Lowe Dianne, Ebi Kristie L, Forsberg Bertil
Department of Public Health & Clinical Medicine, Occupational and Environmental Medicine, Umeå University, SE-90187 Umeå, Sweden.
Int J Environ Res Public Health. 2013 Dec 11;10(12):7015-67. doi: 10.3390/ijerph10127015.
Identifying the risk factors for morbidity and mortality effects pre-, during and post-flood may aid the appropriate targeting of flood-related adverse health prevention strategies. We conducted a systematic PubMed search to identify studies examining risk factors for health effects of precipitation-related floods, among Organisation for Economic Co-Operation and Development (OECD) member countries. Research identifying flood-related morbidity and mortality risk factors is limited and primarily examines demographic characteristics such as age and gender. During floods, females, elderly and children appear to be at greater risk of psychological and physical health effects, while males between 10 to 29 years may be at greater risk of mortality. Post-flood, those over 65 years and males are at increased risk of physical health effects, while females appear at greater risk of psychological health effects. Other risk factors include previous flood experiences, greater flood depth or flood trauma, existing illnesses, medication interruption, and low education or socio-economic status. Tailoring messages to high-risk groups may increase their effectiveness. Target populations differ for morbidity and mortality effects, and differ pre-, during, and post-flood. Additional research is required to identify the risk factors associated with pre- and post-flood mortality and post-flood morbidity, preferably using prospective cohort studies.
确定洪水前、期间和之后发病和死亡的风险因素,可能有助于洪水相关不良健康预防策略的合理定位。我们在经济合作与发展组织(OECD)成员国中,进行了一次系统的PubMed检索,以识别研究降水相关洪水对健康影响的风险因素的研究。确定与洪水相关的发病和死亡风险因素的研究有限,且主要考察年龄和性别等人口统计学特征。在洪水期间,女性、老年人和儿童似乎面临更大的心理和身体健康影响风险,而10至29岁的男性可能面临更高的死亡风险。洪水过后,65岁以上的人和男性身体健康影响风险增加,而女性心理健康影响风险似乎更大。其他风险因素包括既往洪水经历、洪水深度更大或洪水创伤、现有疾病、药物中断以及低教育水平或社会经济地位。针对高危人群定制信息可能会提高其有效性。发病和死亡影响的目标人群不同,且在洪水前、期间和之后也有所不同。需要进行更多研究,以确定与洪水前和洪水后死亡以及洪水后发病相关的风险因素,最好采用前瞻性队列研究。