Bell Sue Anne, Choi HwaJung, Langa Kenneth M, Iwashyna Theodore J
School of Nursing, University of Michigan, Ann Arbor, MichiganUSA.
University of Michigan Medical School, Ann Arbor, MichiganUSA.
Prehosp Disaster Med. 2019 Feb;34(1):95-97. doi: 10.1017/S1049023X18001231. Epub 2019 Jan 15.
The aim of this study was to examine the extent to which an exposure to disaster is associated with change in health behaviors.
Federal disaster declarations were matched at the county-level to self-reported behaviors for participants in the Health and Retirement Study (HRS), 2000-2014. Multivariable logistic regression was used to evaluate the relationship between disaster and change in physical activity, body mass index (BMI), and cigarette smoking.
The sample included 20,671 individuals and 59,450 interviews; 1,451 unique disasters were declared in counties in which HRS respondents lived during the study period. Exposure to disaster was significantly associated with weight gain (unadjusted RRR=1.19; 95% CI, 1.11-1.27; adjusted RRR=1.21; 95% CI, 1.13-1.30). Vigorous physical activity was significantly lower among those who had experienced a disaster compared to those who had not (unadjusted OR=0.89; 95% CI, 0.84-0.95; adjusted OR=0.84; 95% CI, 0.79-0.89). No significant difference in cigarette smoking was found.
This study found an increase in weight gain and decrease in physical activity among older adults after disaster exposure. Adverse health behaviors such as these can contribute to functional decline among older adults.BellSA, ChoiH, LangaKM, IwashynaTJ. Health risk behaviors after disaster exposure among older adults. Prehosp Disaster Med. 2019;34(1):95-97.
本研究旨在探讨遭受灾难与健康行为变化之间的关联程度。
将联邦灾难声明与健康与退休研究（HRS，2000 - 2014年）参与者的自我报告行为在县级层面进行匹配。采用多变量逻辑回归来评估灾难与身体活动、体重指数（BMI）及吸烟变化之间的关系。
样本包括20,671名个体及59,450次访谈；在研究期间，HRS受访者居住的县共宣布了1,451次不同的灾难。遭受灾难与体重增加显著相关（未调整的相对风险率RRR = 1.19；95%置信区间CI，1.11 - 1.27；调整后的RRR = 1.21；95%置信区间CI，1.13 - 1.30）。与未经历灾难的人相比，经历过灾难的人剧烈身体活动显著减少（未调整的比值比OR = 0.89；95%置信区间CI，0.84 - 0.95；调整后的OR = 0.84；95%置信区间CI，0.79 - 0.89）。未发现吸烟方面的显著差异。
本研究发现老年人遭受灾难后体重增加且身体活动减少。此类不良健康行为会导致老年人功能衰退。贝尔SA、崔H、兰加KM、伊瓦希纳TJ。老年人遭受灾难后的健康风险行为。院前灾难医学。2019；34(1)：95 - 97。
