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科舍地滑坡幸存者创伤后应激障碍发生率及相关因素分析:一项基于社区的横断面研究。

Prevalence of post-traumatic stress disorder and associated factors among Koshe landslide survivors, Addis Ababa, Ethiopia: a community-based, cross-sectional study.

机构信息

Psychiatry, Debretabor University, Debretabor, Ethiopia.

Psychiatry, University of Gondar, Gondar, Ethiopia.

出版信息

BMJ Open. 2019 Jun 29;9(6):e028550. doi: 10.1136/bmjopen-2018-028550.

Abstract

OBJECTIVES

To assess the prevalence of post-traumatic stress disorder (PTSD) and associated factors among the survivors of Koshe landslide, Addis Ababa, Ethiopia, 2018.

DESIGN

Community-based cross-sectional design.

SETTING

Koshe landslide, Addis Ababa, Ethiopia.

PARTICIPANTS

We recruited 830 participants for interviews using the simple random sampling technique.

MEASUREMENT

We collected data by face-to-face interviews. The civilian version of the PTSD checklist was used to measure the symptoms of the disorder. The Perceived Stress Scale and the Oslo-3 social support instruments were used to assess the factors. Coded variables were entered into Epi data V.4.2 and exported to SPSS V.24 for analysis. Bivariate and multivariate logistic regressions with OR and 95% CI were employed.

RESULT

A total of 830 participants were interviewed, with a response rate of 98.2%. The prevalence of PTSD was 37.3% with 95% CI 34.1 to 40.8. In the multivariate logistic regression, female sex (adjusted odds ratio (AOR)=1.74, 95% CI 1.21 to 2.50), divorce (AOR=2.08, 95% CI 1.26 to 3.43), sustained physical injury (AOR=8.28, 95% CI 5.04 to 13.61), history of mental illness (AOR=5.55, 95% CI 2.30 to 13.36), family history of mental illness (AOR=2.82, 95% CI 1.48 to 5.37), poor social support (AOR=3.64, 95% CI 1.99 to 6.69) and high perceived stress (AOR=3.08, 95% CI 1.43 to 6.64) were associated with PTSD.

CONCLUSION AND RECOMMENDATIONS

The prevalence of PTSD among the survivors of Koshe landslide was high. We recommend that an early PTSD-focused regular screening be carried out by trained health professionals; linkage with mental health service providers also needs to be considered.

摘要

目的

评估 2018 年埃塞俄比亚亚的斯亚贝巴 Koshe 山体滑坡幸存者中创伤后应激障碍(PTSD)的患病率及其相关因素。

设计

基于社区的横断面设计。

地点

埃塞俄比亚亚的斯亚贝巴 Koshe 山体滑坡。

参与者

我们使用简单随机抽样技术招募了 830 名接受访谈的参与者。

测量

我们通过面对面访谈收集数据。使用平民版 PTSD 清单来衡量该疾病的症状。使用感知压力量表和奥斯陆 3 号社会支持工具来评估相关因素。编码变量被输入 EpiData V.4.2 并导出到 SPSS V.24 进行分析。采用二元和多元逻辑回归,采用比值比(OR)和 95%置信区间(CI)。

结果

总共对 830 名参与者进行了访谈,应答率为 98.2%。PTSD 的患病率为 37.3%,95%CI 为 34.1%至 40.8%。在多元逻辑回归中,女性(调整后的优势比(AOR)=1.74,95%CI 为 1.21 至 2.50)、离婚(AOR=2.08,95%CI 为 1.26 至 3.43)、遭受身体伤害(AOR=8.28,95%CI 为 5.04 至 13.61)、精神病史(AOR=5.55,95%CI 为 2.30 至 13.36)、精神病史家族史(AOR=2.82,95%CI 为 1.48 至 5.37)、社会支持较差(AOR=3.64,95%CI 为 1.99 至 6.69)和感知压力较高(AOR=3.08,95%CI 为 1.43 至 6.64)与 PTSD 相关。

结论和建议

Koshe 山体滑坡幸存者中 PTSD 的患病率较高。我们建议由经过培训的卫生专业人员进行早期以 PTSD 为重点的定期筛查;还需要考虑与心理健康服务提供者建立联系。

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