Arbour MaryCatherine, Murray Kara A, Yoshikawa Hirokazu, Arriet Felipe, Moraga Cecilia, Vega Miguel Angel Cordero
MD, MPH is Associate Physician for Research in the Division of Global Health Equity, Department of Medicine, Brigham and Women's Hospital, Boston, MA, United States.
MPH is Research Assistant in the Division of Global Health Equity, Department of Medicine, Brigham and Women's Hospital, Boston, MA, United States.
Disasters. 2017 Apr;41(2):365-387. doi: 10.1111/disa.12197. Epub 2016 May 12.
An 8.8-magnitude earthquake occurred off the coast of Chile on 27 February 2010, displacing nearly 2,000 children aged less than five years to emergency housing camps. Nine months later, this study assessed the needs of 140 displaced 0-5-year-old children in six domains: caregiver stability and protection; health; housing; nutrition; psychosocial situation; and stimulation. Multivariate regression was applied to examine the degree to which emotional, physical, and social needs were associated with baseline characteristics and exposure to the earthquake, to stressful events, and to ongoing risks in the proximal post-earthquake context. In each domain, 20 per cent or fewer children had unmet needs. Of all children in the sample, 20 per cent had unmet needs in multiple domains. Children's emotional, physical, and social needs were associated with ongoing exposures amenable to intervention, more than with baseline characteristics or epicentre proximity. Relief efforts should address multiple interrelated domains of child well-being and ongoing risks in post-disaster settings.
2010年2月27日，智利海岸发生了8.8级地震，近2000名5岁以下儿童被转移至应急住房营地。九个月后，本研究评估了140名流离失所的0至5岁儿童在六个领域的需求：照料者稳定性与保护；健康；住房；营养；心理社会状况；以及刺激。采用多变量回归分析，以检验情感、身体和社会需求与基线特征、地震暴露、应激事件以及震后近期持续风险之间的关联程度。在每个领域，有未满足需求的儿童比例为20%或更低。样本中的所有儿童中，20%在多个领域有未满足的需求。儿童的情感、身体和社会需求与可通过干预解决的持续暴露因素的关联，大于与基线特征或距震中的距离的关联。救援工作应关注灾后环境中儿童福祉的多个相互关联领域以及持续风险。
