; both perpetration and victimization) when compared with adolescents who did evacuate.
Public high school in southeast Texas that was in the direct path of Hurricane Ike.
An anonymous survey was conducted in March 2009 to 1,048 high school students who returned to the Galveston Island post-storm (41 percent Hispanic, 23 percent African American, and 27 percent White).
Teen dating violence and substance use.
Mantel-Haenszel odds ratios, adjusting for age and ethnicity, were computed. When compared with boys who evacuated, nonevacuating boys were more likely to perpetrate physical dating violence and sexual assault and to be a victim of sexual assault. Nonevacuating boys and girls were more likely to report recent use of excessive alcohol, marijuana, and cocaine than those who did evacuate.
School personnel, medical personnel, and mental health service providers should consider screening for evacuation status in seeking to identify those adolescents who most need services after a natural disaster. In addition to addressing internalized emotions and psychological symptoms associated with experiencing trauma, intervention programs should focus on reducing externalized behavior such as substance use and TDV.
2008年9月，德克萨斯州海岸直接受到飓风“艾克”的袭击。加尔维斯顿岛被4.25米的风暴潮淹没，岛上大部分房屋和基础设施受到影响。本研究的目的是检验未撤离（占11%）并随后遭受飓风“艾克”影响的青少年，与撤离的青少年相比，是否表现出更高的物质使用发生率以及青少年身体和性约会暴力（TDV；包括施暴和受害）发生率。
位于德克萨斯州东南部、处于飓风“艾克”直接路径上的一所公立高中。
2009年3月对1048名风暴后返回加尔维斯顿岛的高中生进行了一项匿名调查（41%为西班牙裔，23%为非裔美国人，27%为白人）。
青少年约会暴力和物质使用情况。
计算了经年龄和种族调整后的曼特尔 - 亨塞尔优势比。与撤离的男孩相比，未撤离的男孩实施身体约会暴力和性侵犯以及成为性侵犯受害者的可能性更大。未撤离的男孩和女孩报告近期过度饮酒、使用大麻和可卡因的可能性比撤离的人更高。
学校工作人员、医务人员和心理健康服务提供者在试图识别那些在自然灾害后最需要服务的青少年时，应考虑筛查其撤离状态。除了处理与经历创伤相关的内化情绪和心理症状外，干预项目应侧重于减少诸如物质使用和TDV等外化行为。
