Hoarding: a community health problem

Hoarding: a community health problem
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DOI:
10.1046/j.1365-2524.2000.00245.x
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发表时间:
2000-07-01
影响因子:
2.4
通讯作者:
Williams, L
Williams, L
中科院分区:
医学4区
文献类型:
--
作者:
Frost, RO;Steketee, G;Williams, L

文献摘要

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囤积行为被定义为积累无用的、干扰功能的财产。严重囤积不仅可能危及个人的健康和安全,而且可能危及他们周围的社区。然而,关于这一问题的频率和严重性的信息很少。这项研究首次尝试确定向一个州(马萨诸塞州)的卫生部门投诉囤积行为的频率,并探索这些投诉的性质。88名卫生官员,服务于179万人口,回应了对当地卫生委员会关于囤积行为的投诉的调查。在研究的五年中,64%的卫生官员报告了至少一起囤积投诉;报告了471起案例投诉。委员会就58宗个案收集了有关投诉性质和情况的深入资料。投诉通常涉及多个社区机构,偶尔会导致投诉。给社会带来了巨大的代价。只有一半的囤积者认识到他们的家缺乏卫生设施,只有不到三分之一的投诉人愿意合作解决对他们的投诉。囤积行为被认为会严重危害个人及其周围人的健康。囤积动物的行为比不囤积动物的行为更严重、更难处理。
Hoarding behaviour has been defined as the accumulation of possessions that are useless and that interfere with the ability to function. Severe hoarding may endanger not only the health and safety of he individual, but also their surrounding community. However, little information exists regarding the frequency and seriousness of this problem. This study represents the first attempt to determine the frequency of complaints about hoarding behaviour to responding health departments in one state (Massachusetts) and to explore the nature of these complaints. Eighty-eight health officers, serving a population of 1.79 million people, responded to a survey of complaints to local boards of health about hoarding behaviour. Sixty-four percent of the health officers reported at least one hoarding complaint during the five years under study; 471 case complaints were reported. In-depth information on the nature and circumstances of complaints was collected for 58 cases. Complaints typically involved multiple community agencies and occasionally resulted. in significant cost to the community. Only half of the hoarders recognized the lack of sanitation in their home, and fewer than one third of complainants willingly co-operated to resolve the complaint against them. Hoarding behaviours were judged to seriously jeopardize the health of the individual and those around them. Hoarding behaviour that involved collecting animals was more serious and difficult to deal with than non-animal hoarding.