Department of Military Health Service Management, College of Military Health Service Management, Second Military Medical University, Shanghai 200433, China.
Int J Environ Res Public Health. 2017 Dec 11;14(12):1556. doi: 10.3390/ijerph14121556.
Research concerning the impact of earthquake victims' individual behavior and its association with earthquake-related injuries is lacking. This study examined this relationship along with effectiveness of earthquake rescue measures. The six most severely destroyed townships during the Lushan earthquake were examined; 28 villages and three earthquake victims' settlement camp areas were selected as research areas. Inclusion criteria comprised living in Lushan county for a longtime, living in Lushan county during the 2013 Lushan earthquake, and having one's home destroyed. Earthquake victims with an intellectual disability or communication problems were excluded. The earthquake victims (N (number) = 5165, male = 2396) completed a questionnaire (response rate: 94.7%). Among them, 209 were injured (5.61%). Teachers (p < 0.0001, OR (odds ratios) = 3.33) and medical staff (p = 0.001, OR = 4.35) were more vulnerable to the earthquake than were farmers. Individual behavior was directly related to injuries, such as the first reaction after earthquake and fear. There is an obvious connection between earthquake-related injury and individual behavior characteristics. It is strongly suggested that victims receive mental health support from medical practitioners and the government to minimize negative effects. The initial reaction after an earthquake also played a vital role in victims' trauma; therefore, earthquake-related experience and education may prevent injuries. Self-aid and mutual help played key roles in emergency, medical rescue efforts.
关于地震灾民个体行为及其与地震相关伤害之间关系的研究尚缺乏。本研究检验了这种关系以及地震救援措施的有效性。研究考察了芦山地震中受灾最严重的六个乡镇,选择了 28 个村庄和三个地震灾民安置营地作为研究区域。纳入标准包括在芦山县长期居住、在 2013 年芦山地震期间在芦山县居住以及房屋被毁。排除智力残疾或有沟通问题的地震灾民。共有 5165 名地震灾民(男性 2396 名)完成了问卷调查(应答率:94.7%)。其中 209 人受伤(5.61%)。教师(p < 0.0001,OR(比值比)= 3.33)和医务人员(p = 0.001,OR = 4.35)比农民更容易受到地震影响。个体行为与受伤直接相关,例如地震后的第一反应和恐惧。地震相关伤害与个体行为特征之间存在明显联系。强烈建议医疗工作者和政府为灾民提供心理健康支持,以最大程度地减少负面影响。地震后的第一反应对灾民的创伤也起着至关重要的作用;因此,地震相关的经验和教育可能有助于预防受伤。自救和互救在应急和医疗救援中发挥了关键作用。