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美国密歇根州弗林特水危机影响社区的行为健康问题评估 - 2016年

Assessment of Behavioral Health Concerns in the Community Affected by the Flint Water Crisis - Michigan (USA) 2016.

作者信息

Fortenberry Gamola Z, Reynolds Patricia, Burrer Sherry L, Johnson-Lawrence Vicki, Wang Alice, Schnall Amy, Pullins Price, Kieszak Stephanie, Bayleyegn Tesfaye, Wolkin Amy

机构信息

1Epidemic Intelligence Service,Office of Public Health Scientific Services,Centers for Disease Control and Prevention,Atlanta,GeorgiaUSA.

3Genesee Health System,Flint,MichiganUSA.

出版信息

Prehosp Disaster Med. 2018 Jun;33(3):256-265. doi: 10.1017/S1049023X18000250. Epub 2018 Apr 19.

Abstract

OBJECTIVES

The Flint Community Resilience Group (Flint, Michigan USA) and the Centers for Disease Control and Prevention (CDC; Atlanta, Georgia USA) assessed behavioral health concerns among community members to determine the impact of lead contamination of the Flint, Michigan water supply.

METHODS

A Community Assessment for Public Health Emergency Response (CASPER) was conducted from May 17 through May 19, 2016 using a multi-stage cluster sampling design to select households and individuals to interview.

RESULTS

One-half of households felt overlooked by decision makers. The majority of households self-reported that at least one member experienced more behavioral health concerns than usual. The prevalence of negative quality of life indicators and financial concerns in Flint was higher than previously reported in the Michigan 2012 and 2014 Behavioral Risk Factor Surveillance System (BRFSS) survey.

CONCLUSIONS

The following can be considered to guide recovery efforts in Flint: identifying additional resources for behavioral health interventions and conducting follow-up behavioral health assessments to evaluate changes in behavioral health concerns over time; considering the impact of household economic factors when implementing behavioral health interventions; and ensuring community involvement and engagement in recovery efforts to ease community stress and anxiety. FortenberryGZ, ReynoldsP, BurrerSL, Johnson-LawrenceV, WangA, SchnallA, PullinsP, KieszakS, BayleyegnT, WolkinA. Assessment of behavioral health concerns in the community affected by the Flint water crisis - Michigan (USA) 2016. Prehosp Disaster Med. 2018;33(3):256-265.

摘要

目标

弗林特社区恢复力小组(美国密歇根州弗林特)和疾病控制与预防中心(美国佐治亚州亚特兰大)评估了社区成员的行为健康问题,以确定密歇根州弗林特市供水系统铅污染的影响。

方法

2016年5月17日至5月19日进行了公共卫生应急响应社区评估(CASPER),采用多阶段整群抽样设计选择家庭和个人进行访谈。

结果

一半的家庭认为决策者忽视了他们。大多数家庭自我报告称,至少有一名成员经历了比平时更多的行为健康问题。弗林特市生活质量负面指标和财务问题的患病率高于密歇根州2012年和2014年行为风险因素监测系统(BRFSS)调查中先前报告的水平。

结论

以下内容可用于指导弗林特市的恢复工作:确定行为健康干预的额外资源,并进行后续行为健康评估,以评估行为健康问题随时间的变化;在实施行为健康干预时考虑家庭经济因素的影响;确保社区参与恢复工作,以缓解社区压力和焦虑。Fortenberry GZ、Reynolds P、Burrer SL、Johnson-Lawrence V、Wang A、Schnall A、Pullins P、Kieszak S、Bayleyegn T、Wolkin A。2016年美国密歇根州弗林特水危机影响社区的行为健康问题评估。院前灾难医学。2018;33(3):256 - 265。

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