Stress and well-being in mothers of young children 11 years after the Chornobyl nuclear power plant accident
Stress and well-being in mothers of young children 11 years after the Chornobyl nuclear power plant accident
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DOI：
10.1017/s0033291701004676
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发表时间：
2002-01-01
影响因子：
6.9
通讯作者：
Gluzman, S
中科院分区：
文献类型：
--
作者：
Adams, RE;Bromet, EJ;Gluzman, S
背景资料。这篇论文调查了乔诺贝利核电站爆炸暴露与有年幼孩子的母亲的心理和身体健康之间的联系。这项研究还考察了暴露于氯诺贝利是否增加了母亲对随后的经济和社会压力的脆弱性，从而代表了在非西方环境中对压力-脆弱性模型的独特测试。样本包括从核电站周围污染区撤离的母亲(撤离者)和从未在受辐射污染地区生活过的母亲(对照)。除了暴露状态，采访还获得了感知到的经济压力、社会压力和压力调节因素的数据。采用SCL-90总体严重程度指数(GSI)、自感身体健康和因病不能工作天数作为因变量进行测量。总体而言，与对照母亲相比，疏散母亲报告的压力源更少，个人和社会资源更多。尽管如此，即使在控制了人口因素、压力源和压力调节因素后，撤离者的GSI得分更高，报告的身体健康感知更低，病假也比对照母亲多。交互作用检验无统计学意义。调查结果证实，在Chornobyl核电站爆炸后被疏散到基辅的带着年幼子女的已婚妇女报告说，11年后，她们的心理和被认为的身体健康比对照组差得多。尽管感知到的社会和经济逆境也影响了这些结果，但没有证据表明暴露在Chornobyl事故中会增加母亲对这些压力源的脆弱性，这支持了压力的累加负担模型。
Background. This paper examines the association between exposure to the Chornobyl nuclear power plant explosion and the psychological and physical well-being of mothers with young children. The study also examines whether exposure to Chornobyl increased the vulnerability of mothers to subsequent economic and social stress, and thus represents a unique test of the stress-vulnerability model in a non-Western setting.Method. The sample consisted of mothers evacuated from the contamination zone surrounding the plant (evacuees) and mothers who had never lived in a radiation-contaminated area (controls). In addition to exposure status, the interview obtained data on perceived economic stress, social stress and stress moderators. The dependent variables were measured by the SCL-90 global severity index (GSI), perceived physical health and number of days unable to work due to illness.Results. Overall, evacuees reported fewer stressors and greater personal and social resources than control mothers. Nevertheless, evacuees scored higher on the GSI, reported lower perceived physical health and took more sick days relative to control mothers, even after controlling for demographic factors, stressors and stress moderators. Tests of interaction effects were not statistically significant.Conclusions. The findings confirmed that married women with young children evacuated to Kyiv following the Chornobyl nuclear power plant explosion reported significantly poorer psychological and perceived physical health than controls 11 years later. Although perceived social and economic adversities also affected these outcomes, there was no evidence that exposure to the Chornobyl accident increased the vulnerability of mothers to these stressors, giving support to the additive burden model of stress.