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海燕台风过后受灾幸存者与卫生专业人员的健康状况:一项基于互联网的自主选择式网络调查。

Health among disaster survivors and health professionals after the Haiyan Typhoon: a self-selected Internet-based web survey.

作者信息

Hugelius Karin, Gifford Mervyn, Örtenwall Per, Adolfsson Annsofie

机构信息

School of Health Sciences, Örebro University, Örebro, Sweden.

Karlskoga Hospital, Örebro County Council, Karlskoga, Sweden.

出版信息

Int J Emerg Med. 2017 Dec;10(1):13. doi: 10.1186/s12245-017-0139-6. Epub 2017 Mar 29.

Abstract

BACKGROUND

Natural disasters affected millions of people worldwide every year. Evaluation of disaster health and health response interventions is faced with several methodological challenges. This study aimed (1) to describe survivors' and health professionals' health, 30 months after a natural disaster using a web-based self-selected Internet sample survey designed and (2) to evaluate the health effects of disaster response interventions, in the present study with a focus on disaster radio.

METHODS

A web-based survey was used to conduct a cross-sectional study approximately 30 months after typhoon Haiyan. The GHQ-12, EQ-5D-3L, and EQ-VAS instruments were used in addition to study-specific questions. A self-selected Internet sample was recruited via Facebook.

RESULTS

In total, 443 survivors, from what 73 were health professionals, participated in the study. The Haiyan typhoon caused both physical and mental health problems as well as social consequences for the survivors. Mental health problems were more frequently reported than physical injuries. Health professionals reported worse overall health and a higher frequency of mental health problems compared to other survivors.

CONCLUSIONS

There were short-term and long-term physical, psychological, and social consequences for the survivors as a result of the Haiyan typhoon. Mental health problems were more frequently reported and lasted longer than physical problems. Health professionals deployed during the disaster reported worse health, especially concerning mental health problems. The survey used was found useful to describe health after disasters.

摘要

背景

自然灾害每年影响全球数百万人。灾害健康评估和健康应对干预措施面临若干方法学挑战。本研究旨在:(1)使用自行设计的基于网络的自选互联网样本调查,描述自然灾害发生30个月后幸存者和卫生专业人员的健康状况;(2)在本研究中,以灾害广播为重点,评估灾害应对干预措施对健康的影响。

方法

在台风“海燕”过后约30个月,采用基于网络的调查进行横断面研究。除了特定研究问题外,还使用了一般健康问卷12项版(GHQ-12)、欧洲五维度健康量表(EQ-5D-3L)和视觉模拟量表(EQ-VAS)。通过脸书招募了一个自选互联网样本。

结果

共有443名幸存者参与了研究,其中73名是卫生专业人员。“海燕”台风给幸存者带来了身心健康问题以及社会影响。心理健康问题的报告频率高于身体伤害。与其他幸存者相比,卫生专业人员报告的总体健康状况更差,心理健康问题的发生频率更高。

结论

“海燕”台风给幸存者带来了短期和长期的身体、心理及社会影响。心理健康问题的报告频率更高,且持续时间比身体问题更长。在灾害期间部署的卫生专业人员报告的健康状况更差,尤其是心理健康问题。研究发现所使用的调查方法有助于描述灾害后的健康状况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86ac/5371534/76414a28c73f/12245_2017_139_Fig1_HTML.jpg

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