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中国西部青藏高原地区青少年的健康状况:玉树地震6年后

Health status of adolescents in the Tibetan plateau area of western China: 6 years after the Yushu earthquake.

作者信息

Liu Xu, Yang Hongyang, Tang Bihan, Liu Yuan, Zhang Lulu

机构信息

Department of HealthService, Faculty of HealthService, Second Military Medical University, 800Xiangyin Road, Shanghai, 200433, China.

Department of Medical Affairs, The General Hospital of the PLA Rocket Force, Beijing, China.

出版信息

Health Qual Life Outcomes. 2017 Jul 29;15(1):152. doi: 10.1186/s12955-017-0727-4.

Abstract

BACKGROUND

An earthquake struck Yushu in Qinghai province of China on April 14, 2010, causing 2698 deaths and 12,135 injuries.The present study aimed to assess the health status, and associated determinants, of child survivors in the epicenter of the Yushu earthquake 6 years after the event.

METHODS

A cross-sectional survey was performed among students from two junior schools in Yushu County. Descriptive statistics, t-tests, ANOVA, Wilcoxon rank sum tests, Kruskal-Wallis H tests and stepwise linear regression analysis were used for data analysis.

RESULTS

The mean scores onmental component summary (MCS)and physical component summary (PCS) were 42.13 (SD 7.32) and 42.04 (SD 8.07), respectively. Lower PCS in the aftermath of an earthquake was associated with being trapped/in danger, injured to self, receiving no escape training while lowerMCS in the aftermath of an earthquake was associated with a lower grade level, not living with parents, fear during the earthquake, death in the family, and not receiving psychological counseling after the earthquake.

CONCLUSIONS

In conclusion, the results of the present study help to expand our knowledge regarding the health status of child survivors 6 years after the Yushu earthquake. Our study provides evidence-based suggestions for specific long-term health interventions in such vulnerable populations.

摘要

背景

2010年4月14日,中国青海省玉树发生地震,造成2698人死亡,12135人受伤。本研究旨在评估玉树地震震中儿童幸存者在震后6年的健康状况及其相关决定因素。

方法

对玉树县两所初中的学生进行了横断面调查。采用描述性统计、t检验、方差分析、Wilcoxon秩和检验、Kruskal-Wallis H检验和逐步线性回归分析进行数据分析。

结果

心理成分总结(MCS)和身体成分总结(PCS)的平均得分分别为42.13(标准差7.32)和42.04(标准差8.07)。震后较低的PCS与被困/处于危险中、自身受伤、未接受逃生训练有关,而震后较低的MCS与年级较低、不与父母同住、地震期间的恐惧、家庭死亡以及震后未接受心理咨询有关。

结论

总之,本研究结果有助于扩展我们对玉树地震6年后儿童幸存者健康状况的认识。我们的研究为针对此类弱势群体的具体长期健康干预提供了循证建议。

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