Displacement during Hurricane Sandy: The impact on mental health.
Displacement during Hurricane Sandy: The impact on mental health.
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DOI：
10.5055/jem.2018.0350
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发表时间：
2018-01-01
期刊：
影响因子：
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通讯作者：
Taioli, Emanuela
中科院分区：
文献类型：
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作者：
Schwartz, Rebecca M;Rasul, Rehana;Taioli, Emanuela
目的：评估飓风桑迪造成的流离失所对大纽约市 (NYC) 地区居民心理健康结果的影响。设计：前瞻性、横断面。背景：纽约市地区居民，包括皇后区、史泰登岛和长岛。参与者：在 4.25 年期间（2012 年 6 月至 2016 年 9 月），对来自大纽约市地区的 1,615 名成年居民进行了方便抽样。纽约地区完成了对飓风暴露（包括流离失所）、感知压力、抑郁、焦虑和创伤后应激障碍 (PTSD) 症状以及酒精、非法物质和烟草使用指标的验证测量。主要结果测量：感知压力、抑郁、焦虑和 PTSD 症状以及酒精、非法物质和烟草使用。结果：多变量分析表明，流离失所的参与者更有可能患有 PTSD（调整后的比值比）与非流离失所参与者相比，[AOR]：2.21，95% CI：1.73-2.82）、抑郁（AOR：1.37，95% CI：1.05-1.79）和焦虑症状（AOR：1.30，95% CI：1.01-1.67），感知压力评分增加了 1.16 个单位（SE = 0.38）。与住在避难所相比，与朋友/家人待在一起与 PTSD 症状（AOR：0.52，95% CI：0.31-0.88）和当前吸烟者（AOR：0.52，95% CI：0.30-0.92）的几率降低 48% 显着相关。结论：流离失所与负面心理健康结果相关，尤其是流离失所到避难所。备灾工作应包括为流离失所者增加心理健康资源，并在避难所内提供支持服务。
OBJECTIVE: To assess the effect of displacement due to Hurricane Sandy on mental health outcomes among residents of the greater New York City (NYC) area.DESIGN: Prospective, cross sectional.SETTING: NYC area residents, including Queens, Staten Island, and Long Island.PARTICIPANTS: In a 4.25 year period (June 2012 to September 2016), a convenience sample of 1,615 adult residents from the greater NYC area completed validated measures of hurricane exposure (including displacement), perceived stress, depression, anxiety, and post-traumatic stress disorder (PTSD) symptoms as well as indicators of alcohol, illicit substance, and tobacco use.MAIN OUTCOME MEASURES: Perceived stress, depression, anxiety and PTSD symptoms and alcohol, illicit substance, and tobacco use.RESULTS: Multivariable analyses indicated that displaced participants were more likely to have PTSD (adjusted odds ratio [AOR]: 2.21, 95% CI: 1.73-2.82), depression (AOR: 1.37, 95% CI: 1.05-1.79) and anxiety symptoms (AOR: 1.30, 95% CI: 1.01-1.67) and had a 1.16 unit increase in perceived stress score (SE = 0.38) compared to nondisplaced participants. Staying with friends/family versus at a shelter was significantly associated with a 48 percent decreased odds of having PTSD symptoms (AOR: 0.52, 95% CI: 0.31-0.88) and of being a current tobacco user (AOR: 0.52, 95% CI: 0.30-0.92).CONCLUSIONS: Displacement is associated with negative mental health outcomes, particularly displacement to shelters. Disaster preparedness efforts should involve increasing mental health resources to those who are displaced and providing support services within the shelter setting.