Department of Health Service, Second Military Medical University, Shanghai, China.
Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Front Public Health. 2022 Oct 21;10:976075. doi: 10.3389/fpubh.2022.976075. eCollection 2022.
Yushu, Qinghai Province, which is located in the remote Tibetan Plateau in western China, was struck by a disastrous earthquake in 2010.
This study aimed to compare the health status of adolescents who had (Exp-Group) and had not (Non-Group) experienced the Yushu earthquake, 7 years after it occurred; additionally, group-specific predictors of health status were identified. A cross-sectional study was adopted among students from two junior schools in Yushu, whereby two groups were compared. Descriptive statistics, -tests, Wilcoxon rank-sum tests, Kruskal-Wallis H tests, and stepwise linear regression were used to analyze data.
Exp-Group scored higher than Non-Group on Physiological Component Summary (PCS) but not on Mental Component Summary (MCS). Among Exp-Group participants, lower PCS scores were predicted for "house damaged," "injured," "family member injured," and "family member or friend dead." Lower MCS scores were predicted by "family member or friend dead." Among Non-Group participants, PCS scores were predicted by "residence" and "family member or friend dead." Lower MCS scores were predicted by "not living with parents."
Lower PCS and MCS scores of Exp-Group adolescents mainly contributed to earthquake-related injuries, while lower PCS and MCS scores of Non-Group are related to poor living conditions and the fact of the left-behind child.
青海省玉树州地处中国西部偏远的青藏高原,2010 年遭受了灾难性的地震。
本研究旨在比较经历过(实验组)和未经历过(对照组)玉树地震的青少年在地震发生 7 年后的健康状况,并确定与健康状况相关的特定预测因素。本研究采用横断面研究方法,对玉树市两所初中的学生进行比较。采用描述性统计、t 检验、Wilcoxon 秩和检验、Kruskal-Wallis H 检验和逐步线性回归对数据进行分析。
实验组在生理成分综合评分(PCS)上的得分高于对照组,但在心理成分综合评分(MCS)上的得分则低于对照组。在实验组中,PCS 得分较低的预测因素包括“房屋受损”、“受伤”、“家庭成员受伤”和“家庭成员或朋友死亡”。MCS 得分较低的预测因素包括“家庭成员或朋友死亡”。在对照组中,PCS 得分较低的预测因素包括“居住地”和“家庭成员或朋友死亡”。MCS 得分较低的预测因素包括“与父母同住”。
实验组青少年较低的 PCS 和 MCS 评分主要归因于地震相关的伤害,而对照组青少年较低的 PCS 和 MCS 评分则与较差的生活条件和留守子女的事实有关。