Amiri Hadis, Riyahifar Sevda, Nakhaee Nouzar, Nekoei-Moghadam Mahmoud
Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran.
Department of Biostatistics, School of Public Health, University of Medical Sciences, Tehran, Iran.
Int J Emerg Med. 2022 Sep 5;15(1):44. doi: 10.1186/s12245-022-00449-x.
Earthquake is associated with several health conditions such as posttraumatic stress disorder (PTSD), depression, and cardiovascular disease. However, the association between earthquakes and substance use has been less studied to date. We conducted a historical cohort study 17 years after the Bam earthquake by enrolling 818 households using multi-stage cluster sampling. The sample consisted of earthquake-exposed and non-exposed citizens. The ASSIST screening test was used to determine substance use. Logistic regression analysis was used to evaluate the association of variables of interest with substance use. Nearly 60% of the study subjects were female and the mean ± SD age of the sample was 46.6 ± 11.5 years. The prevalence of tobacco, alcohol, and other drug use in the exposed group was 19.5%, 24.9%, and 21.6%, respectively. The corresponding figures in the non-exposed group were 15.6%, 19.3%, and 20.1%, respectively (P > 0.05). The logistic regression model found no association between the history of earthquake exposure and the risk of any current drug use. Our results showed those 17 years after the Bam earthquake, there was no relationship between earthquake exposure and substance use.
地震与多种健康状况相关，如创伤后应激障碍（PTSD）、抑郁症和心血管疾病。然而，迄今为止，地震与物质使用之间的关联研究较少。我们在巴姆地震17年后进行了一项历史性队列研究，通过多阶段整群抽样纳入了818户家庭。样本包括经历过地震和未经历过地震的居民。使用ASSIST筛查测试来确定物质使用情况。采用逻辑回归分析来评估感兴趣的变量与物质使用之间的关联。近60%的研究对象为女性，样本的平均年龄±标准差为46.6±11.5岁。暴露组中烟草、酒精和其他药物使用的患病率分别为19.5%、24.9%和21.6%。未暴露组的相应数字分别为15.6%、19.3%和20.1%（P>0.05）。逻辑回归模型发现地震暴露史与当前任何药物使用风险之间没有关联。我们的结果表明，在巴姆地震17年后，地震暴露与物质使用之间没有关系。
