Prevalence of post-traumatic stress disorder in Sichuan Province, China after the 2008 Wenchuan earthquake
Prevalence of post-traumatic stress disorder in Sichuan Province, China after the 2008 Wenchuan earthquake
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DOI：
10.1016/j.puhe.2009.09.017
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发表时间：
2009-11-01
期刊：
影响因子：
5.2
通讯作者：
Yao, L.
中科院分区：
文献类型：
--
作者：
Kun, P.;Chen, X.;Yao, L.
目的：了解中国汶川地震后不同地区地震幸存者创伤后应激障碍（PTSD）患病率及相关危险因素。研究设计：采用横断面多聚类抽样调查，数据来自两个县。方法：分别在四川省北川县和阆中县进行调查，共1002人。在2008年5月的地震中，北川县比阆中县遭受的破坏更严重。数据共涉及426户家庭，平均每户2.2名受访者。数据通过结构化访谈和哈佛创伤问卷收集。结果：北川县重度损伤区疑似PTSD患病率为45.5% (n = 203)，阆中县中度损伤区疑似PTSD患病率为9.4% （n = 52）。家庭收入、生活条件（住区）、家庭死亡和家庭损害与严重受损地区疑似创伤后应激障碍的流行程度密切相关。结论：旨在减少2008年5月地震受灾人群创伤后应激障碍的干预措施应侧重于没有家庭收入的人、住在避难所或临时住房的人、家庭受损的人以及家庭中有人死亡的人。各国政府应支持创收活动和改善生活条件。训练有素的现场人员可协助进行创伤后应激障碍评估和转诊，现有的农村保健服务应用于治疗常见的精神疾病。(C) 2009年，皇家公共卫生学会。Elsevier Ltd.出版。版权所有。
Objective: To estimate the prevalence of post-traumatic stress disorder (PTSD) and assess the associated risk factors among earthquake survivors in different areas after the Wenchuan earthquake in China.Study design: Cross-sectional multicluster sample surveys were employed using data collected from two counties.Methods: Surveys were conducted separately in Beichuan and Langzhong Counties in Sichuan Province, with a total of 1002 respondents. Beichuan County was damaged more severely than Langzhong County during the earthquake in May 2008. A total of 426 households were represented in the data, with a mean of 2.2 respondents per household. Data were collected using structured interviews and the Harvard Trauma Questionnaire.Results: The prevalence of suspected PTSD was 45.5% (n = 203) in Beichuan County (heavily damaged) and 9.4% (n = 52) in Langzhong County (moderately damaged). Household income, living conditions (settlements), deaths in families and household damage were significantly related to the prevalence of suspected PTSD in heavily damaged areas.Conclusion: Interventions designed to reduce PTSD among populations affected by the May 2008 earthquake should focus on individuals with no household income, those living in shelters or temporary houses, those with damaged households, and those who experienced a death in the family. Governments should support income-generating activities and improve living conditions. Trained field personnel can assist with PTSD assessments and referrals, and existing rural healthcare services should be used to provide treatment for common psychiatric disorders. (C) 2009 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.