Leonardi Matilde, Talampas Rolando, Chatterji Somnath, Kostanjsek Nenad F, Regadio Crisanto, Tarroja Maria C, Schiavolin Silvia, Naidoo Nirmala, Raggi Alberto, Pindog Mona, Zayas Jerome, Zagaria Nevio
aDepartment of Neurology, Public Health and Disability Unit, Neurological Institute Carlo Besta IRCCS Foundation, Milan, Italy bAsian Center - University of the Philippines Diliman, Quezon City cSocial Development Research Center (SDRC) - De La Salle University dInclusive Development and Empowerment Agenda (IDEA) eEmergency and Humanitarian Action, Division of Health Security and Emergencies - World Health Organization, Regional Office for the Western Pacific, Manila, Philippines fDepartment of Information, Evidence and Research - World Health Organization, Geneva, Switzerland.
Int J Rehabil Res. 2016 Sep;39(3):267-71. doi: 10.1097/MRR.0000000000000181.
The most commonly reported data after natural disasters are the number of deceased and displaced and the structural and economic damage, whereas disability data are often lacking. Our study assessed disability among the survivors of the Haiyan/Yolanda typhoon that struck Philippines in 2013 and is aimed to identify which context-level variables are associated with higher disability. We used a cross-sectional design and administered a household questionnaire, an individual sociodemographic questionnaire, and the WHODAS 2.0 to 1982 adults. Logistic regression analysis was carried out to address the degree to which demographic variables, effects of the typhoon, individual health state, and rural or urban residence were associated with higher disability. Those aged above 65, employed individuals, students, those not living in their households, and those with one or more health condition or rating their own as health moderate or very poor had higher likelihood of having severe disability. Survivors living in rural contexts and those who received tools/materials to repair their houses were less likely to have higher disability. This study outlines that disability can and should be used as an indicator in surveys after emergencies to identify the most vulnerable groups, thus guiding policies, reconstruction strategies, and health and social interventions.
自然灾害后最常报告的数据是死亡和流离失所人数以及结构和经济损失，而残疾数据往往缺失。我们的研究评估了2013年袭击菲律宾的海燕/约兰达台风幸存者中的残疾情况，旨在确定哪些背景层面的变量与更高的残疾率相关。我们采用横断面设计，对1982名成年人发放了家庭问卷、个人社会人口学问卷以及世界卫生组织残疾评定量表2.0。进行了逻辑回归分析，以探讨人口统计学变量、台风影响、个人健康状况以及城乡居住情况与更高残疾率的关联程度。65岁以上的人、就业者、学生、不住在自己家中的人，以及有一项或多项健康问题或自评健康状况为中等或非常差的人，发生严重残疾的可能性更高。生活在农村地区的幸存者以及获得房屋修复工具/材料的人残疾率较高的可能性较小。本研究概述了残疾可以而且应该用作紧急情况后调查中的一项指标，以识别最脆弱群体，从而指导政策、重建战略以及健康和社会干预措施。
