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女性与自然灾害的健康后果:挑战还是机遇?

Women and health consequences of natural disasters: Challenge or opportunity?

作者信息

Sohrabizadeh Sanaz, Tourani PhD Sogand, Khankeh Hamid Reza

机构信息

a Department of Health in Disasters and Emergencies, School of Health, Safety and Environment , Shahid Beheshti University of Medical Sciences , Tehran , Iran.

b Department of Health Services Management, School of Health Management and Information Sciences , Iran University of Medical Sciences , Tehran , Iran.

出版信息

Women Health. 2016 Nov-Dec;56(8):977-93. doi: 10.1080/03630242.2016.1176101. Epub 2016 May 2.

Abstract

Disasters do not affect people equally; the impact of disasters on the lives of women is different from other groups of a community. Women's fundamental rights to health and safety are violated after disasters. The authors of this study aimed to explore various factors of women's health with reference to previous natural disasters in Iran. A qualitative approach using in-depth unstructured interviews and field observations was employed to explore women's health factors in the affected regions. A total of 22 participants affected by disasters, as well as key informants, were interviewed applying the purposeful sampling method. Data were collected in 2014 in three provinces, including East Azerbaijan, Bushehr, and Mazandaran. A content analysis using the Graneheim approach was performed for analyzing the transcribed interviews. Two themes and four categories were extracted from the data. The themes that emerged included psycho-physical effects and women's health status. Physical and psycho-emotional effects and reproductive and environmental health effects were the four emergent categories. The findings implied that managing women's health challenges may result in reducing the distressing effects of disaster. These findings support identification and application of the mechanisms by which women's well-being in physical, mental, reproductive, and environmental aspects can be protected after disasters.

摘要

灾难对人们的影响并不相同;灾难对女性生活的影响与社区中的其他群体有所不同。灾难过后,女性的健康和安全基本权利受到侵犯。本研究的作者旨在参考伊朗以往的自然灾害,探究影响女性健康的各种因素。采用深度非结构化访谈和实地观察的定性方法,以探究受灾地区女性的健康因素。运用目的抽样法,共对22名受灾参与者以及关键信息提供者进行了访谈。2014年在东阿塞拜疆、布什尔和马赞德兰三省收集了数据。采用格兰海姆方法对转录的访谈进行内容分析。从数据中提取了两个主题和四个类别。出现的主题包括身心影响和女性健康状况。身体和心理情绪影响以及生殖和环境健康影响是四个出现的类别。研究结果表明,应对女性的健康挑战可能会减少灾难带来的痛苦影响。这些发现支持识别和应用相关机制,以便在灾难过后保护女性在身体、心理、生殖和环境方面的福祉。

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