Norwegian Centre for Violence and Traumatic Stress Studies, Pb 181 Nydalen, 0409, Oslo, Norway.
Centre for Child and Adolescent Mental Health, Eastern and Southern Norway, Oslo, Norway.
BMC Health Serv Res. 2024 Mar 8;24(1):277. doi: 10.1186/s12913-024-10592-1.
There is scarce knowledge on the health care follow-up of parents of terror attack survivors. This study focused on the mothers and fathers of survivors and examined (1) their perceived health care needs relative to their psychological reactions, physical health problems (unmet health care needs), and adaptation to work; (2) whether sociodemographic characteristics, health problems and social support were associated with unmet health care needs; and (3) how unmet health care needs, sociodemographic characteristics, and experiences with health services associated with overall dissatisfaction during the health care follow-up.
Interview and questionnaire data from three waves of the Utøya parent study were analyzed (n = 364). Chi-square tests and t- tests were used to compare unmet physical and psychological health care needs, sociodemographic factors and post-terror attack health reported by mothers and fathers. Logistic regression analyses were used to examine whether sociodemographic characteristics, unmet health care needs, and health care experiences were associated with overall dissatisfaction among mothers and fathers of the survivors during the health care follow-up.
Among the mothers, 43% reported unmet health care needs for psychological reactions, while 25% reported unmet health care needs for physical problems. Among the fathers, 36% reported unmet health care needs for psychological reactions, and 15% reported unmet health care needs for physical problems. Approximately 1 in 5 mothers and 1 in 10 fathers reported "very high/high" needs for adaptation to work. Poorer self-perceived health, higher levels of posttraumatic stress and anxiety/depression symptoms, and lower levels of social support were significantly associated with reported unmet psychological and physical health care needs in both mothers and fathers. Parents with unmet health care needs reported significantly lower satisfaction with the help services received compared to parents whose health care needs were met. Low accessibility of help services and not having enough time to talk and interact with health care practitioners were associated with overall dissatisfaction with the help received.
Our findings highlight that parents of terror-exposed adolescents are at risk of having unmet psychological and physical health care needs and thus need to be included in proactive outreach and health care follow-up programs in the aftermath of a terror attack.
对于恐怖袭击幸存者的父母的医疗保健随访，相关知识十分匮乏。本研究聚焦于幸存者的母亲和父亲，考察了（1）他们相对于心理反应、身体健康问题（未满足的医疗保健需求）和工作适应情况感知到的医疗保健需求；（2）社会人口统计学特征、健康问题和社会支持是否与未满足的医疗保健需求相关；以及（3）未满足的医疗保健需求、社会人口统计学特征和与健康服务相关的经历如何与医疗保健随访期间的整体不满相关。
分析了乌托亚父母研究的三个阶段的访谈和问卷调查数据（n=364）。使用卡方检验和 t 检验比较了母亲和父亲报告的未满足的身体和心理健康保健需求、社会人口统计学因素和恐怖袭击后健康状况。使用逻辑回归分析来检验社会人口统计学特征、未满足的医疗保健需求和医疗保健经历是否与幸存者父母在医疗保健随访期间的整体不满相关。
在母亲中，43%报告存在未满足的心理反应的医疗保健需求，而 25%报告存在未满足的身体问题的医疗保健需求。在父亲中，36%报告存在未满足的心理反应的医疗保健需求，15%报告存在未满足的身体问题的医疗保健需求。大约五分之一的母亲和十分之一的父亲报告“非常高/高”的工作适应需求。自我感知健康状况较差、创伤后应激和焦虑/抑郁症状水平较高、社会支持水平较低，与母亲和父亲报告的未满足的心理和身体医疗保健需求显著相关。与医疗保健需求得到满足的父母相比，未满足医疗保健需求的父母报告对所获得的帮助服务的满意度明显较低。帮助服务的可及性低以及没有足够的时间与医疗保健从业者交谈和互动，与对所获得的帮助的整体不满相关。
我们的研究结果表明，恐怖袭击暴露的青少年的父母有未满足的心理和身体健康保健需求的风险，因此需要将他们纳入恐怖袭击后的主动外联和医疗保健随访计划中。
