Division of Pharmaceutical Outcomes and Policy, University of North Carolina Eshelman School of Pharmacy, Chapel Hill, North Carolina, USA.
Department of Pediatric Pulmonology, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
Disaster Med Public Health Prep. 2023 Aug 9;17:e446. doi: 10.1017/dmp.2023.115.
The aim of this study was to look at a cohort of adolescents who were already enrolled in a randomized controlled trial to see (1) how demographics were associated with hurricane impact, and (2) how hurricane impact was associated with reported asthma quality of life.
One hundred fifty-one adolescents ages 11-17 and their parents enrolled in a randomized controlled trial at 2 sites in southeastern North Carolina completed questions about asthma quality of life, demographics, and the impact of Hurricane Matthew.
The most common effects of Hurricane Matthew were that the family's home was damaged or flooded (32.5%), the school was damaged or flooded (31.8%), and the home had mold or mildew as a result of flooding or damage (25.8%). Problems with access to care were more common for families whose adolescent was non-White ( = 0.04), on Medicaid ( = 0.05), or if the family spoke Spanish at home ( < 0.001). Being affected by the hurricane was negatively associated with asthma quality of life.
Hurricane Matthew had significant impact on the health of adolescents with asthma in the affected region, especially in the most vulnerable populations. Providers should ensure that families of adolescents with asthma have a hurricane plan to mitigate impact on their children's health.
本研究旨在观察一组已入组随机对照试验的青少年，以了解（1）人口统计学特征与飓风影响之间的关系，以及（2）飓风影响与报告的哮喘生活质量之间的关系。
在北卡罗来纳州东南部的 2 个地点，151 名年龄在 11-17 岁的青少年及其父母入组了一项随机对照试验，他们完成了关于哮喘生活质量、人口统计学特征以及飓风马修影响的问题。
飓风马修最常见的影响是家庭住房受损或被洪水淹没（32.5%）、学校受损或被洪水淹没（31.8%）以及家庭因洪水或损坏而出现霉菌或霉变（25.8%）。对于青少年为非裔美国人（ = 0.04）、参加医疗补助计划（ = 0.05）或家庭在家说西班牙语（ < 0.001）的家庭，获得医疗护理的问题更为常见。受到飓风的影响与哮喘生活质量呈负相关。
飓风马修对受影响地区青少年的哮喘健康造成了重大影响，尤其是在最脆弱的人群中。提供者应确保哮喘青少年的家庭制定飓风应对计划，以减轻对其子女健康的影响。
