Scaramutti Carolina, Salas-Wright Christopher P, Vos Saskia R, Schwartz Seth J
1Division of Epidemiology,Department of Public Health Sciences,University of Miami Miller School of Medicine,Miami,Florida.
2School of Social Work,Boston University,Boston,Massachusetts.
Disaster Med Public Health Prep. 2019 Feb;13(1):24-27. doi: 10.1017/dmp.2018.151. Epub 2019 Jan 30.
The aim of this study was to compare the effect of Hurricane Maria on internalizing and posttraumatic stress disorders (PTSD) among Puerto Ricans who moved to Florida after the storm versus those who stayed on the island.
In March through April 2018 (6 months after Hurricane Maria), an online survey was used to assess the effects of the storm on mental health. A sample of 213 displaced Puerto Ricans living in urban and rural/suburban areas in Florida, as well as urban and rural areas of Puerto Rico, participated in the study.
Rates of PTSD were high in both sites (Florida, 65.7%; Puerto Rico, 43.6%); however, participants in Florida were far more likely than those in Puerto Rico to meet diagnostic criteria for PTSD (OR, 2.94; 95% CI, 1.67-5.26). Among participants in both Florida and Puerto Rico, those living in urban areas were more likely than those in rural/suburban areas to meet criteria for PTSD and generalized anxiety disorder.
Results suggest that post-Hurricane Maria adjustment and adaptation may have been more psychologically taxing for Puerto Ricans who moved to Florida than it was for those who remained on the island, and more difficult for those in urban areas than it was for those in suburban or rural areas. (Disaster Med Public Health Preparedness. 2019;13:24-27).
本研究旨在比较飓风玛丽亚过后，搬到佛罗里达的波多黎各人与留在岛上的波多黎各人在内化障碍和创伤后应激障碍（PTSD）方面的影响差异。
2018年3月至4月（飓风玛丽亚过后6个月），通过在线调查评估风暴对心理健康的影响。213名流离失所的波多黎各人参与了该研究，他们分别居住在佛罗里达的城乡及郊区，以及波多黎各的城乡地区。
两个地区的创伤后应激障碍发病率都很高（佛罗里达，65.7%；波多黎各，43.6%）；然而，佛罗里达的参与者比波多黎各的参与者更有可能符合创伤后应激障碍的诊断标准（比值比，2.94；95%置信区间，1.67 - 5.26）。在佛罗里达和波多黎各的参与者中，城市地区的人比城乡及郊区的人更有可能符合创伤后应激障碍和广泛性焦虑症的标准。
结果表明，飓风玛丽亚过后，搬到佛罗里达的波多黎各人在心理调适和适应方面可能比留在岛上的人面临更大的压力，城市地区的人比郊区或农村地区的人更困难。（《灾难医学与公共卫生防范》。2019年；13:24 - 27）
